title: Revolutionizing prenatal care: new evidence-based prenatal care delivery models.
abstract: Much of prenatal care is based on tradition and expert opinion rather than on sound scientific evidence. With the increased emphasis on providing evidence-based prenatal care, new research-based models are emerging. This article describes two new models of prenatal care delivery and the evidence supporting them. A model of reduced-frequency prenatal visits is adapted from the U.S. Department of Health and Human Services (HHS) Expert Panel on Prenatal Care (1989) recommendations that healthy, pregnant women who are at low risk for pregnancy complications may attend fewer visits without negative consequences. Another emerging model of group prenatal care, CenteringPregnancy, integrates group support with prenatal care. It is important that healthcare providers are aware of these models in order to offer the highest quality, evidence-based care to pregnant women.
authors.affiliation: Wayne State University College of Nursing and School of Medicine, Department of OB/GYN, Detroit, Michigan, USA.
authors.forename: Deborah S
authors.initials: DS
authors.lastname: Walker
authors.forename: Sharon Schindler
authors.initials: SS
authors.lastname: Rising
mesh_terms: D001071:Appointments and Schedules; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D005260:Female; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D016294:Models, Nursing; D017146:Models, Organizational; D009936:Organizational Innovation; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care / Q000458:organization & administration*; D016032:Randomized Controlled Trials as Topic; D012657:Self-Help Groups / Q000458:organization & administration; D012944:Social Support; D013997:Time Factors; D014481:United States