Improving Infant and Maternal Health through CenteringPregnancy: A Comparison of Maternal Health Indicators and Infant Outcomes between Women Receiving Group versus Traditional Prenatal CareReportar como inadecuado




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Background: Despiteefforts to increase participation in prenatal care, outcomes for women andinfants in the United States remain below global and national health targets.CenteringPregnancy, a model of group prenatal care, incorporates practicesconsistent with national and international guidelines while allowing forgreater freedom in providing content tailored to the specific needs of womenreceiving care.
Objective: To determine whether the CenteringPregnancy modelimproves maternal and neonatal health indicators such as prenatal careattendance, smoking cessation, weight gain during pregnancy, gestational age atdelivery, mode of delivery, and initiation and continuation of breastfeeding.Methods: A retrospective study was conducted including all pregnant womenparticipating in CenteringPregnancy at two prenatal clinic sites in southwestMichigan from January 2010 to April 2012 n = 173.
A comparison group of womenreceiving traditional care from certified nurse-midwives was created usingpropensity scores to match for age, race, and insurance status n = 170.
Achart review was performed to analyze maternal and neonatal health indicatorsincluding attendance at prenatal visits, gestational age at delivery, baselinematernal weight and weight gain during pregnancy, smoking cessation, infantbirth weight, mode of delivery vaginal birth vs.
cesarean section, and ratesof breastfeeding.
Results: There were no significant differences inpre-pregnancy weight, amount of weight gained during pregnancy, prenatal careattendance, gestational age at delivery, mode of delivery or infant birthweight.
The CenteringPregnancy group had significantly higher rates of smokingcessation during pregnancy, as well as higher rates of breastfeeding initiationand continuation.
Conclusions: This study provides support for the benefits ofCenteringPregnancy in improving rates of smoking cessation during pregnancywhich is important to both maternal and infant health.
Additionally, in thispopulation CenteringPregnancy resulted in improved rates of breastfeedinginitiation and continuation, providing benefits to both infants and mothers.


KEYWORDS

CenteringPregnancy, Prenatal Care, Breastfeeding, Group Care, Smoking Cessation, Pregnancy

Cite this paper

Zielinski, R.
, Stork, L.
, Deibel, M.
, Kothari, C.
and Searing, K.
2014 Improving Infant and Maternal Health through CenteringPregnancy: A Comparison of Maternal Health Indicators and Infant Outcomes between Women Receiving Group versus Traditional Prenatal Care.
Open Journal of Obstetrics and Gynecology, 4, 497-505.
doi: 10.4236-ojog.2014.49071.






Autor: Ruth Zielinski, Leslie Stork, Megan Deibel, Catherine L.
Kothari, Kimberly Searing


Fuente: http://www.scirp.org/





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