Secondary Benefits of CenteringPregnancy Care in an Adolescent Pregnant Population [10OP]

Abstract

INTRODUCTION: CenteringPregnancy (CP), a group prenatal care model, has reported improved birth-related outcomes, specifically in preterm deliveries. Limited data exists, however, reporting additional benefits seen in patients receiving prenatal care within this model. METHODS: With IRB approval, a chart review was conducted comparing pregnancy related outcomes in patients who received care through the CenteringPregancy model vs the Traditional Prenatal Care model in our Women's Health Clinics at UF Health. A total of 20 patients, ages 18-21 received care via CP from March 2015–May 2016. These patients were compared to a random sample of 20 patients ages 18-21 who received care via the Traditional model from January 2014-December 2014. RESULTS: Although both groups showed similar breastfeeding initiation rates (95% CP vs 90% Control), the CP group showed significantly more breastfeeding at 6 weeks postpartum (42% vs 20%). Additionally, the CP group had significantly more adolescent patients elect LARC (32% vs 0%). Finally, the CP group showed significantly higher rates of immunizations in pregnancy: Influenza vaccine rates (45% CP, vs 30% Control) and TDaP vaccine rates (60% CP vs 35% Control). CONCLUSION: The CenteringPregnancy model may offer additional benefits in adolescent mothers, specifically: breastfeeding, contraception, and vaccination rates. Offering adolescent mothers group care allows for greater time with their provider, which in turn may lead to increased knowledge and understanding of health and pregnancy related outcomes. The outcomes noted in this study are promising and additional data may reveal that CenteringPregnancy may offer improved overall care in this population.