Introduction of CenteringPregnancy in a Public Health Clinic
- 2 January 2009
- journal article
- Published by Wiley in Journal of Midwifery & Women's Health
- Vol. 54 (1), 27-34
- https://doi.org/10.1016/j.jmwh.2008.05.008
Abstract
CenteringPregnancy is a promising group visit prenatal care innovation that provides substantial health promotion content. Elements unique to group care include peer support and self-management training and activities. CenteringPregnancy was introduced at a large public health clinic serving predominantly low-income African American pregnant women. All prenatal care at this clinic was provided by certified nurse-midwives, and all providers were trained in the CenteringPregnancy model. One hundred and ten women received prenatal care in CenteringPregnancy groups. Focus groups of pregnant women, providers, and health center staff reported that the program benefited women despite implementation challenges such as scheduling changes. Compared to women in individual care, women in CenteringPregnancy had significantly more prenatal visits, increased weight gain, increased breast feeding rates, and higher overall satisfaction. This pilot project demonstrated that CenteringPregnancy can be implemented in a busy public health clinic serving predominantly low-income pregnant women and is associated with positive health outcomes.Keywords
This publication has 33 references indexed in Scilit:
- Group Prenatal Care and Perinatal OutcomesObstetrics & Gynecology, 2007
- Prenatal Health Promotion Content and Health BehaviorsWestern Journal of Nursing Research, 2007
- Comparison of Selected Outcomes of CenteringPregnancy Versus Traditional Prenatal CareJournal of Midwifery & Women's Health, 2006
- Early Access to Prenatal CareObstetrics & Gynecology, 2006
- Prenatal Care: Limitations and OpportunitiesJournal of Obstetric, Gynecologic & Neonatal Nursing, 2006
- ACOG Committee Opinion #315: Obesity in PregnancyObstetrics & Gynecology, 2005
- Stress and Preterm BirthClinical Obstetrics and Gynecology, 2004
- Group prenatal care and preterm birth weight: results from a matched cohort study at public clinics*1Obstetrics & Gynecology, 2003
- Integrated perinatal health framework: A multiple determinants model with a life span approachAmerican Journal of Preventive Medicine, 2003
- Benefits and Limitations of Prenatal CareJAMA, 1998