Does CenteringPregnancy Group Prenatal Care Affect the Birth Experience of Underserved Women? A Mixed Methods Analysis

Liu, Rhianon; Chao, Maria T.; Jostad-Laswell, Ariana; Duncan, Larissa G.

doi:10.1007/s10903-016-0371-9

Cited by 26 publications

(26 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, providing high quality, woman-centered ANC is especially important in LMICs that continue to bear a disproportionate burden of adverse pregnancy and newborn outcomes. In high-income countries, group ANC has emerged as an alternative service delivery model and is associated with improved attendance, satisfaction with care, and health outcomes for pregnant women and newborns, including for women from marginalized groups with perinatal outcomes that are comparable to those in some LMICs [ 3 – 9 ]. The predominant model of group ANC in high-income countries, CenteringPregnancy® [ 10 ], was developed in the United States to meet clinical guidelines for ANC in the US; thus, most of the evidence on use of this model comes from high-income settings.…”

Section: Introductionmentioning

confidence: 99%

Group antenatal care models in low- and middle-income countries: a systematic evidence synthesis

2018

View full text Add to dashboard Cite

In high-income countries, group antenatal care (ANC) offers an alternative to individual care and is associated with improved attendance, client satisfaction, and health outcomes for pregnant women and newborns. In low- and middle-income country (LMIC) settings, this model could be adapted to address low antenatal care uptake and improve quality. However, evidence on key attributes of a group care model for low-resource settings remains scant. We conducted a systematic review of the published literature on models of group antenatal care in LMICs to identify attributes that may increase the relevance, acceptability and effectiveness of group ANC in such settings. We systematically searched five databases and conducted hand and reference searches. We also conducted key informant interviews with researchers and program implementers who have introduced group antenatal care models in LMICs. Using a pre-defined evidence summary template, we extracted evidence on key attributes—like session content and frequency, and group composition and organization—of group care models introduced across LMIC settings. Our systematic literature review identified nine unique descriptions of group antenatal care models. We supplemented this information with evidence from 10 key informant interviews. We synthesized evidence from these 19 data sources to identify attributes of group care models for pregnant women that appeared consistently across all of them. We considered these components that are fundamental to the delivery of group antenatal care. We also identified attributes that need to be tailored to the context in which they are implemented to meet local standards for comprehensive ANC, for example, the number of sessions and the session content. We compiled these attributes to codify a composite “generic” model of group antenatal care for adaptation and implementation in LMIC settings. With this combination of standard and flexible components, group antenatal care, a service delivery alternative that has been successfully introduced and implemented in high-income country settings, can be adapted for improving provision and experiences of care for pregnant women in LMIC. Any conclusions about the benefits of this model for women, babies, and health systems in LMICs, however, must be based on robust evaluations of group antenatal care programs in those settings.Electronic supplementary materialThe online version of this article (10.1186/s12978-018-0476-9) contains supplementary material, which is available to authorized users.

show abstract

Section: Introductionmentioning

confidence: 99%

Group antenatal care models in low- and middle-income countries: a systematic evidence synthesis

2018

View full text Add to dashboard Cite

show abstract

“…Women’s, partners’ and midwives’ experience of the course and its use during birth gave rise to supporting themes such as: working for normal; having a toolkit; and finding what works. Liu et al [ 66 ] Examine how the CenteringPregnancy, a model of group prenatal care and childbirth education, influenced the birth experience of immigrant and minority women. CenteringPregnancy group prenatal care and childbirth education.…”

Section: Resultsmentioning

confidence: 99%

Holistic antenatal education class interventions: a systematic review of the prioritisation and involvement of Indigenous Peoples’ of Aotearoa New Zealand, Australia, Canada and the United States over a 10-year period 2008 to 2018

et al. 2022

View full text Add to dashboard Cite

Background Research into the effectiveness of antenatal education classes is crucial for Indigenous Peoples from Aotearoa New Zealand, Australia, Canada and the United States who experience poorer maternal and infant health outcomes compared to non-Indigenous populations. Our systematic review questions were intended to determine the extent of Indigenous Peoples prioritisation and involvement in antenatal education classes, and to understand the experience of Indigenous Peoples from these countries in antenatal education classes. Methods Using a standardised protocol, we systematically searched five electronic databases for primary research papers on antenatal education classes within the four countries noted and identified 17 papers that met the criteria. We undertook a qualitative meta-synthesis using a socio-critical lens. Results Systematic review of the academic literature demonstrates that Indigenous Peoples of Aotearoa New Zealand, Australia, Canada and the United States are not prioritised in antenatal education classes with only two of 17 studies identifying Indigenous participants. Within these two studies, Indigenous Peoples were underrepresented. As a result of poor engagement and low participation numbers of Indigenous Peoples in these antenatal education classes, it was not possible to understand the experiences of Indigenous Peoples. Conclusion Given that Indigenous Peoples were absent from the majority of studies examined in this review, it is clear little consideration is afforded to the antenatal health needs and aspirations of Indigenous Peoples of Aotearoa New Zealand, Australia, Canada and the United States. To address the stark antenatal health inequities of Indigenous Peoples, targeted Indigenous interventions that consider culture, language, and wider aspects of holistic health must be privileged. Trial registration PROSPERO Registration ID: CRD4202017658

show abstract

“…Several implementation trials have occurred in resource-poor clinic settings with women from low-income and ethnic/ racial-minority backgrounds, similar to this project. GPC was shown to enhance care satisfaction for traditionally underserved women, in part through increased knowledge about care options and subsequent ability to self-advocate throughout pregnancy, labor, and the postpartum period (Cunningham et al, 2016;Little et al, 2013;Liu, Chao, Jostad-Laswell, & Duncan, 2016). We were unable to find any research in which authors examined the effectiveness of GPC adaptations in achieving these outcomes for immigrant and refugee women with unique health care needs and challenges.…”

Section: Gpc For Vulnerable Womenmentioning

confidence: 96%

Design and Implementation of a Group Prenatal Care Model for Somali Women at a Low-Resource Health Clinic

Madeira¹,

Rangen²,

Avery³

2019

Nursing for Women's Health

View full text Add to dashboard Cite

Does CenteringPregnancy Group Prenatal Care Affect the Birth Experience of Underserved Women? A Mixed Methods Analysis

Cited by 26 publications

References 33 publications

Group antenatal care models in low- and middle-income countries: a systematic evidence synthesis

Group antenatal care models in low- and middle-income countries: a systematic evidence synthesis

Holistic antenatal education class interventions: a systematic review of the prioritisation and involvement of Indigenous Peoples’ of Aotearoa New Zealand, Australia, Canada and the United States over a 10-year period 2008 to 2018

Design and Implementation of a Group Prenatal Care Model for Somali Women at a Low-Resource Health Clinic

Contact Info

Product

Resources

About