Author:
Benediktsson Ingunn,McDonald Sheila W,Vekved Monica,McNeil Deborah A,Dolan Siobhan M,Tough Suzanne C
Abstract
Background
There is significant evidence to support the importance of prenatal care in preventing adverse outcomes such as preterm birth and low infant birth weight. Previous studies have indicated that the benefits of prenatal care are not evenly distributed throughout the social strata. In addition, emerging evidence suggests that among particular populations, rates of preterm birth are unchanged or increasing. This suggests that an alternate care model is necessary, one that seeks to addresses some of the myriad of social factors that also contribute to adverse birth outcomes. In previous studies, the group prenatal care model CenteringPregnancy® had been shown to reduce adverse birth outcomes, but to date, no comparison had been made with a model that included prenatal education. This study sought to investigate whether any significant difference remained within the comparison groups when both models accounted for social factors.
Methods
This analysis was based on survey data collected from a prospective cohort of pregnant women through the All Our Babies Study in Calgary, Alberta.
Results
At baseline, there were significant differences between the comparison groups in their psychosocial health, with the women in the CenteringPregnancy® group scoring higher levels of depressive symptoms, stress and anxiety. At four months postpartum, the differences between the groups were no longer significant. Conclusions: These results suggest that CenteringPregnancy® can recruit and retain a demographically vulnerable group of women with a constellation of risk factors for poor pregnancy and birth outcomes, including poverty, language barriers and poor mental health. Post program, the rates of stress, anxiety and depression were similar to other women with more social and financial advantage. These findings suggest that CenteringPregnancy® may be a community based care strategy that contributes to improved mental health, knowledge, and behaviours to optimize outcomes for mothers and children.
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology
Reference61 articles.
1. Public Health Agency of Canada: What Mothers Say: the Canadian Maternity Experiences Survey. 2009, Ottawa ON: Public Health Agency of Canada
2. Walker DS, Worrel R: Promoting healthy pregnancies through perinatal groups: a comparison of CenteringPregnancy® group prenatal care and childbirth education classes. J Perinat Ed. 2008, 17: 92-97.
3. Massey Z, Rising SS, Ickovics JR: CenteringPregnancy® group prenatal care: promoting relationship-centered care. J Obstet Gynecol Neonatal Nurs. 2006, 35: 286-294. 10.1111/j.1552-6909.2006.00040.x.
4. Cameron M: Prenatal care: a small investment begets a big return. Business & Health. 1993, 11 (6): 50-
5. Carroli G, Villar J, Piaggio G, Khan-Neelofur D, Gülmezoglu M, Mugford M, Lumbiganon P, Farnot U, Bersgjø P, WHO Antenatal Care Trial Research Group: WHO systematic review of randomized controlled trials of routine antenatal care. The Lancet. 2001, 5 (19): 1565-1570.
Cited by
52 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献