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

Sheeder, Jeanelle; Yorga, Kim Weber; Kabir-Greher, Karolyn

doi:10.1007/s10995-010-0709-1

Cited by 44 publications

(31 citation statements)

References 15 publications

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“…As noted in a recent systematic review (35), however, little research exists that explores the mechanisms underlying any beneficial effects associated with group prenatal care. Because our study relied on a retrospective chart review, we did not collect process data on delivery of prenatal care, or extensive antepartum data that might permit empirical examination of the underlying mechanisms behind any observed effects.…”

Section: Discussionmentioning

confidence: 99%

Comparative Effectiveness of Group and Individual Prenatal Care on Gestational Weight Gain

Tanner‐Smith

Steinka-Fry

Gesell

2013

Matern Child Health J

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OBJECTIVES This study examined differences in gestational weight gain for women in CenteringPregnancy (CP) group prenatal care versus individually delivered prenatal care. METHODS We conducted a retrospective chart review and used propensity scores to form a matched sample of 393 women (76% African-American, 13% Latina, 11% White; average age 22 years) receiving prenatal care at a community health center in the South. Women were matched on a wide range of demographic and medical background characteristics RESULTS Compared to the matched group of women receiving standard individual prenatal care, CP participants were less likely to have excessive gestational weight gain, regardless of their pre-pregnancy weight (b = −.99, 95% CI [−1.92, −.06], RRR = .37). CP reduced the risk of excessive weight gain during pregnancy to 54% of what it would have been in the standard model of prenatal care (NNT = 5). The beneficial effect of CP was largest for women who were overweight or obese prior to their pregnancy. Effects did not vary by gestational age at delivery. Post-hoc analyses provided no evidence of adverse effects on newborn birth weight outcomes. CONCLUSIONS Group prenatal care had statistically and clinically significant beneficial effects on reducing excessive gestational weight gain relative to traditional individual prenatal care.

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Section: Discussionmentioning

confidence: 99%

Comparative Effectiveness of Group and Individual Prenatal Care on Gestational Weight Gain

Tanner‐Smith

Steinka-Fry

Gesell

2013

Matern Child Health J

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“…29,30 Both concluded that women exposed to group prenatal care or CenteringPregnancy yielded significant reductions in PTB, significant improvement in breastfeeding initiation and duration, greater knowledge and satisfaction with prenatal care, and a nonsignificant reduction in cesarean delivery rates and LBW infants. 29,30 Both concluded that women exposed to group prenatal care or CenteringPregnancy yielded significant reductions in PTB, significant improvement in breastfeeding initiation and duration, greater knowledge and satisfaction with prenatal care, and a nonsignificant reduction in cesarean delivery rates and LBW infants.…”

Section: Summary Of Outcomesmentioning

confidence: 99%

Group Prenatal Care

Tilden¹,

Hersh²,

Emeis³

et al. 2014

Obstetrical &Amp; Gynecological Survey

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The intent and delivery of prenatal care have evolved since its formal inception in the early 1900s. Group prenatal care offers an alternative care delivery model to the currently dominant prenatal care model. The group model has been associated with a number of improved perinatal outcomes including decreased preterm birth, higher birth weight, improved breast-feeding initiation and duration, decreased cesarean delivery, and greater patient satisfaction. This article outlines the tenets of CenteringPregnancy, the current dominant form of group prenatal care, reviews literature regarding perinatal outcomes related to group prenatal care, suggests future research agendas, and highlights relevant considerations when implementing this alternate model of prenatal health care delivery.

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“…[10][11][12][13] Group prenatal care and group well-baby care are promising strategies for better addressing family needs and improving clinical and social outcomes. Studies to date have shown that the immediate outcomes associated with group prenatal and well-baby care are at least as good, if not better, than those associated with individual care 11 and in-clude greater satisfaction, [14][15][16] higher breastfeeding initiation rates, [14][15][16] lower rates of preterm birth, [14][15][16] and lower rates of overweight and obesity in children participating in group pediatric care at 15 months 17 and 24 months. 18 However, whether the knowledge and skills gained in group prenatal or group well-baby care are used long term is unknown.…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Study of Women's Recall of Content and Skills Developed in Group Prenatal and Well‐Baby Care 2 Years Later

Hackley¹,

Elyachar‐Stahl²,

Savage³

et al. 2018

J Midwife Womens Health

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Introduction Group prenatal and well‐baby care is a system of health care visits that occur in a group setting. Each individual session lasts approximately 2 hours, allowing more time for education and support than can occur in an individual visit. Compared with individual care, research suggests that group care is associated with similar or better short‐term outcomes, but no studies have yet examined potential long‐term benefits beyond one year postpartum. The purpose of this qualitative descriptive study was to elicit women's recall about content covered in group prenatal and well‐baby care and whether they were or were not continuing to use skills discussed during group prenatal and well‐baby care 2 or more years after their group ended. Methods Eligible women participated in group prenatal and/or well‐baby care between 2008 and 2012, were aged at least 18 years, and were English‐speaking. Of the 127 eligible women, 32 were reached and 17 agreed to participate. Women were interviewed on average 3 years after group prenatal or well‐baby care ended using a semistructured interview guide. Transcripts were reviewed and coded by each team member. Final codes and themes were identified using an iterative review process among the research team. Results Three themes were identified: sustained change, transferable skills, and group as a safe haven. All women were still using strategies discussed during group and had made sustained improvements in nutrition, stress management, and/or in the quality of their interactions with their children, partner, or families. The group environment was described as a safe haven: a respectful, nonjudgmental space that allowed women to share and support each other while learning new skills. Discussion This is the first study to document that group prenatal and well‐baby care is associated with long‐term benefits in areas not yet reported in the literature: nutrition, family communication, and parenting.

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

Cited by 44 publications

References 15 publications

Comparative Effectiveness of Group and Individual Prenatal Care on Gestational Weight Gain

Comparative Effectiveness of Group and Individual Prenatal Care on Gestational Weight Gain

Group Prenatal Care

A Qualitative Study of Women's Recall of Content and Skills Developed in Group Prenatal and Well‐Baby Care 2 Years Later

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