With increased access to care, current health delivery systems will need expansion to meet higher demands and needs.
To define Centering Pregnancy and practical tips for implementation into both private and academic practices.
Evidence was gathered through literature reviews.
It was found that Centering Pregnancy offers a patient-centered, evidence-based approach to helping with access issues, as well as improving outcomes.
This article describes the benefits of Centering Pregnancy to the practice, the provider, and the patient.
Practical implementation tips will be offered, with suggestions for negating common implementation barriers.
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US Department of Health and Human Services. Affordable Care Act. Retrived from http://www.hhs.gov/healthcare/rights/law. Accessed 11 May 2014
DeFrancesco M, Rising S (2010) A new way to be “centered” and help your practice. Female Patient 35(11):46–48
Rayburn W (2011) The OBGYN workforce in the united states: facts, figures and implications ACOG 2011. ACOG Distribution Center, Washington
Rising S (1998) Centering pregnancy: an interdisciplinary model of empowerment. J Nurse Midwifery 43(1):46–54
Centering Healthcare Institute (2014) Centering pregnancy overview. Retrieved from http://www.centeringhealthcare.org/pages/centering-model/pregnancy-overview.php. Accessed 11 May 2014
Massey Z, Rising S, Ickovics J (2006) CenteringPregnancy group prenatal care: promoting relationship-centered care. J Obstet Gynecol Neonatal Nurs 35:286–294
Hutchison M, Ennis L, Shaw-Battista J, Delgado A, Myers K, Cragin L, Jackson R (2011) Great minds don’t think alike: collaborative maternity care at San Francisco General Hospital. Obstet Gynecol 118(3):678–682
Caughy AK, Tekoa (2012) Midwives and Ob/Gyns: a quest for collaboration in obstetric care. Medscape
College statement of policy: joint statement of practice relations between obstetricians-gynecologists and certified nurse-midwives/certified midwives. American college of obstetricians gynecologists, July 2014
King T, laros R, Parer J (2012) Interprofessional collaborative practice in obstetrics and midwifery. Obstst Gynecol Clin N Am 39:411–422
Jackson D, Lang J, Ecker J, Schwartz W, Heeren T (2006) Impact of collaborative management and early admission in labor on method of delivery. J Obstet Gynecol Neonatal Nurs 32:147–157
Harris S, Janssen P, Saxell L, Carty E, MacRae G, Petersen K (2012) Effect of a collaborative interdisciplinary maternity care program on perinatal outcomes. Can Med Assoc J 184(17):1885–1892
Shaw-Battista J, Fineberg A, Boehler B, Skubic B, Woolley D, Tilton Z (2011) Obstetrician and nurse–midwife collaboration successful public health and private practice partnership. Obstet Gynecol 118(3):663–672
Hatem M, Sandell J, Devane D (2008) Midwife led verses other models of care for childbearing women. Cochrane Database Syst Rev 4:CD004667
Ickovics JR, Kershaw TS, Westdahl C, Magriples U, Massey Z, Reynolds H et al (2007) Group prenatal care and perinatal outcomes: a randomized controlled trial. Obstet Gynecol 110(2):3230–3239
Mooney S, Russell M, Prairie B, Savage C, Week W (2008) Group prenatal care: an analysis of cost. J Health Care Finance 34(4):31–40
O’Connell V, Youcha S, Pellegrini V (2009) Physician burnout: the effect of time allotted for a patient visit on physician burnout among OB/GYN. J Med Pract Manage 24(5):300–313
Rising S (1998) CENTERING PREGNANCY: an interdisciplinary model of empowerment. J Nurse Midwifery 43(1):46–54
Accreditation Council for Graduate Medical Education in Family Medicine. Common Program Requirements. Retrieved from: http://www.acgme.org/acWebsite/downloads/RRC_progReq/120pr07012007.pdf. Accessed 13 Mar 2014
Barr W, Aslam S, Levin M (2011) Evaluation of a group prenatal care-based curriculum in a family medicine residency. Fam Med 43(10):712–717
Rosenberg T. For Mothers-to-Be. Finding Health Care in a Group. Retrieved from http://opinionator.blogs.nytimes.com/2013/12/18/for-mothers-to-be-finding-health-care-in-a-group/?_php=true&type=blogs&_r=0. Accessed 20 Mar 2014
Rotundo G (2011) Centering pregnancy: the benefits of group prenatal care. Nurs Womens Health. 15(6):508–17
Centering Healthcare Institute. Retrieved from https://www.centeringhealthcare.org/. Accessed 14 Mar 2014
Gina N, Reid AE, Lewis J, Kershaw TS, Rising SS, Ickovics JR (2013) Group prenatal care: model fidelity and outcomes. Am J Obstet Gynecol. 209(2):112.e1–112.e6
Defransco et al. Centering healthcare institute. http://centeringhealthcare.org/. Accessed May 21, 2014
Baldwin K (2006) Comparison of selected outcomes of CenteringPregnancy versus traditional prenatal care. JMWH 51(4):266–272
Rotundo G (2011) CenteringPregnancy: The benefits of group prenatal care. Nurs Womens Health. 15(6):508–517
Homer CS, Ryan C, Leap N, Foureur M, Teate A, Catling-Paull CJ (2012) Group versus conventional antenatal care of women. Cochrane Database Syst Rev 11:CD007622. doi:10.1002/14651858.CD007622.pub2
Isckovics J, Kershaw T, Westdahl C, Magriples U, Massey Z, Reynolds H, Rising S (2007) Group prenatal care and perinatal outcomes: a randomized controlled trial. Obstet Gyencol 110(4):937
Ickovics JR, Kershaw TS, Westdahl C, Rising SS, Klima C, Reynolds H, Magriples U (2003) Group prenatal care and preterm birth weight: results from a matched cohort study at public clinics. Obstet Gynecol 102(5 part 1):1051–1057
Grady MA, Bloom KC (2004) Pregnancy outcomes of adolescents enrolled in a CenteringPregnancy program. JMWH 49(5):412–420
Kennedy HP, Farrell T, Paden R, Hill S, Jolivet R, Willetts J, Rising SS (2009) I wasn’t alone-a study of group prenatal care in the military. JMWH. 54(3):176–183
Kennedy HP, Farrell T, Paden R, Hill S, Jolivet RR, Cooper BA, Rising SS (2011) A randomized clinical trial of group prenatal care in two military setting. Mil Med 176(10):1169–1177
Kershaw TS, Magriples U, Westdahl C, Rising SS, Ickovics J (2009) Pregnancy as a window of opportunity for HIV prevention: effects of an HIV intervention delivered within prenatal care. Am J Public Health 99:2079–2086
Tandon SD, Cluxton-Keller F, Colon L, Vega P, Alonso A (2013) Improved adequacy of prenatal care and healthcare utilization among low-income Latinas receiving group prenatal care. J Womens Health 22(12):1056–1061
Klima C, Norr K, Vonderheid S, Handler A (2009) Introduction of CenteringPregnancy in a public health clinic. JMWH 54(1):27–34
Garretto D, Bernstein PS (2014) CenteringPregnancy: an innovative approach to prenatal care delivery. Am J Obstet Gynecol 210(1):14–15
Patil CL, Abrams ET, Klima C, Kaponda CP, Leshabari SC, Vonderheid SC, Kamanga M, Norr KF (2013) CenteringPregnancy-Africa: a pilot group of antenatal care to address millennium development goals. Midwifery 29(10):1190–1198
Hale N, Picklesimer AH, Billings DL, Covington-Kolb S (2014) The impact of CenteringPregnancy group prenatal care on postpartum family planning. Am J Obstet Gynecol 210(1):50 E1-7
Benediktsson I, McDonald SW, Vekved M, McNeil DA, Dolan SM, Tough SC (2013) Comparing CenteringPergnancy to standard prenatal care plus prenatal education. BMC Pregnancy Childbirth 13(Suppl 1):S5
McLeod AY, Laclair C, Kenyon T (2011) Interdisciplinary prenatal care group visits as a significant learning experience. J Grad Med Educ 3(3):372–375
Conflict of interest
Dr Julie DeCesare is a paid speaker for Bayer.
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DeCesare, J.Z., Jackson, J.R. Centering Pregnancy: practical tips for your practice. Arch Gynecol Obstet 291, 499–507 (2015). https://doi.org/10.1007/s00404-014-3467-2
- Centering Pregnancy
- Group prenatal care