The Effect of Centering Pregnancy versus Traditional Prenatal Care Models on Improved Adolescent Health Behaviors in the Perinatal Period - 31/07/15
, Gayatri Chhatre, MD 1, Renuka Darolia, MD 1, Eshetu Tefera, MS 2, Lauren Damle, MD 1, Veronica Gomez-Lobo, MD 1Abstract |
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. A χ2 analysis was used to compare outcomes between the 3 groups at a 2-tailed α of .05.
Results |
Fifty individuals were evaluated in each group. Adolescents in the CenteringPregnancy group were more likely to comply with prenatal and postpartum visits and to meet the 2009 Institute of Medicine gestational weight guidelines for weight gain in pregnancy than were adolescents in either multiprovider (62.0% vs 38.0%, P = .02) or single-provider (62.0% vs 38.0%, P = .02) groups. The CenteringPregnancy group was also more likely to solely breastfeed compared with adolescents in the multiprovider group (40.0% vs 20.0%, P = .03) and include breastfeeding in addition to bottle-feeding compared with both multiprovider (32.0% vs 14.0%, P = .03) and single-provider (32.0% vs 12.0%, P = .03) patient groups. Additionally, the CenteringPregnancy group had increased uptake of long-acting reversible contraception and were less likely to suffer from postpartum depression.
Conclusions |
CenteringPregnancy Prenatal Care program aids in compliance to prenatal visits, appropriate weight gain, increased uptake of highly effective contraception, and breastfeeding among adolescent mothers.
Le texte complet de cet article est disponible en PDF.Key Words : Centering pregnancy, Group prenatal care, Teen pregnancy, Postpartum contraception
Plan
| Dr. Renuka Darolia has received a grant from the March of Dimes in support of performing Centering Pregnancy groups at MedStar Washington Hospital Center, but has received no financial support from this organization in support of this research project. The authors indicate no conflicts of interest. |
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?