Comparing CenteringPregnancy® to standard prenatal care plus prenatal education

BMC Pregnancy and Childbirth

Research

Siobhan M Dolan¹  Sheila W McDonald²  Suzanne C Tough³  Monica Vekved⁴  Ingunn Benediktsson⁵  Deborah A McNeil⁶ 

[1] Department of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY, USA;Department of Paediatrics, University of Calgary, Calgary, Alberta, Canada;Department of Paediatrics, University of Calgary, Calgary, Alberta, Canada;Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada;Department of Paediatrics, University of Calgary, Calgary, Alberta, Canada;Public Health Innovation and Decision Support, Alberta Health Services, Calgary, Alberta, Canada;Faculty of Medicine, University of Calgary, Canada;Public Health Innovation and Decision Support, Alberta Health Services, Calgary, Alberta, Canada;

关键词: Preterm Birth;    Prenatal Care;    Psychosocial Health;    Maternal Mental Health;    Adverse Birth Outcome;   

DOI  :  10.1186/1471-2393-13-S1-S5

来源: Springer

【 摘 要 】

ndThere is significant evidence to support the importance of prenatal care in preventing adverse outcomes such as preterm birth and low infant birth weight. Previous studies have indicated that the benefits of prenatal care are not evenly distributed throughout the social strata. In addition, emerging evidence suggests that among particular populations, rates of preterm birth are unchanged or increasing. This suggests that an alternate care model is necessary, one that seeks to addresses some of the myriad of social factors that also contribute to adverse birth outcomes. In previous studies, the group prenatal care model CenteringPregnancy® had been shown to reduce adverse birth outcomes, but to date, no comparison had been made with a model that included prenatal education. This study sought to investigate whether any significant difference remained within the comparison groups when both models accounted for social factors.MethodsThis analysis was based on survey data collected from a prospective cohort of pregnant women through the All Our Babies Study in Calgary, Alberta.ResultsAt baseline, there were significant differences between the comparison groups in their psychosocial health, with the women in the CenteringPregnancy® group scoring higher levels of depressive symptoms, stress and anxiety. At four months postpartum, the differences between the groups were no longer significant. Conclusions: These results suggest that CenteringPregnancy® can recruit and retain a demographically vulnerable group of women with a constellation of risk factors for poor pregnancy and birth outcomes, including poverty, language barriers and poor mental health. Post program, the rates of stress, anxiety and depression were similar to other women with more social and financial advantage. These findings suggest that CenteringPregnancy® may be a community based care strategy that contributes to improved mental health, knowledge, and behaviours to optimize outcomes for mothers and children.

【 授权许可】

Unknown   
© Benediktsson et al; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.