The Effect of Centering Pregnancy versus Traditional Prenatal Care Models on Improved Adolescent Health Behaviors in the Perinatal Period
The Effect of Centering Pregnancy versus Traditional Prenatal Care Models on Improved Adolescent Health Behaviors in the Perinatal Period
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DOI：
10.1016/j.jpag.2014.12.003
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发表时间：
2015-10-01
影响因子：
1.8
通讯作者：
Gomez-Lobo, Veronica
中科院分区：
文献类型：
--
作者：
Trotman, Gylynthia;Chhatre, Gayatri;Gomez-Lobo, Veronica
研究目的：探讨CenteringPregnancy产前护理模式是否能改善少女妊娠期孕产妇保健行为。设计：我们进行了一项回顾性图表回顾，比较了2008年至2012年期间接受CenteringPregnancy产前护理的150名怀孕少女与接受多提供者或单一提供者就诊的传统产前护理模式的孕妇。结果测量包括孕期体重增加、产前护理预约的依从性、婴儿喂养方法、产后随访和产后避孕药的使用。采用chi(2)分析比较三组间的结果，双尾α值为0.05。结果：每组50人。中心妊娠组的青少年比多提供者组（62.0% vs 38.0%, P = 0.02）或单一提供者组（62.0% vs 38.0%, P = 0.02）的青少年更有可能遵守产前和产后随访，并符合2009年医学研究所妊娠体重指南中关于妊娠期体重增加的规定。与多提供者组的青少年相比，CenteringPregnancy组更有可能进行纯母乳喂养（40.0%对20.0%,P = .03），与多提供者组（32.0%对14.0%,P = .03）和单一提供者组（32.0%对12.0%,P = .03）患者组相比，更有可能在奶瓶喂养之外进行母乳喂养。此外，CenteringPregnancy组增加了长效可逆避孕措施的使用，患产后抑郁症的可能性也更小。结论：CenteringPregnancy产前护理项目有助于青少年母亲遵守产前检查，适当增加体重，增加高效避孕措施和母乳喂养。
Study Objective: To determine if the CenteringPregnancy model of prenatal care improves maternal health behaviors in adolescent pregnancy.Design: We conducted a retrospective chart review comparing 150 pregnant adolescents who received prenatal care between 2008 to 2012 with CenteringPregnancy to those receiving care in traditional prenatal care models with either multiprovider or single-provider visits. Outcome measures included weight gain during pregnancy, compliance to prenatal care appointments, infant feeding method, postpartum follow up and contraceptive use postpartum. A chi(2) analysis was used to compare outcomes between the 3 groups at a 2-tailed alpha of .05.Results: Fifty individuals were evaluated in each group. Adolescents in the CenteringPregnancy group were more likely to comply with prenatal and postpartum visits and to meet the 2009 Institute of Medicine gestational weight guidelines for weight gain in pregnancy than were adolescents in either multiprovider (62.0% vs 38.0%, P = .02) or single-provider (62.0% vs 38.0%, P = .02) groups. The CenteringPregnancy group was also more likely to solely breastfeed compared with adolescents in the multiprovider group (40.0% vs 20.0%, P = .03) and include breastfeeding in addition to bottle-feeding compared with both multiprovider (32.0% vs 14.0%, P = .03) and single-provider (32.0% vs 12.0%, P = .03) patient groups. Additionally, the CenteringPregnancy group had increased uptake of long-acting reversible contraception and were less likely to suffer from postpartum depression.Conclusions: CenteringPregnancy Prenatal Care program aids in compliance to prenatal visits, appropriate weight gain, increased uptake of highly effective contraception, and breastfeeding among adolescent mothers.