Expect With Me: development and evaluation design for an innovative model of group prenatal care to improve perinatal outcomes

Cunningham, Shayna D.; Lewis, Judith A.; Thomas, Jordan; Grilo, Stephanie A.; Ickovics, Jeannette R.

doi:10.1186/s12884-017-1327-3

Cited by 37 publications

(30 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The authors reported that Expect With Me was developed using a human-centered design approach with iterative revisions by a team whose special expertise is described, but there is no mention of a relationship with Centering Pregnancy. 22 Published reports of the process by which group ANC programs have been designed for care delivery systems in low-and middle-income countries, and who has participated in that process, are limited. Authors from Iran 15 and Bangladesh 23 did not describe the design process or specifications of their own group models of care in their published reports.…”

Section: Past Efforts To Customize the Group Anc Modelmentioning

confidence: 99%

Use of a Facilitated Group Process to Design and Implement a Group Antenatal and Postnatal Care Program in Rwanda

Sayinzoga¹,

Lundeen²,

Gakwerere³

et al. 2018

J Midwife Womens Health

View full text Add to dashboard Cite

IntroductionThe government of Rwanda is exploring strategies that may reduce the incidence of prematurity and low birth weight. Large‐scale implementation of group antenatal care (ANC) and postnatal care (PNC) within the context of the Rwanda national health care system is under consideration. To launch a cluster randomized controlled trial of group ANC and PNC in 5 districts in Rwanda, the implementation team needed a customized group care model for this context and trained health care workers to deliver the program.ProcessAdapting the group ANC and group PNC model for the Rwandan context was accomplished through a group process identical to that which is fundamental to group care. A technical working group composed of 10 Rwandan maternal‐child health stakeholders met 3 times over the course of 3 months, for 4 to 8 hours each time. Their objectives were to consider the evidence on group ANC, agree on the priorities and constraints of their ANC delivery system, and ultimately define the content and structure of a combined group ANC and PNC model for implementation in Rwanda. The same group process was employed to train health care workers to act as group ANC facilitators.OutcomesA customized group ANC and PNC model and guidelines for its introduction were developed in the context of a cluster randomized controlled trial in 36 health centers. Descriptions of this model and the implementation plan are included in this article.DiscussionOur experience suggests that the group process fundamental to successful group ANC and PNC is an effective method to customize and implement this innovative health services delivery model in a new context and is instrumental in achieving local ownership.

show abstract

Section: Past Efforts To Customize the Group Anc Modelmentioning

confidence: 99%

Use of a Facilitated Group Process to Design and Implement a Group Antenatal and Postnatal Care Program in Rwanda

Sayinzoga¹,

Lundeen²,

Gakwerere³

et al. 2018

J Midwife Womens Health

View full text Add to dashboard Cite

show abstract

“…Recently, models of group prenatal care (GPC) have been developed as an alternative to the traditional individual prenatal care (IPC). Several models of GPC have been developed, including Expect With Me (Cunningham et al 2017), Supportive Pregnancy Care (DIMES 2018), and Cen-teringPregnancy (Rising 1998). In the United States Cen-teringPregnancy (CP) is the most well-known and widely implemented model of GCP and has been successfully implemented in hundreds of obstetric and gynecological practices since the description of the model was first published in 1999 (Centering Healthcare Institute 2018; Rising 1998).…”

Section: Introductionmentioning

confidence: 99%

Group Prenatal Care Attendance and Women’s Characteristics Associated with Low Attendance: Results from Centering and Racial Disparities (CRADLE Study)

Francis

Johnstone

Convington-Kolb

et al. 2019

Matern Child Health J

View full text Add to dashboard Cite

Objectives Group prenatal care (GPC), an alternative to individual prenatal care (IPC), is becoming more prevalent. This study aimed to describe the attendance and reasons of low attendance among pregnant women who were randomly assigned to receive GPC or IPC and explore the maternal characteristics associated with low-attendance. Methods This study was a descriptive study among Medically low risk pregnant women (N = 992) who were enrolled in an ongoing prospective study. Women were randomly assigned to receive CenteringPregnany GPC (N = 498) or IPC (N = 994) in a single clinical site The attendance frequency and reason for low-attendance (i.e. ≤ 5/10 sessions in GPC or ≤ 5 visits in IPC) were described separately in GPC and IPC. Multivariable logistic regressions were performed to explore the associations between maternal characteristics and low-attendance. Results On average, women in GPC attended 5.32 (3.50) sessions, with only 6.67% attending all 10 sessions. Low-attendance rate was 34.25% in GPC and 10.09% in IPC. The primary reasons for low-attendance were scheduling barriers (23.19%) and not liking GPC (16.43%) in GPC but leaving the practice (34.04%) in IPC. In multivariable analysis, lower perceived family support (P = 0.01) was positively associated with low-attendance in GPC, while smoking in early pregnancy was negatively associated low-attendance (P = 0.02) in IPC. Conclusions for Practice Scheduling challenges and preference for non-group settings were the top reasons for low-attendance in GPC. Changes may need to be made to the current GPC model in order to add flexibility to accommodate women's schedules and ensure adequate participation. Trial registration NCT02640638 Date Registered: 12/20/2015.

show abstract

“…Maternal health and newborn health are closely linked. Prompt pregnant women and their baby's wellbeing must continually improve the quality of prenatal care [1][2][3]. The relationship between pregnant woman and her fetus help mothers experienced a pleasant motherhood, and also further impact maternal identity being either enriched or encumbered [4].…”

Section: Introductionmentioning

confidence: 99%

The factors Related to Maternal-Fetal Attachment: Examining the Effect of Mindfulness, Stress and Symptoms during Pregnancy

S¹

2019

Arch Nursing Pract Care

View full text Add to dashboard Cite

Background:The development of a successful relationship between a mother and her developing fetus to foster maternal behavior attainment. Diverse factors such as psychophysiological elements infl uence the maternal-fetal relationship. Mindfulness, a psychological process, increasingly apples to the research of pregnant women's wellbeing. However, most studies focus solely on physiological outcomes; few consider the maternal-fetal bonding.Purpose: This research aims to investigate whether factors of stress, symptoms during pregnancy and mindfulness systematically related to maternal-fetal attachment.Methods: Data were collected from 339 pregnant women, which were recruited from two hospitals in Taiwan, using the following questionnaires: the mindfulness scale, the symptom scale, the pregnancy stress scale during pregnancy, and the maternal fetal attachment scale. A path analysis approach was used to test the relationship.Results: Pregnancy stress is the most robust factor of maternal-fetal attachment. The mindfulness and stress during pregnancy both have signifi cant direct effects on maternal-fetal attachment, ß = .46, and ß = 22, all p < 0.00, respectively. The mindfulness has a signifi cant inverse, direct effect (ß = -.13, p < 0.05) on stress during pregnancy. But the variable of symptoms during pregnancy is no signifi cant effect on maternal-fetal attachment. The model proposed in this study accounts for 22.5% (R2) variance in the relational model of maternal-fetal attachment. Conclusions:Given that the maternal mindfulness direct and indirect effect through stress variable on mother developing a closer connection with her babies, screenings of the relational elements should be incorporated into prenatal education programs.

show abstract

Expect With Me: development and evaluation design for an innovative model of group prenatal care to improve perinatal outcomes

Cited by 37 publications

References 56 publications

Use of a Facilitated Group Process to Design and Implement a Group Antenatal and Postnatal Care Program in Rwanda

Use of a Facilitated Group Process to Design and Implement a Group Antenatal and Postnatal Care Program in Rwanda

Group Prenatal Care Attendance and Women’s Characteristics Associated with Low Attendance: Results from Centering and Racial Disparities (CRADLE Study)

The factors Related to Maternal-Fetal Attachment: Examining the Effect of Mindfulness, Stress and Symptoms during Pregnancy

Contact Info

Product

Resources

About