title: Why Are Half of Women Interested in Participating in Group Prenatal Care?
abstract: OBJECTIVE
  To determine the likelihood of participating in group prenatal care (GPC) and associated factors among low-risk women receiving traditional prenatal care from obstetricians, family physicians or midwives, and to determine factors associated with likelihood of participating.
  
  
  METHODS
  Prior to completing a self-administered questionnaire, a 2-min compiled video of GPC was shown to pregnant women receiving traditional prenatal care. Data were collected on opinions of current prenatal care, GPC, and demographics. Biologically plausible variables with a p value ≤0.20 were entered in the multivariable logistic regression model and those with a p value <0.05 were retained.
  
  
  RESULTS
  Of 477 respondents, 234 [49.2%, 95% confidence interval (CI) 44.6-53.6%] reported being "definitely" or "probably likely" to participate in GPC. Women were more likely to participate in GPC if they had at least postsecondary education [adjusted odds ratio (aOR) 1.84, 95% CI 1.05-3.24], had not discussed labour with their care provider (aOR 1.67, 95% CI 1.12-2.44), and valued woman-centeredness ("fairly important" aOR 2.81, 95% CI 1.77-4.49; "very important" aOR 4.10, 95% CI 2.45-6.88). Women placed high importance on learning components of GPC. The majority would prefer to be with similar women, especially in age. About two-thirds would prefer to have support persons attend GPC and over half would be comfortable with male partners.
  
  
  CONCLUSIONS
  Approximately half of women receiving traditional prenatal care were interested in participating in GPC. Our findings will hopefully assist providers interested in optimizing satisfaction with traditional prenatal care and GPC by identifying important elements of each, and thus help engage women to consider GPC.
authors.affiliation: Division of Maternal-Fetal Medicine, Departments of Obstetrics and Gynecology, Radiology, and Clinical Epidemiology and Biostatistics, McMaster University, 1280 Main St. West, HSC 3N52B, Hamilton, ON, L8S4K1, Canada. mcdonals@mcmaster.ca.
authors.forename: Sarah D
authors.initials: SD
authors.lastname: McDonald
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, School of Nursing, McMaster University, 1280 Main St. West, Hamilton, ON, L8S4K1, Canada.
authors.forename: Wendy
authors.initials: W
authors.lastname: Sword
authors.affiliation: Faculty of Health Sciences, McMaster University, 1280 Main St. West, Hamilton, ON, L8S4K1, Canada.
authors.forename: Leyla N
authors.initials: LN
authors.lastname: Eryuzlu
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, McMaster University, 1280 Main St. West, HSC 3N52B, Hamilton, ON, L8S4K1, Canada.
authors.forename: Binod
authors.initials: B
authors.lastname: Neupane
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, 1280 Main St. West, MDCL 3211, Hamilton, ON, L8S4K1, Canada.
authors.forename: Joseph
authors.initials: J
authors.lastname: Beyene
authors.affiliation: Department of Family and Community Medicine, University of Toronto, 60 Murray Street, Fourth Floor, Toronto, ON, M5T 3L9, Canada.
authors.forename: Anne B
authors.initials: AB
authors.lastname: Biringer
mesh_terms: D000328:Adult; D005260:Female; D006126:Group Processes; D006801:Humans; D016015:Logistic Models; D016017:Odds Ratio; D017060:Patient Satisfaction; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods*; D011795:Surveys and Questionnaires
keywords: Antenatal care; CenteringPregnancy; Group prenatal care; Traditional prenatal care; Women’s preferences