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Karen Robinson, Mauricio Garnier-Villarreal, Lisa Hanson
While breast-feeding initiation rates for African American mothers are low, an innovative model of group prenatal care, CenteringPregnancy, holds promise to increase breast-feeding rates. The aim of this systematic review and meta-analysis was to examine the effects of CenteringPregnancy versus individual prenatal care on breast-feeding initiation among African American mothers. Using a systematic approach and PRISMA guidelines, 4 electronic databases were used to search the literature. English-language studies, comparing CenteringPregnancy and individual prenatal care, including African American participants, and specifying breast-feeding initiation as an outcome were screened for inclusion...
January 17, 2018: Journal of Perinatal & Neonatal Nursing
Crystal L Patil, Carrie S Klima, Sebalda C Leshabari, Alana D Steffen, Heather Pauls, Molly McGown, Kathleen F Norr
BACKGROUND: The links between empowerment and a number of health-related outcomes in sub-Saharan Africa have been documented, but empowerment related to pregnancy is under-investigated. Antenatal care (ANC) is the entry point into the healthcare system for most women, so it is important to understand how ANC affects aspects of women's sense of control over their pregnancy. We compare pregnancy-related empowerment for women randomly assigned to the standard of care versus CenteringPregnancy-based group ANC (intervention) in two sub-Saharan countries, Malawi and Tanzania...
November 8, 2017: BMC Pregnancy and Childbirth
Deb Risisky, Ronna L Chan, Victoria A Zigmont, Syed Masood Asghar, Nancy DeGennaro
Introduction The purpose of the study is to evaluate delivery method and breastfeeding initiation in women enrolled in group prenatal care (CenteringPregnancy) and in traditional prenatal care. Methods Data were obtained from medical records of a hospital-based midwifery practice in south central Connecticut that offered both types of prenatal care programs. Medical information from 307 women enrolled in this practice was included in the analysis. Out of the 307, 80 were enrolled in group prenatal care. Socio-demographic, lifestyle, and previous and current obstetrical information from medical records formed the basis of comparison...
November 9, 2017: Maternal and Child Health Journal
Sally H Adams, Steven E Gregorich, Sharon S Rising, Margaret Hutchison, Lisa H Chung
INTRODUCTION: National and professional organizations recommend oral health promotion in prenatal care to improve women's oral health. However, few prenatal programs include education about oral health promotion. The objective of this study was to determine if women receiving a brief, low-cost, and sustainable educational intervention entitled CenteringPregnancy Oral Health Promotion had clinically improved oral health compared to women receiving standard CenteringPregnancy care. METHODS: Women attending CenteringPregnancy, a group prenatal care model, at 4 health centers in the San Francisco Bay Area, participated in this nonrandomized controlled pilot study in 2010 to 2011...
July 7, 2017: Journal of Midwifery & Women's Health
Gregory E Miller, Ann E Borders, Amy H Crockett, Kharah M Ross, Sameen Qadir, Lauren Keenan-Devlin, Adam K Leigh, Paula Ham, Jeffrey Ma, Jesusa M G Arevalo, Linda M Ernst, Steve W Cole
Children from economically disadvantaged families experience worse cognitive, psychiatric, and medical outcomes compared to more affluent youth. Preclinical models suggest some of the adverse influence of disadvantage could be transmitted during gestation via maternal immune activation, but this hypothesis has not been tested in humans. It also remains unclear whether prenatal interventions can mitigate such effects. To fill these gaps, we conducted two studies. Study 1 characterized the socioeconomic conditions of 79 women during pregnancy...
August 2017: Brain, Behavior, and Immunity
Liwei Chen, Amy H Crockett, Sarah Covington-Kolb, Emily Heberlein, Lu Zhang, Xiaoqian Sun
BACKGROUND: In the United States, preterm birth (PTB) before 37 weeks gestational age occurs at an unacceptably high rate, and large racial disparities persist. To date, medical and public health interventions have achieved limited success in reducing rates of PTB. Innovative changes in healthcare delivery are needed to improve pregnancy outcomes. One such model is CenteringPregnancy group prenatal care (GPNC), in which individual physical assessments are combined with facilitated group education and social support...
April 13, 2017: BMC Pregnancy and Childbirth
Jennifer N Felder, Elissa Epel, Jessica B Lewis, Shayna D Cunningham, Jonathan N Tobin, Sharon Schindler Rising, Melanie Thomas, Jeannette R Ickovics
OBJECTIVES: Depressive symptoms are associated with preterm birth among adults. Pregnant adolescents have high rates of depressive symptoms and low rates of treatment; however, few interventions have targeted this vulnerable group. Objectives are to: (a) examine impact of CenteringPregnancy® Plus group prenatal care on perinatal depressive symptoms compared to individual prenatal care; and (b) determine effects of depressive symptoms on gestational age and preterm birth among pregnant adolescents...
June 2017: Journal of Consulting and Clinical Psychology
Liselotte Kweekel, Trudie Gerrits, Marlies Rijnders, Patrick Brown
BACKGROUND: CenteringPregnancy (CP) is a specific model of group-based prenatal care for women, implemented in 44 midwifery practices in The Netherlands since 2011. Women have evaluated CP positively, especially in terms of social support, and improvements have been made in birthweight and preterm-birth outcomes; however, there is limited understanding as to why. The purpose of this study was to examine the mechanisms that create trusting relationships within CP to better understand CP outcomes and effectiveness...
March 2017: Birth
Sung Y Chae, Mark H Chae, Sridevi Kandula, Robin O Winter
This prospective cohort study compared women participating in CenteringPregnancy® group prenatal care (N = 120) with those in standard individual care (N = 221) to determine if participation in Centering was associated with improvements in perceived social support and quality of life, with concomitant decreases in screens of postpartum depression and improvements in breastfeeding rates. Participants completed surveys at the onset of prenatal care, in the late third trimester and in the postpartum period...
February 2017: Archives of Women's Mental Health
Carmen Strickland, Shannon Merrell, Julienne K Kirk
CenteringPregnancy is a group prenatal care model that engages pregnant women in their care, which results in promising health and system outcomes. This commentary will review this innovative care model with a focus on patient experience, population health outcomes, cost effectiveness, and provider experience.
November 2016: North Carolina Medical Journal
Birgit S van Zwicht, Matty R Crone, Jan M M van Lith, Marlies E B Rijnders
BACKGROUND: CenteringPregnancy (CP) is a multifaceted group based care-model integrated in routine prenatal care, combining health assessment, education, and support. CP has shown some positive results on perinatal outcomes. However, the effects are less obvious when limited to the results of randomized controlled trials: as there are few trials and there is a variation in reported outcomes. Furthermore, former research was mostly conducted in the United States of America and in specific (often high risk) populations...
November 15, 2016: BMC Pregnancy and Childbirth
Sarah Gareau, Ana Lòpez-De Fede, Brandon L Loudermilk, Tammy H Cummings, James W Hardin, Amy H Picklesimer, Elizabeth Crouch, Sarah Covington-Kolb
Objectives This study was undertaken to determine the cost savings of prevention of adverse birth outcomes for Medicaid women participating in the CenteringPregnancy group prenatal care program at a pilot program in South Carolina. Methods A retrospective five-year cohort study of Medicaid women was assessed for differences in birth outcomes among women involved in CenteringPregnancy group prenatal care (n = 1262) and those receiving individual prenatal care (n = 5066). The study outcomes examined were premature birth and the related outcomes of low birthweight (LBW) and neonatal intensive care unit (NICU) visits...
July 2016: Maternal and Child Health Journal
Rhianon Liu, Maria T Chao, Ariana Jostad-Laswell, Larissa G Duncan
We examined the birth experience of immigrant and minority women and how CenteringPregnancy (Centering), a model of group prenatal care and childbirth education, influenced that experience. In-depth interviews and surveys were conducted with a sample of racially diverse Centering participants about their birth experiences. Interview transcripts were analyzed thematically. Study participants (n = 34) were primarily low-income, Spanish-speaking immigrants with an average age of 29.7. On a scale from 1 (not satisfied) to 10 (very satisfied), women reported high satisfaction with birth (9...
April 2017: Journal of Immigrant and Minority Health
Maike K Kahr, Shannon Padgett, Cindy D Shope, Emily N Griffin, Susan S Xie, Pablo J Gonzalez, Judy Levison, Joan Mastrobattista, Adi R Abramovici, Thomas F Northrup, Angela L Stotts, Kjersti M Aagaard, Melissa A Suter
BACKGROUND: Studies reveal that electronic cigarette (e-cigarette) and hookah use are increasing among adolescents and young adults. However, the long-term health effects are unknown, especially with regards to pregnancy. Because of the increased use in women of reproductive age, and the unknown long-term health risks, our primary objectives were to determine the perceived risks of e-cigarette and hookah use in pregnancy, and learn common colloquial terms associated with e-cigarettes...
2015: BMC Public Health
Jeannette R Ickovics, Valerie Earnshaw, Jessica B Lewis, Trace S Kershaw, Urania Magriples, Emily Stasko, Sharon Schindler Rising, Andrea Cassells, Shayna Cunningham, Peter Bernstein, Jonathan N Tobin
OBJECTIVES: We compared an evidence-based model of group prenatal care to traditional individual prenatal care on birth, neonatal, and reproductive health outcomes. METHODS: We performed a multisite cluster randomized controlled trial in 14 health centers in New York City (2008-2012). We analyzed 1148 pregnant women aged 14 to 21 years, at less than 24 weeks of gestation, and not at high obstetrical risk. We assessed outcomes via medical records and surveys. RESULTS: In intention-to-treat analyses, women at intervention sites were significantly less likely to have infants small for gestational age (< 10th percentile; 11...
February 2016: American Journal of Public Health
Emily C Heberlein, Edward A Frongillo, Amy H Picklesimer, Sarah Covington-Kolb
OBJECTIVE: This study compared the effects of group to individual prenatal care in late pregnancy and early postpartum on (1) women's food security and (2) psychosocial outcomes among food-insecure women. METHODS AND RESULTS: We recruited 248 racially diverse, low-income, pregnant women receiving CenteringPregnancy™ group prenatal care (N = 124) or individual prenatal care (N = 124) to complete surveys in early pregnancy, late pregnancy, and early postpartum, with 84 % completing three surveys...
May 2016: Maternal and Child Health Journal
Gina Novick, Julie A Womack, Jessica Lewis, Emily C Stasko, Sharon S Rising, Lois S Sadler, Shayna C Cunningham, Jonathan N Tobin, Jeannette R Ickovics
Group prenatal care improves perinatal outcomes, but implementing this complex model places substantial demands on settings designed for individual care. To describe perceived barriers and facilitators to implementing and sustaining CenteringPregnancy Plus (CP+) group prenatal care, 24 in-depth interviews were conducted with 22 clinicians, staff, administrators, and study personnel in six of the 14 sites of a randomized trial of the model. All sites served low-income, minority women. Sites for the present evaluation were selected for variation in location, study arm, and initial implementation response...
December 2015: Research in Nursing & Health
Emily C Heberlein, Amy H Picklesimer, Deborah L Billings, Sarah Covington-Kolb, Naomi Farber, Edward A Frongillo
To compare the psychosocial outcomes of the CenteringPregnancy (CP) model of group prenatal care to individual prenatal care, we conducted a prospective cohort study of women who chose CP group (N = 124) or individual prenatal care (N = 124). Study participants completed the first survey at study recruitment (mean gestational age 12.5 weeks), with 89% completing the second survey (mean gestational age 32.7 weeks) and 84% completing the third survey (6 weeks' postpartum). Multiple linear regression models compared changes by prenatal care model in pregnancy-specific distress, prenatal planning-preparation and avoidance coping, perceived stress, affect and depressive symptoms, pregnancy-related empowerment, and postpartum maternal-infant attachment and maternal functioning...
April 2016: Archives of Women's Mental Health
Gylynthia Trotman, Gayatri Chhatre, Renuka Darolia, Eshetu Tefera, Lauren Damle, Veronica Gomez-Lobo
STUDY OBJECTIVE: To determine if the CenteringPregnancy model of prenatal care improves maternal health behaviors in adolescent pregnancy. DESIGN: We conducted a retrospective chart review comparing 150 pregnant adolescents who received prenatal care between 2008 to 2012 with CenteringPregnancy to those receiving care in traditional prenatal care models with either multiprovider or single-provider visits. Outcome measures included weight gain during pregnancy, compliance to prenatal care appointments, infant feeding method, postpartum follow up and contraceptive use postpartum...
October 2015: Journal of Pediatric and Adolescent Gynecology
Jill Alliman, Diana Jolles, Lisa Summers
No abstract text is available yet for this article.
May 2015: Journal of Midwifery & Women's Health
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