Kim Phan, “Centering Pregnancy Group Prenatal Care Fidelity and Outcomes”
Mentor: Teresa Johnson, Nursing
The US has a higher prematurity rate than many developed countries of the world, with 9.8% of babies born prematurely (2017) and 8.2% of infants born low birth weight (March of Dimes, 2016). Prematurity and low birth weight are two leading causes of infant mortality. Although multiple programs were focused to lower the rates of infant mortality of African Americans infants and eliminate disparities, African American infants still have 3x the risk of dying during their first year of life than a Caucasian infant. The CenteringPregnancy® group prenatal care program was originally developed to improve quality of healthcare for women and infants during pregnancy, birth, and postpartum. The purpose of this literature review is to examine the fidelity of the CenteringPregnancy® program. Maintaining the program fidelity is essential for positive outcomes associated with the program such as improving preterm birth, adequacy of prenatal care, cost benefit ratio, and breastfeeding. An integrative literature review was conducted. The search was generated using PubMed, CINAHAL Plus, and Google Scholar. Inclusion criteria: rigor of CenteringPregnancy® program, content of the program, participation, patient and provider satisfaction, adequacy of prenatal care, conducted in the United States, published in English, and between the years of 2009-2019 using PRISMA guidelines. The sample consisted of 25 articles (12 qualitative studies, 1 observational design, 5 retrospective cohort, 1 cost-benefit modeling, 4 mixed methods studies, 1 literature review, and 1 case control matching) published predominantly in nursing and midwifery journals. The overall theme of the articles is maintaining a sustainable program with positive satisfaction and participation of the women and built on good communication between staff members to create a comfortable environment for women throughout their pregnancy to improve pregnancy, birth, and infant outcomes.
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