Skip to main content

Advertisement

SpringerLink
Log in

Comparison of Centering Pregnancy to Traditional Care in Hispanic Mothers

  • Published:
Maternal and Child Health Journal Aims and scope Submit manuscript

Abstract

Objective To compare maternal and infant outcomes in Hispanic women participating in the Centering Pregnancy Model (CPM) to those receiving prenatal care via the traditional model and determine acceptability of the CPM. Methods Forty-nine women (n = 24 CPM; n = 25 traditional) participated in this quasi-experimental prospective comparative design. Participants self selected the model of care delivery. Data were collected via questionnaires at the initial visit, 34–36 weeks gestation, and postpartum. Outcome measures included: satisfaction with care delivery model, health behaviors, prenatal/postnatal care knowledge, self-esteem and depression. Breastfeeding initiation and continuation, infant birth weight, gestational age at delivery, mode of delivery and infant length of stay were also collected. Results Traditional participants had a history of more pregnancies, more living children, and higher levels of postpartum self-esteem compared to centering participants. Knowledge deficits and health behaviors were similar between groups. No differences were found for infant outcomes. Conclusions This study provides information regarding Hispanic mothers’ responses to an alternative care delivery model. Preliminary evidence suggests CPM compares with traditional care and yields a high degree of patient satisfaction. Specific pregnancy-related knowledge deficits were identified in both groups that could focus prenatal education. In light of similar outcomes in both groups; patient and provider satisfaction and economics would therefore be a factor when choosing a model of prenatal care delivery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Reagan, P. B., & Salsbury, P. J. (2004). Race and ethnic differences in determinants of preterm birth in the USA: Broadening social context. Society of Science Medicine, 60, 2217–2228.

    Google Scholar 

  2. Brown, H. L., Chireau, M. V., Jallah, Y., et al. (2007). The “Hispanic paradox”: An investigation of racial disparity in pregnancy outcomes at a tertiary-care medical center. American Journal of Obstetricia Gynecology, 197, e1–e9. doi:10.1016/j.ajog.2007.04.036.

    Google Scholar 

  3. Kilma, C. S. (2003). Centering pregnancy: A model for pregnant adolescents. Journal of Midwifery, 48, 220–225. doi:10.1016/S1526-9523(03)00062-X.

    Google Scholar 

  4. Beck, A., Scott, J., Williams, P., et al. (1997). A randomized trial of group outpatient visits for chronically ill older HMO members: The cooperative health care clinic. Journal of American Geriatric Society, 45, 543–549.

    CAS  Google Scholar 

  5. Trento, M. B., Passera, P., Borgo, E., et al. (2005). A 3 year prospective randomized controlled clinical trial of group care of type 1 diabetes. Nutrition Metabolism Cardiovascular Diseases, 15, 293–301. doi:10.1016/j.numecd.2004.12.005.

    Article  CAS  Google Scholar 

  6. Trento, M. B., Passera P., Tomalino M., et al. (2001). Group visits improve metabolic control in type 2 Diabetes: A 2-year follow-up. Diabetes Care, 24, 995–1000. doi:10.2337/diacare.24.6.995.

    Article  PubMed  CAS  Google Scholar 

  7. Rising, S. S. (1998). Centering pregnancy an interdisciplinary model of empowerment. Journal of Midwifery, 43, 46–54. doi:10.1016/S0091-2182(97)00117-1.

    Article  CAS  Google Scholar 

  8. Baldwin, K. (2006). Comparison of selected outcomes of centering pregnancy versus traditional prenatal care. Journal of Midwifery and Women’s Health, 51, 266–272. doi:10.1016/j.jmwh.2005.11.011.

    Article  PubMed  Google Scholar 

  9. Ickovics, J. R., Kershaw, T. S., Westdahl, C., et al. (2003). Group prenatal care and preterm birth weight: Results from a matched cohort study at public clinics. Obstetricia and Gynecology 1051–1057. doi:10.1016/S0029-7844(03)00765-8

  10. Grady, M., & Bloom, K. (2004). Pregnancy outcomes of adolescents enrolled in a centering pregnancy program. Journal of Midwifery and Women’s Health, 48, 412–420. doi:10.1016/j.jmwh.2004.05.009.

    Article  Google Scholar 

  11. Citlalli Carrión Rábago, C. (2005). In University of Mexico City: Cuernavaca, Mexico.

  12. Ickovics, J. R. (2003). Pregnancy History Scale. In J. R. Ickovics & T. S. Kershaw (Eds.), Building a Research Infrastructure to Support the Centering Pregnancy and Parenting Association (CPPA). Available from Yale University for CPPA*.

  13. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, N.J: Princeton University Press.

    Google Scholar 

  14. Hagsborg, W. J. (1996). Scores of middle school-age students on the Rosenberg Self-Esteem Scale. Psychological Report, 78, 1071–1074.

    Google Scholar 

  15. Visinitini, R., Bagnato, M., Campanini, E., et al. (1995). An assessment of self-esteem in HIV-positive patients. AIDS Care, 7, S99–S104. doi:10.1080/09540129550126902.

    Article  Google Scholar 

  16. Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. doi:10.1177/014662167700100306.

    Article  Google Scholar 

  17. Comstock, G. W., & Helsing, K. J. (1976). Symptoms of depression in two communities. Psychological Medicine, 6, 551–563.

    PubMed  CAS  Google Scholar 

  18. Hall, L. A., Gurley, D. H., Sachs, B., et al. (1991). Psychosocial predictors of maternal depressive symptoms, parenting attitudes, and child behavior in single-parent families. Nursing Research, 40, 214–220. doi:10.1097/00006199-199107000-00006.

    Article  PubMed  CAS  Google Scholar 

  19. Weissman, M. M., Sholomskas, D., Pottenger, M., et al. (1977). Assessing depressive symptoms in five psychiatric populations: A validation study. American Journal of Epidemiology, 106, 203–214.

    PubMed  CAS  Google Scholar 

  20. Carter, A. S., Baker, C. W., & Brownell, K. D. (2000). Body mass index, eating attitudes, and symptoms of depression and anxiety in pregnancy and the postpartum period. Psychosomatica Medicine, 62, 264–270.

    CAS  Google Scholar 

  21. Hoffman, S., & Hatch, M. (2000). Depressive symptomatology during pregnancy: Evidence for an association with decreased fetal growth in pregnancies of lower social class women. Health Psychology, 19, 535–543. doi:10.1037/0278-6133.19.6.535.

    Article  PubMed  CAS  Google Scholar 

  22. Ickovics, J. R., Ethier, K. A., Koenig, L. J., et al. (2000). Infant birth weight among women with or at high risk for HIV infection: The impact of clinical, behavioral, psychosocial, and demographic factors. Health Psychology, 19, 515–523. doi:10.1037/0278-6133.19.6.515.

    Article  PubMed  CAS  Google Scholar 

  23. Littlefield, V. M., & Adams, B. N. (1987). Patient participation in alternative perinatal care: Impact on satisfaction and health locus of control. Research in Nursing & Health, 10, 139–148. doi:10.1002/nur.4770100305.

    Article  CAS  Google Scholar 

  24. Littlefield, V. M., Chang, A., & Adams, B. N. (1990). Participation in alternative care: Relationship to anxiety, depression, and hostility. Research in Nursing & Health, 13, 17–25. doi:10.1002/nur.4770130105.

    Article  CAS  Google Scholar 

  25. Ickovics, J. R. (2003). Prenatal and Postnatal Care Knowledge Scale. In J. R. Ickovics & T. S. Kershaw (Eds.), Building a Research Infrastructure to Support the Centering Pregnancy and Parenting Association (CPPA). Available from Yale University for CPPA*.

  26. Ickovics, J. R. (2003). Pregnancy Relevant Health Behaviors Scale. In J. R. Ickovics & T. S. Kershaw (Eds.), Building a Research Infrastructure to Support the Centering Pregnancy and Parenting Association (CPPA). Available from Yale University for CPPA*.

  27. Deluca, R. S., & Lobel, M. (1995). Conception, commitment, and health behavior practices in medically high-risk pregnant women. Women’s Health: Research on Gender, Behavior, and Policy, 1, 257–271.

    CAS  Google Scholar 

  28. Lobel, M., DeVincent, C. J., Kaminer, A., et al. (2000). The impact of prenatal maternal stress and optimistic disposition on birth outcomes in medically high-risk women. Health Psychology, 19, 544–553. doi:10.1037/0278-6133.19.6.544.

    Article  PubMed  CAS  Google Scholar 

  29. Ickovics, J. R. (2003). Breastfeeding Behavior Scale. In J. R. Ickovics & T. S. Kershaw (Eds.), Building a Research Infrastructure to Support the Centering Pregnancy and Parenting Association (CPPA). Available from Yale University for CPPA*.

  30. McGlade, M. S., Saha, S., & Sahlstrom, M. E. (2004). The Latina paradox: An opportunity for restructuring prenatal care delivery. American Public Health Association, 94, 2062–2065.

    Article  Google Scholar 

Download references

Acknowledgements

Financial support for this project was received from Sigma Theta Tau Alpha Epsilon Chapter. Special thanks to Gwinnett Medical Center and OB/GYN clinic Midwives and Staff and to Patricia C. Clark, PhD, RN, FAAN, Associate Professor.

Author information

Authors and Affiliations

  1. The Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Suite 364, Atlanta, GA, 30322, USA

    Bethany Robertson

  2. Byrdine F. Lewis School of Nursing, Georgia State University, PO BOX 4019, Atlanta, GA, 30302, USA

    Dawn M. Aycock

  3. Wairoa Hospital and Health Centre, Kitchener Street, Wairoa, Hawkes Bay, 4108, New Zealand

    Laura A. Darnell

Authors
  1. Bethany Robertson
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dawn M. Aycock
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Laura A. Darnell
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Bethany Robertson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Robertson, B., Aycock, D.M. & Darnell, L.A. Comparison of Centering Pregnancy to Traditional Care in Hispanic Mothers. Matern Child Health J 13, 407–414 (2009). https://doi.org/10.1007/s10995-008-0353-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10995-008-0353-1

Keywords

Search

Navigation