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A Review of Prenatal Group Care Literature: The Need for a Structured Theoretical Framework and Systematic Evaluation

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Abstract

The purpose of this article is to systematically review the literature on group-based prenatal care related to patient participation, attendance, satisfaction, knowledge, pregnancy and birth outcomes, and program cost. MEDLINE, CINAHL, and PsycINFO sources were searched for English-language articles published any time prior to June 2010. Manual searches of bibliographies were conducted and experts were consulted to identify possible sources. Descriptive, cross-sectional, cohort, and randomized control studies that assessed group-based prenatal care were selected. Of the 15 articles reviewed, 11 studies met inclusion criteria for analysis of the study attributes and outcome data related to patient participation, attendance, satisfaction, knowledge, as well as breastfeeding, pregnancy and birth outcomes, and program cost. Results from the review show that group prenatal care may be associated with improved patient and birth outcomes including reduction in the number of preterm deliveries, higher patient participation and satisfaction, and increased initiation of breastfeeding. Prenatal group care research is limited by relatively few studies, most of which lack rigor. The current model of prenatal group care lacks a theoretical framework for describing and evaluating group processes as well as intermediary factors of prenatal and birth outcomes. Research on group care would benefit from additional randomized controlled trials that assess cost and sustainability and formally evaluate group process and intermediary factors thought to account for improved outcomes.

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References

  1. Novick, G. (2004). CenteringPregnancy and the current state of prenatal care. Journal of Midwifery & Women’s Health, 49(5), 405–411.

    Article  Google Scholar 

  2. Alexander, G. R., & Kotelchuck, M. (2001). Assessing the role and effectiveness of prenatal care: History, challenges, and directions for future research. Public Health Reports, 116(4), 306–316.

    PubMed  CAS  Google Scholar 

  3. Kogan, M. D., Martin. J. A., Ventura. S. J., Alexander, G. R., Kotelchuck, M., Frigoletto, F. D. (1998). Benefits and limitations of prenatal care. JAMA 280(24), 2071–2; author reply 3.

  4. Gregory, K. D., & Davidson, E. (1999). Prenatal care: Who needs it and why? Clinical Obstetrics and Gynecology, 42(4), 725–736.

    Article  PubMed  CAS  Google Scholar 

  5. Guidelines for Perinatal Care. (2007). Sixth Edition ed. Washington D. C.: American Congress of Obstetricians and Gynecologists.

  6. Rising, S. S. (1998). Centering pregnancy. An interdisciplinary model of empowerment. Journal of Nurse-Midwifery, 43(1), 46–54.

    Article  PubMed  CAS  Google Scholar 

  7. Model overview. (2009). [cited 2009 June 22, 2009]; Available from. http://www.centeringhealthcare.org/pages/centering-model/model-overview.php.

  8. Rising, S. S., Kennedy, H. P., & Klima, C. S. (2004). Redesigning prenatal care through CenteringPregnancy. Journal of Midwifery & Women’s Health, 49(5), 398–404.

    Article  Google Scholar 

  9. Centering sites. (2009). [cited 2009 June 22, 2009]; Available from. http://www.centeringhealthcare.org/pages/site_by_state.php.

  10. Designing, Conducting, and Analyzing Programs Within the Preventive Intervention Research Cycle. In: P. J. Mrazek, R. J. Haggerty, (Eds.), Reducing risks for mental disorders: Frontiers for preventive intervention research. Washington D.C.: Institutes of Medicine; 1994. pp. 359–414.

  11. Research Sites. (2009). [cited 2010 April 15, 2010]; Available from. http://www.centeringhealthcare.org/pages/research/active_studies.php.

  12. Kennedy, H. P., Farrell, T., Paden, R., Hill, S., Jolivet, R., Willetts, J., et al. (2009). I wasn’t alone–a study of group prenatal care in the military. Journal of Midwifery & Women’s Health, 54(3), 176–183.

    Article  Google Scholar 

  13. Kershaw, T. S., Magriples, U., Westdahl, C., Rising, S. S., & Ickovics, J. (2009). Pregnancy as a window of opportunity for HIV prevention: Effects of an HIV intervention delivered within prenatal care. American Journal of Public Health, 99(11), 2079–2086.

    Article  PubMed  Google Scholar 

  14. Ickovics, J. R., Kershaw, T. S., Westdahl, C., Magriples, U., Massey, Z., Reynolds, H., et al. (2007). Group prenatal care and perinatal outcomes: A randomized controlled trial. Obstetrics and Gynecology, 110(2 Pt 1), 330–339.

    Article  PubMed  Google Scholar 

  15. Downs, S. H., & Black, N. (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology and Community Health, 52(6), 377–384.

    Article  PubMed  CAS  Google Scholar 

  16. Mooney, S. E., & Russell, M. A. (2008). Group prenatal care: An analysis of cost. Journal of Health Care Finance, 34(4), 31–41.

    PubMed  Google Scholar 

  17. Teate, A., Leap, N., Rising, S. S., & Homer, C. S. (2009). Women’s experiences of group antenatal care in Australia-the Centering Pregnancy Pilot Study. Midwifery Apr 20.

  18. Baldwin, K. A. (2006). Comparison of selected outcomes of CenteringPregnancy versus traditional prenatal care. Journal of Midwifery & Women’s Health, 51(4), 266–272.

    Article  Google Scholar 

  19. Bloom, K. C. (2005). Use of the CenteringPregnancy program in a school-based clinic: A pilot study. Clinical Excellence for Nurse Practitioners, 9(4), 213–218.

    Google Scholar 

  20. Grady, M. A., & Bloom, K. C. (2004). Pregnancy outcomes of adolescents enrolled in a CenteringPregnancy program. Journal of Midwifery & Women’s Health, 49(5), 412–420.

    Article  Google Scholar 

  21. Ickovics, J. R., Kershaw, T. S., Westdahl, C., Rising, S. S., Klima, C., Reynolds, H., et al. (2003). Group prenatal care and preterm birth weight: Results from a matched cohort study at public clinics. Obstetrics and Gynecology, 102(5 Pt 1), 1051–1057.

    Article  PubMed  Google Scholar 

  22. Klima, C., Norr, K., Vonderheid, S., & Handler, A. (2009). Introduction of CenteringPregnancy in a public health clinic. Journal of Midwifery & Women’s Health, 54(1), 27–34.

    Article  Google Scholar 

  23. Robertson, B., Aycock, D. M., & Darnell, L. A. (2009). Comparison of centering pregnancy to traditional care in Hispanic mothers. Maternal and Child Health Journal, 13(3), 407–414.

    Article  PubMed  Google Scholar 

  24. Shakespear, K., Waite, P. J., Gast, J. (2009). A comparison of health behaviors of women in CenteringPregnancy and traditional prenatal care. Maternal and Child Health Journal. Jan 29.

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Correspondence to Jeanelle Sheeder.

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Sheeder, J., Weber Yorga, K. & Kabir-Greher, K. A Review of Prenatal Group Care Literature: The Need for a Structured Theoretical Framework and Systematic Evaluation. Matern Child Health J 16, 177–187 (2012). https://doi.org/10.1007/s10995-010-0709-1

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