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A Comparison of Health Behaviors of Women in Centering Pregnancy and Traditional Prenatal Care

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Abstract

Objectives Researchers sought to determine the difference in health behaviors between women who receive prenatal care via the Centering Pregnancy approach and those involved in traditional prenatal care. Methods Using a cross-sectional design, adult pregnant women (n = 125) were surveyed from at least 28 weeks gestation to delivery. The sample was comprised of primarily white low income women. Results Using multiple linear regression it was determined that women in Centering Pregnancy had significantly lower index health behavior scores compared with the traditional care group showing that those in Centering Pregnancy reported engaging in fewer health promoting behaviors. Furthermore, no differences were observed for smoking or weight gain behaviors between groups. Additionally, those in Centering Pregnancy reported a lower perceived value of prenatal care. Conclusions The results of this study suggest that Centering Pregnancy is not adequately aiding its patients in adopting healthy behaviors during pregnancy.

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References

  1. Guyer, B., Freedman, M. A., Strobion, D. M., & Sondick, E. J. (2000). Annual summary of vital statistics: Trends in the health of Americans during the 20th century. Pediatrics, 106(6), 1307–1317. doi:10.1542/peds.106.6.1307.

    Article  CAS  PubMed  Google Scholar 

  2. Mathews, T. J., & MacDorman, M. F. (2006). Infant mortality statistics from the 2003 period linked birth/infant death data set. National Vital Statistics Reports, 54(16), 1–9.

    CAS  PubMed  Google Scholar 

  3. Buekens, P., & Klebanoff, M. (2001). Preterm birth research, from disillusion to the search for new mechanisms. Paediatric and Perinatal Epidemiology, 15, 159–161. doi:10.1046/j.1365-3016.2001.00015.x.

    Article  PubMed  Google Scholar 

  4. U.S. Department of Health, Human Services. (2000). Healthy people 2010 objectives for improving health (2nd ed.). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  5. U.S. Department of Health, Human Services Public Health Service. (1989). Caring for our future; the content of prenatal care (2nd ed.). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  7. Baldwin, K. A. (2006). Comparison of selected outcomes of centering pregnancy versus traditional prenatal care. Journal of Midwifery & Women’s Health, 51(4), 266–272. doi:10.1016/j.jmwh.2005.11.011.

    Article  Google Scholar 

  8. Ickovics, J. R., Kershaw, T. S., Westdahl, C., Rising, S. S., Klima, C., Reynolds, H., et al. (2003). Group prenatal care and preterm birth weight: Results from a matched cohort study at public clinics. Obstetrics and Gynecology, 102(5), 1051–1057. doi:10.1016/S0029-7844(03)00765-8.

    Article  PubMed  Google Scholar 

  9. Ickovics, J. R., Kershaw, T. S., Westdahl, C., Magriples, U., Massey, Z., Reynolds, H., et al. (2007). Group prenatal care and perinatal outcomes. Obstetrics and Gynecology, 110(2), 330–339.

    PubMed  Google Scholar 

  10. Grady, M. A., & Bloom, K. (2004). Pregnancy outcomes of adolescents enrolled in a centering pregnancy program. Journal of Midwifery & Women’s Health, 49(5), 412–420. doi:10.1016/j.jmwh.2004.05.009.

    Article  Google Scholar 

  11. Robertson, B., Aycock, D. M., & Darnell, L. (2008). Comparison of centering pregnancy to traditional care in hispanic mothers. Maternal and Child Health Journal 12. doi:10.1007/s10995-008-0353-1.

  12. Fiscella, K. (1995). Does prenatal care improve birth outcomes? A critical review. Obstetrics and Gynecology, 85(3), 468–479. doi:10.1016/0029-7844(94)00408-6.

    Article  CAS  PubMed  Google Scholar 

  13. Lu, M. C., Tache, V., Alexander, G. R., Kotelchuck, M., & Halfon, N. (2003). Preventing low birth weight: Is prenatal care the answer? The Journal of Maternal-Fetal & Neonatal Medicine, 13(6), 362–380. doi:10.1080/713605924.

    CAS  Google Scholar 

  14. McCormick, M. C., & Siegel, J. E. (2001). Recent evidence of the effectiveness of prenatal care. Ambulatory Pediatrics, 1(6), 321–325. doi:10.1367/1539-4409(2001)001<0321:REOTEO>2.0.CO;2.

    Google Scholar 

  15. Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments, & Computers, 28, 1–11.

    Google Scholar 

  16. Lindgren, K. (2005). Testing the health practices in pregnancy questionnaire-II. Journal of Obstetric Gynecologic, and Neonatal Nursing, 34(4), 465–472. doi:10.1177/0884217505276308.

    Article  Google Scholar 

  17. R Core Development Team. (2008). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing.

    Google Scholar 

  18. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  19. Vonderheid, S. C., Noor, K. F., & Handler, A. S. (2007). Prenatal health promotion content and health behaviors. Western Journal of Nursing Research, 29, 258–276. doi:10.1177/0193945906296568.

    Article  PubMed  Google Scholar 

  20. Alexander, G. R., & Kotelchuck, M. (2001). Assessing the role and effectiveness of prenatal care: History, challenges, and directions for future research. Public Health Rep., 116(July–August), 306–316.

    CAS  PubMed  Google Scholar 

  21. Cogswell, M. E., Scanlon, K. S., Fein, S. B., & Schieve, L. A. (1994). Medicaly advised, mother’s personal target, and actually weight gain during pregnancy. Obstetrics and Gynecology, 94, 616–622. doi:10.1016/S0029-7844(99)00375-0.

    Article  Google Scholar 

  22. Olson, C. M., & Strawderman, M. S. (2003). Modifiable behavioral factors in a biopsychosocial model predict inadequate and inadequate and excessive gestational weight gain. Journal of the American Dietetic Association, 103(1), 48–54. doi:10.1053/jada.2003.50001.

    Article  PubMed  Google Scholar 

  23. Walker, L. O., Cooney, A. T., & Riggs, M. W. (1999). Psychosocial and demographic factors related to health behaviors in the 1st trimester. Journal of Obstetric Gynecologic and Neonatal Nursing, 28(6), 606–614. doi:10.1111/j.1552-6909.1999.tb02169.x.

    Article  CAS  Google Scholar 

  24. Alexander, G. R., & Korenbrot, C. C. (1995). The role of prenatal care in preventing low birth weight. The Future of Children, 5(1), 103–120. doi:10.2307/1602510.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Health, Physical Education and Recreation, Utah State University, 7000 Old Main Hill, Logan, UT, 84322, USA

    Kaylynn Shakespear, Phillip J. Waite & Julie Gast

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  1. Kaylynn Shakespear
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  2. Phillip J. Waite
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  3. Julie Gast
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Correspondence to Phillip J. Waite.

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Shakespear, K., Waite, P.J. & Gast, J. A Comparison of Health Behaviors of Women in Centering Pregnancy and Traditional Prenatal Care. Matern Child Health J 14, 202–208 (2010). https://doi.org/10.1007/s10995-009-0448-3

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  • DOI: https://doi.org/10.1007/s10995-009-0448-3

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