The Effects of Group Prenatal Care on Infant Birthweight and Maternal Well-Being: A Randomized Controlled Trial

Tubay, Amy Tanner; Mansalis, Kate A; Simpson, Matthew; Armitage, Nicole; Briscoe, Gabriel; Potts, Vicki

doi:10.1093/milmed/usy361

Cited by 30 publications

(31 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fear of losing the baby causes the mother to experience anxiety and depression. Postpartum anxiety and depression scores were found to be high in women who had preterm labor 41,42 . Our study results indicated an inverse relationship between the gestational week and postpartum depression, which is supported by the literature.…”

Section: Discussionsupporting

confidence: 88%

The relationships between prenatal attachment, maternal anxiety, and postpartum depression: A longitudinal study

Kaydırak

Yılmaz

Demir

et al. 2021

Perspect Psychiatric Care

View full text Add to dashboard Cite

Purpose This study aimed to evaluate the relationships between prenatal attachment, maternal anxiety, and postpartum depression. Design and Methods This longitudinal study included 195 pregnant women in their third trimester. Findings The level of postpartum depression in the sixth week was found to be significantly higher in women older than 31 years, high‐risk pregnancies, primipara women, women having a living child outside of the newborn, and in women who experience problems after delivery. Our findings indicated that the level of anxiety and postpartum depression decreased significantly in the sixth postpartum week. Anxiety and depression levels decreased during the weeks following the postpartum period. Furthermore, no significant relationship emerged between prenatal attachment and postpartum depression. Practice Implications Nurses should evaluate psychosocial health in the prenatal and postnatal periods.

show abstract

Section: Discussionsupporting

confidence: 88%

The relationships between prenatal attachment, maternal anxiety, and postpartum depression: A longitudinal study

Kaydırak

Yılmaz

Demir

et al. 2021

Perspect Psychiatric Care

View full text Add to dashboard Cite

show abstract

“…Of the 30 interventions included in this review, eight were conducted in the U.S. [ 43 , 44 , 46 , 50 , 52 , 58 , 59 , 61 , 62 ], four in China [ 32 – 34 , 36 , 37 , 54 ], three in Iran [ 47 , 49 , 57 ], two each from South Africa [ 53 , 63 ], Spain [ 39 , 51 ], and the United Kingdom [ 45 , 56 ], and one each from Canada [ 35 ], Switzerland [ 60 ], Australia [ 41 ], Turkey [ 38 ], New Zealand [ 64 ], Nigeria [ 42 ], Mexico [ 48 ], Malaysia [ 55 ], and Croatia [ 40 ]. Of the eight studies conducted in the U.S., five (63%) had a sample primarily consisting of white non-Hispanic participants [ 43 , 44 , 50 , 59 , 61 , 62 ], two studies had primarily Hispanic and/or Spanish-speaking participants [ 46 , 58 ], and one study had primarily Black and Hispanic participants [ 52 ].…”

Section: Resultsmentioning

confidence: 99%

“…Eight interventions were conducted in first-time parents only [ 32 – 34 , 37 , 41 , 45 , 47 , 49 , 54 , 55 ]. Five studies did not state the parity of the sample [ 38 , 40 , 57 – 59 ]. Fourteen of the studies did not report mode of birth as a sample characteristic.…”

Section: Resultsmentioning

confidence: 99%

“…PP (IFI) Depressive Symptoms: No difference between groups at 6 mos. (EPDS) Tubay (2019), United States [ 59 ] N = 61 (I); 68 (C) Age (mean): 28.1 (I); 27.8 (C) Race/ethnicity: White: 61% (I); 59% (C) Hispanic: 23% (I); 12% (C) Asian: 13% (I); 18% (C) African American: 10% (I); 15% (C) Income: E1-E5 Enlisted military rank: 35.7% (I); 31.8% (C) Parity: NR Mode of birth: 15% (I); 18% (C) unplanned cesarean MH status/history: NR I: group prenatal care (CenteringPregnancy) starting ~ 16 wks. Gestation; 10 sessions (2 hrs.)…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of behavioral interventions to improve maternal mental health and breastfeeding outcomes: a systematic review

et al. 2022

View full text Add to dashboard Cite

Background Despite extensive benefits and high intentions, few mothers breastfeed exclusively for the recommended duration. Maternal mental health is an important underlying factor associated with barriers and reduced rates of breastfeeding intent, initiation, and continuation. Given evidence of a bidirectional association between maternal mental health and breastfeeding, it is important to consider both factors when examining the efficacy of interventions to improve these outcomes. The purpose of this manuscript is to review the literature on the efficacy of behavioral interventions focused on both maternal mental health and breastfeeding outcomes, examining the intersection of the two. Methods This systematic review was completed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines. Studies were selected if they were available in English, used primary experimental design, and used a behavioral intervention type to examine maternal mental health and breastfeeding outcomes. Articles were identified from PubMed, CINAHL, Embase, and PsycINFO from database inception to 3 March 2022. Study quality was assessed using the Cochrane Risk of Bias tool. Results were synthesized by intervention success for 1. Mental health and breastfeeding, 2. Breastfeeding only, 3. Mental health only, and 4. No intervention effect. PROSPERO CRD42021224228. Results Thirty interventions reported in 33 articles were identified, representing 15 countries. Twelve studies reported statistically significant positive effect of the intervention on both maternal mental health and breastfeeding; most showing a decrease in self-report depressive and/or anxiety symptoms in parallel to an increase in breastfeeding duration and/or exclusivity. Common characteristics of successful interventions were a) occurring across pregnancy and postpartum, b) delivered by hospital staff or multidisciplinary teams, c) offered individually, and d) designed to focus on breastfeeding and maternal mental health or on breastfeeding only. Our results are not representative of all countries, persons, experiences, circumstances, or physiological characteristics. Conclusions Interventions that extend the perinatal period and offer individualized support from both professionals and peers who collaborate through a continuum of settings (e.g., health system, home, and community) are most successful in improving both mental health and breastfeeding outcomes. The benefits of improving these outcomes warrant continued development and implementation of such interventions. Systematic review registration PROSPERO CRD42021224228.

show abstract

“…Researchers performed a narrative and thematic analysis and found that women in Centering groups felt respected, believed they learned a lot about their bodies, felt that they were not alone, and that they had gained power as a health care consumer (22). Tubay et al (23) conducted a randomized controlled study of 129 women in prenatal care in MTFs and found women in Centering were less likely to deliver a small for gestational age or large for gestational age newborn and were more likely to be satisfied with their access to care as compared to women in individual care. They also found that group prenatal care is well received by patients and may positively influence neonatal metabolic status.…”

Section: Introductionmentioning

confidence: 99%

Health Care Experience Among Women Who Completed Group Prenatal Care (CenteringPregnancy) Compared to Individual Prenatal Care Within Military Treatment Facilities

Fowler

Aiyelawo

Frazier

et al. 2020

Journal of Patient Experience

View full text Add to dashboard Cite

This study compared TRICARE, the health care program of the United States Department of Defense Military Health System, beneficiaries in CenteringPregnancy, an enhanced prenatal care model, to women in individual prenatal care within the same military treatment facility. Maternity patient experience ratings from May 2014 to February 2016 were compiled from the TRICARE Outpatient Satisfaction Survey. Centering patients had 1.91 higher odds of being satisfied with access to care ( p < .01, 95% CI = 1.2-3.1) than women in individual care. Specifically, the saw provider within 15 minutes of appointment measure found Centering patients to have 2.00 higher odds of being satisfied than women in individual care ( p < .01, 95% CI = 1.2-3.3). There were no other statistically significant differences between cohorts. Qualitative responses indicate most Centering patients surveyed had good experiences, appreciated the structure and communication with others, and would recommend the program. Providers identified command/leadership support, dedicated space, and buy-in from all staff as important factors for successful implementation. Enhanced prenatal care models may improve access to and experiences with care. Program evaluation will be important as the military health system continues to implement such programs.

show abstract

The Effects of Group Prenatal Care on Infant Birthweight and Maternal Well-Being: A Randomized Controlled Trial

Cited by 30 publications

References 30 publications

The relationships between prenatal attachment, maternal anxiety, and postpartum depression: A longitudinal study

The relationships between prenatal attachment, maternal anxiety, and postpartum depression: A longitudinal study

Efficacy of behavioral interventions to improve maternal mental health and breastfeeding outcomes: a systematic review

Health Care Experience Among Women Who Completed Group Prenatal Care (CenteringPregnancy) Compared to Individual Prenatal Care Within Military Treatment Facilities

Contact Info

Product

Resources

About