The Effects of CenteringPregnancy Group Prenatal Care on Gestational Age, Birth Weight, and Fetal Demise.

We examined the effects of CenteringPregnancy group prenatal care versus individually delivered prenatal care on gestational age, birth weight, and fetal demise. We conducted a retrospective chart review and used propensity score matching to form a sample of 6,155 women receiving prenatal care deliv...

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Publicado en:Maternal & Child Health Journal Vol. 18; no. 4; pp. 801 - 810
Autores principales: Tanner-Smith, Emily, Steinka-Fry, Katarzyna, Lipsey, Mark
Formato: research tables/charts Journal Article
Publicado: Springer Nature May2014
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The Effects of CenteringPregnancy Group Prenatal Care on Gestational Age, Birth Weight, and Fetal Demise.
      aug:
        au:
          Tanner-Smith, Emily
          Steinka-Fry, Katarzyna
          Lipsey, Mark
        affil: Peabody Research Institute, Vanderbilt University, 230 Appleton Place Nashville 37203 USA
      sug:
        subj:
          Prenatal Care
          Gestational Age
          Fetal Well-Being
          Birth Weight
          Human
          Tennessee
          Odds Ratio
          Retrospective Design
          Hospitals
          Community Health Centers
          Alternative Birth Centers
          Logistic Regression
          Linear Regression
          Confidence Intervals
          Adult
          Fisher's Exact Test
          Funding Source
          Adult: 19-44 years
      ab: We examined the effects of CenteringPregnancy group prenatal care versus individually delivered prenatal care on gestational age, birth weight, and fetal demise. We conducted a retrospective chart review and used propensity score matching to form a sample of 6,155 women receiving prenatal care delivered in a group or individual format at five sites in Tennessee. Compared to the matched group of women receiving prenatal care in an individual format, women in CenteringPregnancy group prenatal care had longer weeks of gestation ( b = .35, 95 % CI [.29, .41]), higher birth weight in grams ( b = 28.6, 95 % CI [4.8, 52.3]), lower odds of very low birth weight (OR = .21, 95 % CI [.06, .70]), and lower odds of fetal demise (OR = .12, 95 % CI [.02, .92]). Results indicated no evidence of differences in the odds of preterm birth or low birth weight for participants in group versus individual prenatal care. CenteringPregnancy group prenatal care had statistically and clinically significant beneficial effects on very low birth weight and fetal demise outcomes relative to traditional individually delivered prenatal care. Group prenatal care had statistically significant beneficial effects on gestational age and birth weight, although the effects were relatively small in clinical magnitude.
      pubtype: Academic Journal
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    language: English
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