Group Prenatal Care Reduces Risk of Preterm Birth and Low Birth Weight: A Matched Cohort Study

Cunningham, Shayna D.; Lewis, Judith A.; Shebl, Fatma M.; Boyd, Lisa M.; Robinson, Marc; Grilo, Stephanie A.; Lewis, Susan; Pruett, Anne L; Ickovics, Jeannette R.

doi:10.1089/jwh.2017.6817

Cited by 56 publications

(51 citation statements)

References 24 publications

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“…Evidence is growing to support the effectiveness and benefits of group prenatal care in diverse populations (Carter et al, 2016;Catling et al, 2015). Group prenatal care reduces preterm birth and low birthweight (Cunningham et al, 2019) and provides greater satisfaction with prenatal care among women with Medicaid insurance (Abshire, Mcdowell, Crockett, & Fleischer, 2019), fosters mental health (Heberlein et al, 2016Ickovics, et al, 2011Kennedy et al, 2009Kennedy et al, , 2011, and improves outcomes for women with high risk profiles (Byerley & Haas, 2018;Ickovics et al, 2016), GDM (Schellinger et al, 2017), and opioid use disorder (Sutter et al, 2019). The largest study of group prenatal care for pregnant people with Medicaid insurance, Strong Start, had mixed results but found that costs, emergency room visits, and very low birthweight were lower for group care participants than those in individual clinical care with enhancements (CMS Findings at a Glance, 2019).…”

Section: Health Systems Transformationmentioning

confidence: 99%

Bridging the Chasm between Pregnancy and Health over the Life Course: A National Agenda for Research and Action

McCloskey¹,

Bernstein²,

Amutah-Onukagha³

et al. 2021

Women's Health Issues

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Section: Health Systems Transformationmentioning

confidence: 99%

Bridging the Chasm between Pregnancy and Health over the Life Course: A National Agenda for Research and Action

McCloskey¹,

Bernstein²,

Amutah-Onukagha³

et al. 2021

Women's Health Issues

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“…Subsequently, measures would have been put in place to reduce these high-risk pregnancies and thus the lower risk of preterm delivery. This assertion is corroborated by different studies by Turienzo and Cunningham who emphasized on how the content and type of ANC packages help reduce adverse birth outcomes (61,62).…”

Section: Discussionmentioning

confidence: 69%

Determinants of Low birthweight and Preterm Delivery in the Volta Region of Ghana: Evidence from birth records

Axame¹,

Binka²,

Kweku³

2020

Preprint

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Abstract Background:Low birthweight and preterm delivery are birth outcomes that can predict the survival, development and long-term health outcomes of newborns. Though advances in medical research have improved birth outcomes these birth outcomes still remain issues of public health concern. This study assessed the determinants of low birthweight and preterm delivery in the Volta region of Ghana.Methods:This retrospective cross-sectional study analyzed data from 680 birth records of all deliveries between October and December, 2018 at the Ho Teaching Hospital in the Volta Region of Ghana. Univariate and multivariate logistic regression models were used to predict determinants of low birthweight and preterm delivery using Stata MP/16.0.Results:Overall, the prevalence of low birthweight was 12.9% and that of preterm delivery was 14.1%. Increasing maternal age (AOR: 0.52; 95% CI: 0.28-0.98), multiparity (AOR: 0.54; 95% CI: 0.30-0.94) and increasing doses of Sulphadoxine pyrimethamine (AOR: 0.43; 95% CI: 0.22-0.84) significantly reduced the odds of low birthweight. However, delivery through caesarean section (AOR: 1.94; 95% CI: 0.1.16-3.27) and hypertension (AOR: 2.06; 95% CI: 1.27-03.33) significantly increased the likelihood of low birthweight. Increasing number of antenatal care visits (AOR: 0.38; 95% CI: 0.18-0.80) and doses of Sulphadoxine pyrimethamine (AOR: 0.43; 95% CI: 0.19-0.97) were significantly associated with decreased odds of preterm delivery while delivery through caesarean section increased the odds of preterm delivery by 2 folds (AOR: 2.14; 95% CI: 1.15-3.99). Conclusion:This study shows maternal age, parity, number of ANC visits, hypertension, SP/IPTp and caesarean section were independent determinants of low birthweight and preterm delivery. These findings add up to literature on the determinants of these adverse birth outcomes particularly in resource-limited environments. Furthermore, this study could serve as a foundation for further research in the study area and for developing public health interventions geared towards reducing the risk and complications of these birth outcomes.

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“…The evidence in this field is building, with studies indicating improvements in preterm birth and low birth weight, 36 maternal knowledge and patient satisfaction, [37][38][39] social support 40 and reduced costs of healthcare provision. 41 However, a Cochrane systematic review including four randomised and quasi-RCTs (n=2350, English speaking women) evaluating group antenatal care found no clear evidence of improvement in rates of preterm birth, low birth weight, small-for-gestational age infants or perinatal mortality comparing group-based models of antenatal care with one to one antenatal care.…”

Section: Gpc For Women and Their Families From A Refugee Backgroundmentioning

confidence: 99%

“…Other American studies involving African American and Medicaid (public health insurance in the USA) eligible women have identified a reduction in low birth weight, caesarean birth, low 5 min Apgar scores and neonatal intensive care unit admissions for women who attended the group model compared with Open access standard care. [44][45][46] However, none of these studies have specifically focused on women from refugee backgrounds.…”

Section: Gpc For Women and Their Families From A Refugee Backgroundmentioning

confidence: 99%

Group Pregnancy Care for refugee background women: a codesigned, multimethod evaluation protocol applying a community engagement framework and an interrupted time series design

et al. 2021

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IntroductionPregnancy and early parenthood are key opportunities for interaction with health services and connecting to other families at the same life stage. Public antenatal care should be accessible to all, however barriers persist for families from refugee communities to access, navigate and optimise healthcare during pregnancy. Group Pregnancy Care is an innovative model of care codesigned with a community from a refugee background and other key stakeholders in Melbourne, Australia. Group Pregnancy Care aims to provide a culturally safe and supportive environment for women to participate in antenatal care in a language they understand, to improve health literacy and promote social connections and inclusion. This paper outlines Froup Pregnancy Care and provides details of the evaluation framework.Methods and analysisThe evaluation uses community-based participatory research methods to engage stakeholders in codesign of evaluation methods. The study is being conducted across multiple sites and involves multiple phases, use of quantitative and qualitative methods, and an interrupted time series design. Process and cost-effectiveness measures will be incorporated into quality improvement cycles. Evaluation measures will be developed using codesign and participatory principles informed by community and stakeholder engagement and will be piloted prior to implementation.Ethics and disseminationEthics approvals have been provided by all six relevant authorities. Study findings will be shared with communities and stakeholders via agreed pathways including community forums, partnership meetings, conferences, policy and practice briefs and journal articles. Dissemination activities will be developed using codesign and participatory principles.

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Group Prenatal Care Reduces Risk of Preterm Birth and Low Birth Weight: A Matched Cohort Study

Cited by 56 publications

References 24 publications

Bridging the Chasm between Pregnancy and Health over the Life Course: A National Agenda for Research and Action

Bridging the Chasm between Pregnancy and Health over the Life Course: A National Agenda for Research and Action

Determinants of Low birthweight and Preterm Delivery in the Volta Region of Ghana: Evidence from birth records

Group Pregnancy Care for refugee background women: a codesigned, multimethod evaluation protocol applying a community engagement framework and an interrupted time series design

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