CenteringPregnancy: Meeting the Quadruple Aim in Prenatal Care

Strickland, Carmen; Merrell, Shannon; Kirk, Julienne K.

doi:10.18043/ncm.77.6.394

Cited by 5 publications

(5 citation statements)

References 16 publications

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“…5,6 In many studies CP is associated with positive maternal and neonatal outcomes, including a decrease in low birth weight (LBW), preterm birth (PTB) rates, 7,8 infants small for gestational age (SGA), neonatal intensive care (NICU) admission rates, better Apgar scores, and higher breastfeeding rates. [9][10][11][12][13][14] However, given the robustness of most studies the effects of CP in systematic reviews remains inconclusive. Several systematic reviews found no significant decrease in adverse perinatal outcomes [15][16][17] among women participating in CP or group antenatal care.…”

Section: Introductionmentioning

confidence: 99%

The Effect of CenteringPregnancy Group Antenatal Care on Maternal, Birth, and Neonatal Outcomes Among Low‐Risk Women in the Netherlands: A Stepped‐Wedge Cluster Randomized Trial

Wagijo,

Crone,

Bruinsma‐van Zwicht

et al. 2024

J Midwife Womens Health

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IntroductionThis study was carried out to assess the effects of participating in CenteringPregnancy (CP) on maternal, birth, and neonatal outcomes among low‐risk pregnant women in the Netherlands.MethodsA total of 2124 pregnant women in primary care were included in the study. Data were derived from the Dutch national database, Perined, complemented with data from questionnaires completed by pregnant women. A stepwise‐wedge design was employed; multilevel intention‐to‐treat analyses and propensity score matching were the main analytic approaches. Propensity score matching resulted in sample sizes of 305 nulliparous women in both the individual care (IC) and the matched control group (control‐IC) and 267 in the CP and control‐CP groups. For multiparous women, 354 matches were found for IC and control‐IC groups and 152 for CP and control‐CP groups. Main outcome measures were maternal, birth, and neonatal outcomes.ResultsCompared with the control‐CP group receiving standard antenatal care, nulliparous women participating in CP had a lower risk of maternal hypertensive disorders (odds ratio [OR], 0.53; 95% CI, 0.30‐0.93) and for the composite adverse maternal outcome (OR, 0.52; 95% CI, 0.33‐0.82). Breastfeeding initiation rates were higher amongst nulliparous (OR, 2.23; 95% CI, 134‐3.69) and multiparous women (OR, 1.62; 95% CI, 1.00‐2.62) participating in CP compared with women in the control‐CP group.ConclusionNulliparous women in CP were at lower risk of developing hypertensive disorders during pregnancy and, consequently, at lower risk of having adverse maternal outcomes. The results confirmed our hypothesis that both nulliparous and multiparous women who participated in CP would have higher breastfeeding rates compared with women receiving standard antenatal care.

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Section: Introductionmentioning

confidence: 99%

The Effect of CenteringPregnancy Group Antenatal Care on Maternal, Birth, and Neonatal Outcomes Among Low‐Risk Women in the Netherlands: A Stepped‐Wedge Cluster Randomized Trial

Wagijo,

Crone,

Bruinsma‐van Zwicht

et al. 2024

J Midwife Womens Health

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“…Antenatal care in the Netherlands traditionally consists of individual visits ( Koster et al, 2015 ). With the implementation of CP, these visits have been replaced by group sessions ( Rising, 1998 , Rising et al, 2004 ), thereby providing healthcare workers more time with pregnant women and for them to engage in mutual learning and health education ( Strickland et al, 2016 ). Internationally, CP is associated with positive maternal and neonatal outcomes ( Ickovics et al, 2003 , Ickovics et al, 2007 , Jafari et al, 2010 , Picklesimer et al, 2012 , Sheeder et al, 2012 , Tanner-Smith et al, 2013 , Strickland et al, 2016 , Cunningham et al, 2017 , Ghani, 2018 , Abshire et al, 2019 , Adaji et al, 2019 , Crockett et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

“…With the implementation of CP, these visits have been replaced by group sessions ( Rising, 1998 , Rising et al, 2004 ), thereby providing healthcare workers more time with pregnant women and for them to engage in mutual learning and health education ( Strickland et al, 2016 ). Internationally, CP is associated with positive maternal and neonatal outcomes ( Ickovics et al, 2003 , Ickovics et al, 2007 , Jafari et al, 2010 , Picklesimer et al, 2012 , Sheeder et al, 2012 , Tanner-Smith et al, 2013 , Strickland et al, 2016 , Cunningham et al, 2017 , Ghani, 2018 , Abshire et al, 2019 , Adaji et al, 2019 , Crockett et al, 2019 ). Moreover, CP has been related to greater satisfaction with antenatal care ( Ickovics et al, 2007 , Craswell et al, 2016 ), and a greater number of antenatal care visits ( Eluwa et al, 2018 , Abshire et al, 2019 , Heberlein et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Contributions of CenteringPregnancy to women’s health behaviours, health literacy, and health care use in the Netherlands

Wagijo

Crone

Zwicht

et al. 2023

Preventive Medicine Reports

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“…The plan's priorities include pregnancy intendedness, obesity and related conditions, and substance abuse. The plan's addendum discusses the role of access to care, mental health, and life planning in addressing preconception health and women's wellness in our state.Another article in this issue of the NCMJ, by Carmen Strickland and colleagues [8], documents the benefits of group prenatal care. This model can strengthen patient and provider engagement, and evidence has emerged on improvements in preterm birth, family planning utilization, and birth outcomes, as well as cost savings.…”

mentioning

confidence: 99%

“…Another article in this issue of the NCMJ, by Carmen Strickland and colleagues [8], documents the benefits of group prenatal care. This model can strengthen patient and provider engagement, and evidence has emerged on improvements in preterm birth, family planning utilization, and birth outcomes, as well as cost savings.…”

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confidence: 99%

Creating a Better State of Health for Women

Pettiford

2016

North Carolina Medical Journal

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Women's wellness spans from childhood into adolescence, through the childbearing period, and into older age. It includes not only wellness issues related to cardiovascular disease, cancer, and other chronic conditions but also the consequences of intimate partner violence and mental health issues.Throughout the life course, women's health should be a priority. Healthier women lead to healthier babies, which lead to healthier communities. In addition, when women are connected to the health care system, their families are also more likely to be connected. This issue of the North Carolina Medical Journal explores the many aspects of women's health and its many impacts. Improving the health of women is an important issue that requires our collective attention. Not only is every woman impacted by her own health status, but her health also influences her entire family. This issue of the North Carolina Medical Journal focuses on the health status of women throughout the lifespan.Healthier women tend to have healthier birth outcomes. Supporting women during the preconception period in order to help them address chronic health issues, behavioral health issues, and social and economic challenges helps to move women toward a more positive life trajectory. Social determinants of health [1]-the structural conditions in which people are born, grow, live, work, and age-also play a critical role. A focus on social determinants of health is needed in order to address our ongoing challenges with health equity.North Carolina has long been striving to improve women's perinatal health. In March 2016, the state released a collaborative 12-point Perinatal Health Strategic Plan that focused on infant mortality, maternal health, maternal mortality, and the health status of men and women of childbearing age. In this issue of the NCMJ, Sarah Verbiest and I outline the key components of this plan and provide details on these 12 points [2]. This plan focuses on improving health care for women and men, strengthening families and communities, and addressing social and economic inequities. Adapting the framework shared by Michael Lu and colleagues [3], the plan infuses social determinants of health and health equity throughout. As data confirm, we must address the 2-fold disparity in birth outcomes in order to see overall improvements. Also in this issue, a sidebar by Brett Prestia and colleagues [4] offers a historical perspective on infant mortality in our state since the late 1980s, including programs and services that were developed during that time. This article references Executive Order 99 [5], which established the 5-year Governor's Commission on the Reduction of Infant Mortality. This sidebar also provides information on more recent efforts, one of which is the development of a statewide Preconception Health Strategic Plan [6] in 2008 and the supplement to this plan developed in 2014 [7]. Both documents focus on strategies for women to improve behaviors and chronic health conditions. The plan's priorities include pregnancy intendednes...

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CenteringPregnancy: Meeting the Quadruple Aim in Prenatal Care

Cited by 5 publications

References 16 publications

The Effect of CenteringPregnancy Group Antenatal Care on Maternal, Birth, and Neonatal Outcomes Among Low‐Risk Women in the Netherlands: A Stepped‐Wedge Cluster Randomized Trial

The Effect of CenteringPregnancy Group Antenatal Care on Maternal, Birth, and Neonatal Outcomes Among Low‐Risk Women in the Netherlands: A Stepped‐Wedge Cluster Randomized Trial

Contributions of CenteringPregnancy to women’s health behaviours, health literacy, and health care use in the Netherlands

Creating a Better State of Health for Women

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