Comparison of centering pregnancy to traditional care in Hispanic mothers.
OBJECTIVE
To compare maternal and infant outcomes in Hispanic women participating in the Centering Pregnancy Model (CPM) to those receiving prenatal care via the traditional model and determine acceptability of the CPM.


METHODS
Forty-nine women (n = 24 CPM; n = 25 traditional) participated in this quasi-experimental prospective comparative design. Participants self selected the model of care delivery. Data were collected via questionnaires at the initial visit, 34-36 weeks gestation, and postpartum. Outcome measures included: satisfaction with care delivery model, health behaviors, prenatal/postnatal care knowledge, self-esteem and depression. Breastfeeding initiation and continuation, infant birth weight, gestational age at delivery, mode of delivery and infant length of stay were also collected.


RESULTS
Traditional participants had a history of more pregnancies, more living children, and higher levels of postpartum self-esteem compared to centering participants. Knowledge deficits and health behaviors were similar between groups. No differences were found for infant outcomes.


CONCLUSIONS
This study provides information regarding Hispanic mothers' responses to an alternative care delivery model. Preliminary evidence suggests CPM compares with traditional care and yields a high degree of patient satisfaction. Specific pregnancy-related knowledge deficits were identified in both groups that could focus prenatal education. In light of similar outcomes in both groups; patient and provider satisfaction and economics would therefore be a factor when choosing a model of prenatal care delivery.
Robertson
Bethany
B
The Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Suite 364, Atlanta, GA 30322, USA. bdrober@emory.edu
Aycock
Dawn M
DM
Darnell
Laura A
LA
D000328:Adult; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008875:Middle Aged; D008962:Models, Theoretical; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000379:methods*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care / Q000379:methods*; D011795:Surveys and Questionnaires