Redesigning Prenatal Care Through CenteringPregnancy

Rising, Sharon Schindler; Kennedy, Holly Powell; Klima, Carrie

doi:10.1111/j.1542-2011.2004.tb04433.x

Cited by 133 publications

(180 citation statements)

References 19 publications

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“…Healthy Babies Are Worth the Wait incorporated group prenatal care, which has been shown to improve pregnancy outcomes in women from underserved communities. 11,12 Therefore, these inequities can be overcome, but this requires an investment in resources and improved access to interconception, prenatal, and perinatal care.…”

Section: Health Inequity In the United States As A Source Of Poor Ptbmentioning

confidence: 99%

Fighting for the Next Generation: US Prematurity in 2030

et al. 2014

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Preterm birth (PTB) is a serious problem, with >450 000 neonates born prematurely in the United States every year. Beginning in 1980, the United States experienced a nearly 3-decade rise in the PTB rate, peaking in 2006 at 12.8%. PTB has declined for 7 consecutive years to 11.4% in 2013, but it still accounts for 1 in 9 neonates born every year. In addition to elevated neonatal and infant mortality among those born preterm, many who survive will have lifelong morbidities and disabilities. Because of the burden of morbidity, disability, and mortality for PTB, as well as its impact more broadly on society, including excess annual costs estimated to be at least $26.2 billion by a committee for the Institute of Medicine, the March of Dimes initiated the Prematurity Campaign in 2003. In 2008 the March of Dimes established a goal of reducing the US PTB rate to 9.6% by 2020. However, the United States ranks extremely poorly for PTB rates among Very High Human Development Index (VHHDI) countries, subjecting untold numbers of neonates to unnecessary morbidity and mortality. Therefore, the March of Dimes proposes an aspirational goal of 5.5% for the 2030 US PTB rate, which would put the United States in the top 4 (10%) of 39 VHHDI countries. This 5.5% PTB rate is being achieved in VHHDI countries and by women from diverse settings receiving optimal care. This goal can be reached and will ensure a better start in life for many more neonates in the next generation.

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Section: Health Inequity In the United States As A Source Of Poor Ptbmentioning

confidence: 99%

Fighting for the Next Generation: US Prematurity in 2030

et al. 2014

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“…Sharon Schindler Rising, CNM, MSN, a nurse‐midwife based in the United States, formulated the conceptual basis for this model starting in the 1970s, named it CenteringPregnancy, and studied it for the first time in 1993 in a US hospital antenatal clinic among low‐income women 17. Rising and her colleagues defined CenteringPregnancy as “13 Essential Elements,” or key components, that correlate with the Institute of Medicine's 2001 suggestions for redesigning health care to improve quality 18, 19. CenteringPregnancy is now a trademarked package of tools, materials, and curricula administered by the Centering Healthcare Institute, a nonprofit organization 20…”

Section: Introductionmentioning

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

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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.

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“…Again, nurses and educators are urged to invite adolescent mothers to bring a supportive companion to the meetings and gatherings. CenteringPregnancy programs, which offer prenatal and postnatal care, education, and support in a group setting, have been especially successful with adolescent mothers by allowing adolescents to bring a friend or support person and providing new interactions with other adolescent mothers going through similar experiences (Grady & Bloom, 2004;Rising, Kennedy, & Klima, 2004). Another exemplary service, the Resource Center for Young Parents-To-Be, not only has had similar success with group-learning activities for pregnant adolescents in a parish (county) located in Louisiana but also serves as an excellent example of drawing on community partnerships to provide effective prenatal education and support for pregnant adolescents (Broussard, 2001;A.…”

Section: Recommendations For Nurses and Childbirth Educatorsmentioning

confidence: 99%

How Adolescent Mothers Feel About Becoming a Parent

DeVito

2010

j perinat educ

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First-time adolescent mothers deal with challenges that place extra demands not only on their stage of adolescent development but also on their ability to adapt to their new role as a parent. The purpose of this study was to explore and better understand first-time adolescent mothers' meaning and experience of parenting during the 4-to-6-week postpartum period. A secondary content analysis was performed, using narrative data collected from a previously conducted study on factors that influence adolescent mothers' self-perceptions of parenting. Three themes emerged from the content analysis: ''Being Caught Between Two Worlds,'' ''Feeling Alone and Desperate,'' and ''If I Knew Then What I Know Now.'' Findings revealed many adolescent mothers are unprepared for the demands of parenthood and, so, need extra guidance, instruction, and support from health-care providers and educators.

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Redesigning Prenatal Care Through CenteringPregnancy

Cited by 133 publications

References 19 publications

Fighting for the Next Generation: US Prematurity in 2030

Fighting for the Next Generation: US Prematurity in 2030

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

How Adolescent Mothers Feel About Becoming a Parent

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