Women’s Experience of Group Prenatal Care

Novick, Gina; Sadler, Lois S.; Kennedy, Holly Powell; Cohen, Sally S.; Groce, Nora; Knafl, Kathleen A.

doi:10.1177/1049732310378655

Cited by 80 publications

(106 citation statements)

References 44 publications

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“…Descriptions of group ANC published over the past 20 years describe the role of a facilitative leader who understands that pregnant women in the group are the experts on their own needs 19. Quantitative and qualitative research on group ANC consistently demonstrates that a successful group process depends equally on the skill of the facilitator(s) and the engagement of all group members, which is physically represented and catalyzed by arranging all seats in a circle 25, 29, 30…”

Section: Processmentioning

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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Section: Processmentioning

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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“…In the CPM, care is provided at a group setting to 8-12 pregnant women; with similar due month of delivery along with guest speakers (i.e., family member or a friend who has a previous experience of rearing children). [4] The premise of CPM is that learning and support are enriched by drawing on group resources; knowledge, ideas, and experiences of same group members and their experienced guest speakers. Gathering in a group setting with other pregnant women at the same gestation age who are sharing physiological changes of pregnancy, fosters supportive relationships, provide social interaction, and helps to change woman's perception of pregnancy concerns.…”

Section: Introductionmentioning

confidence: 99%

Effect of applying centering pregnancy model versus individual prenatal care on certain prenatal care outcomes

Marzouk

Abd-Allah

Shalaby

2018

CNS

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Objective: This study aimed to compare effect of applying centering pregnancy model (CPM) versus individual prenatal care on certain prenatal care outcomes. Methods: A quasi experimental research design was followed. A purposive sample of 216 pregnant women without medical or obstetric problems requiring individualized care, was recruited from the Antenatal Outpatient Clinics of Mansoura University Hospitals, Egypt. Participants were randomly assigned to receive prenatal care under CPM or individual prenatal approach. Data were collected for the healthy behaviors adoption using Pregnancy-relevant Health Behaviors scale, women's extent of troubling about pregnancy physical discomforts using a Pregnancy Symptoms Distress scale, and women's satisfaction with prenatal care using Patient Participation & Satisfaction Questionnaire. Results: Post-intervention, CPM group equated to individual care group experienced lower distress about experienced pregnancy physical discomforts (8.06 ± 2.40 vs. 15.42 ± 3.84 respectively; t = 16.89 & p < .001), reported higher engagement to pregnancyrelevant health behaviors (37.71 ± 2.91 vs. 29.78 ± 4.3 respectively; t = 15.59 & p < .001), and higher satisfaction with and participation in care (80.8 ± 10.4 and 63.8 ± 11.1 respectively, t = 11.62 & p < .001). Conclusions: Hypotheses of the current study were accepted where CPM of prenatal care was associated with increased women adoption to the pregnancy-relevant healthy behaviors, reduced women distress about the experienced pregnancy physical discomforts and increased women participation and satisfaction about prenatal care.

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“…Qualitative studies on group antenatal care have reported high maternal satisfaction, peer support and the value of shared experience associated with group antenatal care [11], especially models that include continuity of care [12]. Women accessing midwife-led group antenatal care models demonstrate healthier pregnancies [10, 13] and improved antenatal care attendance amongst disadvantaged groups [14] compared to conventional antenatal care.…”

Section: Introductionmentioning

confidence: 99%

The relationship between midwife-led group-based versus conventional antenatal care and mode of birth: a matched cohort study

Kearney

Craswell

Reed

2017

BMC Pregnancy Childbirth

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BackgroundMidwife facilitated, group models of antenatal care have emerged as an alternative to conventional care both within Australia and internationally. Group antenatal care can be offered in a number of different ways, however usually constitutes a series of sessions co-ordinated by a midwife combining physical assessment, antenatal education and peer support in a group setting. Midwife-led group antenatal care is viewed positively by expectant mothers, with no associated adverse outcomes identified in the published literature for women or their babies when compared with conventional care. Evidence of an improvement in outcomes is limited. The aim of this study was to compare mode of birth (any vaginal birth with caesarean birth) between pregnant women accessing midwife-led group antenatal care and conventional individual antenatal care, in Queensland, Australia.MethodsThis was a retrospective matched cohort study, set within a collaborative antenatal clinic between the local university and regional public health service in Queensland, Australia. Midwife-led group antenatal care (n = 110) participants were compared with controls enrolled in conventional antenatal care (n = 330). Groups were matched by parity, maternal age and gestation to form comparable groups, selecting a homogeneous sample with respect to confounding variables likely to affect outcomes.ResultsThere was no evidence that group care resulted in a greater number of caesarean births. The largest increase in the odds of caesarean birth was associated with a previous caesarean birth (p < 0.001), no previous birth (compared with previous vaginal birth) (p < 0.003), and conventional antenatal care (p < 0.073). The secondary outcomes (breastfeeding and infant birth weight) which were examined between the matched cohorts were comparable between groups.ConclusionsThere is no evidence arising from this study that there was a significant difference in mode of birth (caesarean or vaginal) between group and conventional care. Group care was associated with a lower risk of caesarean birth after controlling for previous births, with the highest chance for a vaginal birth being a woman who has had a previous vaginal birth and was in group care. Conversely, the highest risk of caesarean birth was for women who have had a previous caesarean birth and conventional care.

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Women’s Experience of Group Prenatal Care

Cited by 80 publications

References 44 publications

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

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

Effect of applying centering pregnancy model versus individual prenatal care on certain prenatal care outcomes

The relationship between midwife-led group-based versus conventional antenatal care and mode of birth: a matched cohort study

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