CenteringPregnancy: A Review of Implementation and Outcomes.

IF 4.3 4区 医学 Q1 OBSTETRICS & GYNECOLOGY
Julia M Moyett, Khaila Ramey-Collier, Linda M Zambrano Guevara, Amy MacDonald, Jeffrey A Kuller, Sarahn M Wheeler, Sarah K Dotters-Katz
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引用次数: 0

Abstract

Importance: CenteringPregnancy (CP) is a model for group prenatal care associated with improved perinatal outcomes for preterm birth and low birthweight, increased rates of breastfeeding, and higher rates of patient and clinician satisfaction.

Objective: The study aims to review the literature related to perinatal outcomes associated with CP, benefits and barriers to implementation, and utility of the model.

Evidence: An electronic-based search was performed in PubMed using the search terms "CenteringPregnancy" OR "Centering Pregnancy," revealing 221 articles.

Results: The CP model improves patient centeredness, efficiency, and equality in prenatal care. Challenges include administrative buy-in, limited resources, and financial support. Multisite retrospective studies of CP demonstrate improved maternal, neonatal, postpartum, and well-being outcomes, especially for participants from minority backgrounds; however, prospective studies had mixed results. CenteringPregnancy is feasibly implemented with high tenet fidelity in several low- and middle-income settings with improved perinatal outcomes compared with traditional care.

Conclusions: CenteringPregnancy is feasible to implement, largely accepted by communities, and shows positive qualitative and quantitative health outcomes. This body of literature supports CP as a potential tool for decreasing racial inequalities in prenatal access, quality of care, and maternal mortality. Further investigation is necessary to inform obstetric clinicians about the potential outcome differences that exist between group and traditional prenatal care.

妊娠中心:实施和结果综述。
重要性:中心妊娠(CP)是一种群体产前护理模式,可改善早产儿和低出生体重儿的围产期结局,提高母乳喂养率,提高患者和临床医生的满意度。目的:本研究旨在回顾与CP相关的围产期结局、实施的益处和障碍以及该模型的实用性相关文献。证据:在PubMed中使用搜索词“CenteringPregnancy”或“CenteringPregnancy”进行电子搜索,显示221篇文章。结果:CP模式提高了产前护理的以患者为中心、效率和公平性。挑战包括行政支持、有限的资源和财政支持。多地点回顾性研究表明,CP改善了产妇、新生儿、产后和健康状况,特别是对少数民族背景的参与者;然而,前瞻性研究的结果喜忧参半。与传统护理相比,妊娠在一些低收入和中等收入环境中以高宗旨保真度实施是可行的,可改善围产期结局。结论:以怀孕为中心是可行的,在很大程度上被社区接受,并显示出积极的定性和定量的健康结果。这些文献支持CP作为减少产前机会、护理质量和孕产妇死亡率方面的种族不平等的潜在工具。进一步的调查是必要的,以告知产科临床医生关于群体产前护理和传统产前护理之间存在的潜在结果差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.70
自引率
3.20%
发文量
245
审稿时长
>12 weeks
期刊介绍: ​Each monthly issue of Obstetrical & Gynecological Survey presents summaries of the most timely and clinically relevant research being published worldwide. These concise, easy-to-read summaries provide expert insight into how to apply the latest research to patient care. The accompanying editorial commentary puts the studies into perspective and supplies authoritative guidance. The result is a valuable, time-saving resource for busy clinicians.
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