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Copy of Centering Pregnancy

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Hannah Elizabeth

on 13 March 2014

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Transcript of Copy of Centering Pregnancy

Centering Pregnancy

Assessments
Blood pressure
Weight
Goals
One-to-one check-up
13 Essential Elements
Group space.
Self-care activities.
Facilitative leadership style
The group is conducted in a circle.
Each session has an overall plan.
Core content emphasis
Stability of group leadership.
Group conduct honors the contribution of each member.
Group composition is stable, not rigid.
Group size promotes the process.
Support partners may join.
Socializing
Ongoing evaluation of outcomes

What is it?
Group prenatal care
Learning-centered!
Established support system
Structure of Care
Group care often begins at
14 weeks
Healthcare provider leads group
Sessions are 2 hours long
First 30 minutes: assessments
Group discussion!
" Women experience greater learning, feel better prepared for labor, birth and infant care, gain friendship and support in the group and have overall greater satisfaction."
-Centeringhealthcare.org
safety. education. support.
Customized Care
“I’m so happy to be here in this group. I feel so comfortable, and it feels so good that everyone here speaks Spanish. I have felt so alone in this country….” “I felt like I was in a family.” “We are all on the same path doing it together.”
How Would You feel...

As the Provider?
“I enjoy the freedom, creativity, and common sense inherent in the Centering model of care. I feel like I’ve done meaningful and satisfying work after EVERY group, that maybe I’m participating in something with a lasting impact.”(provider)
Better Care? Better Health?
"Centering Pregnancy and Adverse Pregnancy Outcomes: an Evaluation of Group Prenatal Care in Rural Western Kentucky Clinics":
Reduced risk late preterm
Reduced risk early term
Centering Healthcare Institute
Evidence based outcomes:

preterm birth rates
SGA
breastfeeding rates
immunization rates
Cost?

Money is saved!
Positive birth outcomes cost less!

"In 2012, the reduction in preterm births alone through Centering saved over $40 million"
-Centering Healthcare Institute
Oh look...
The National Institute of Health Agrees....
Significantly
less likely to have preterm births compared with those in standard care.
Effects were strengthened for African-American women
Less likely to have suboptimal prenatal care
Significantly better prenatal knowledge
Felt more ready for labor and delivery
Greater satisfaction with care
Breastfeeding initiation
No cost difference

CONCLUSION
Group prenatal care resulted in equal or improved perinatal outcomes at no added cost.
Ideas???
http://centeringhealthcare.org/index.php
There's more!
References
Centering Healthcare Institute. Accessed Feb. 25, 2014.
http://centeringhealthcare.org/index.php

Chestnut, L.W. (2013) "Centering Pregnancy and Adverse Pregnancy
Outcomes: an Evaluation of Group Prenatal Care in Rural Western Kentucky Clinics"
Proquest LLC
. Accessed Feb. 25, 2014. http://search.proquest.com.proxy.library.vanderbilt.edu/docview/1285532104/previewPDF/979146363E464E33PQ/1?accountid=14816

Ickovics, J.R. (1992) "Group Prenatal Care and Perinatal
Outcomes: A Randomized Controlled Trial"
Obstetrics and Gynecology
. Vol. 11: 937-944. Accessed Feb. 25, 2014. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2276878/




Klima, C.S. (2003). "Centering Pregnancy: A Model for Pregnant Adolescents."
Journal of Midwifery and Women's Health
." Vol. 48 No. 3: 220-225. Accessed Feb 26, 2014. http://www.nursingconsult.com.proxy.library.vanderbilt.edu/nursing/journals/1526-9523/full-text/PDF/s152695230300062x.pdf?issn=1526-9523&full_text=pdf&pdfName=s152695230300062x.pdf&spid=13536641&article_id=493229
Where could this kind of care be significant?

Cultural Reflection?
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