Improved Outcomes for Hispanic Women with Gestational Diabetes Using the Centering Pregnancy© Group Prenatal Care Model
Improved Outcomes for Hispanic Women with Gestational Diabetes Using the Centering Pregnancy© Group Prenatal Care Model
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使用中心怀孕©团体产前护理模式改善患有妊娠糖尿病的西班牙裔妇女的结局
DOI：
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发表时间：
2017
影响因子：
2.3
通讯作者：
D. Haas
中科院分区：
文献类型：
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作者：
M. Schellinger;M. Abernathy;B. Amerman;C. May;Leslie A Foxlow;A. Carter;Kelli Barbour;Erin Luebbehusen;K. Ayo;D. Bastawros;Rebecca S. Rose;D. Haas
摘要目的探讨基于Centering Pregnancy©的团体产前护理对西班牙裔妊娠糖尿病患者妊娠结局和产后随访的影响，并与接受传统产前护理的患者进行比较。方法对460例确诊为妊娠期糖尿病（GDM）的孕妇进行队列研究。测量的主要结果是完成产后葡萄糖耐量试验。次要结局包括产后访视、分娩结局、母乳喂养和计划生育方法的开始。结果203例孕妇接受了中心妊娠集团产前护理，257例孕妇接受了传统的个体化产前护理。接受Centering Pregnancy ®产前护理的妇女比接受传统产前护理的妇女更有可能完成产后葡萄糖耐量测试，（分别为83.6%和60.7%; p < 0.001），（91.0 vs. 69.4%; p < 0.001），在产后访视时严格母乳喂养的比例较高（63.1 vs. 46.3%; p = 0.04），与传统的产前护理相比，（30.2 vs. 42.1%; p = 0.009），不太可能进行引产（34.5 vs. 46.2%; p = 0.014）。当只比较西班牙裔妇女时，中心组的妇女继续有较高的母乳喂养率和产后糖尿病筛查的完成率。结论：实践西班牙裔GDM妇女参加中心怀孕©组产前护理可能有改善的结果。
AbstractObjective To determine the impact of Centering Pregnancy©-based group prenatal care for Hispanic gravid diabetics on pregnancy outcomes and postpartum follow-up care compared to those receiving traditional prenatal care. Methods A cohort study was performed including 460 women diagnosed with gestational diabetes mellitus (GDM) who received traditional or Centering Pregnancy© prenatal care. The primary outcome measured was completion of postpartum glucose tolerance testing. Secondary outcomes included postpartum visit attendance, birth outcomes, breastfeeding, and initiation of a family planning method. Results 203 women received Centering Pregnancy© group prenatal care and 257 received traditional individual prenatal care. Women receiving Centering Pregnancy© prenatal care were more likely to complete postpartum glucose tolerance testing than those receiving traditional prenatal care, (83.6 vs. 60.7 %, respectively; p < 0.001), had a higher rate of breastfeeding initiation (91.0 vs. 69.4 %; p < 0.001), had higher rates of strictly breastfeeding at their postpartum visit (63.1 vs. 46.3 %; p = 0.04), were less likely to need medical drug therapy compared to traditional prenatal care (30.2 vs. 42.1 %; p = 0.009), and were less likely to undergo inductions of labor (34.5 vs. 46.2 %; p = 0.014). When only Hispanic women were compared, women in the Centering group continued to have higher rates of breastfeeding and completion of postpartum diabetes screening. Conclusion for Practice Hispanic women with GDM who participate in Centering Pregnancy© group prenatal care may have improved outcomes.