title: The Effect of Centering Pregnancy versus Traditional Prenatal Care Models on Improved Adolescent Health Behaviors in the Perinatal Period.
abstract: OBJECTIVE
  To determine if the CenteringPregnancy model of prenatal care improves maternal health behaviors in adolescent pregnancy.
  
  
  METHODS
  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 χ(2) analysis was used to compare outcomes between the 3 groups at a 2-tailed α 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.
authors.affiliation: MedStar Washington Hospital Center, Department of Women and Infants' Services, Washington, DC. Electronic address: Gylynthia.Trotman@cchmc.org.
authors.forename: Gylynthia
authors.initials: G
authors.lastname: Trotman
authors.affiliation: MedStar Washington Hospital Center, Department of Women and Infants' Services, Washington, DC.
authors.forename: Gayatri
authors.initials: G
authors.lastname: Chhatre
authors.affiliation: MedStar Washington Hospital Center, Department of Women and Infants' Services, Washington, DC.
authors.forename: Renuka
authors.initials: R
authors.lastname: Darolia
authors.affiliation: MedStar Health Research Institute, Washington, DC.
authors.forename: Eshetu
authors.initials: E
authors.lastname: Tefera
authors.affiliation: MedStar Washington Hospital Center, Department of Women and Infants' Services, Washington, DC.
authors.forename: Lauren
authors.initials: L
authors.lastname: Damle
authors.affiliation: MedStar Washington Hospital Center, Department of Women and Infants' Services, Washington, DC.
authors.forename: Veronica
authors.initials: V
authors.lastname: Gomez-Lobo
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000067697:Adolescent Health; D000328:Adult; D001942:Breast Feeding; D003268:Contraception Behavior; D005260:Female; D015438:Health Behavior; D006801:Humans; D007223:Infant; D009035:Mothers; D049590:Postpartum Period; D011247:Pregnancy; D011253:Pregnancy in Adolescence; D011295:Prenatal Care / Q000379:methods*; D012189:Retrospective Studies; D014481:United States; D015430:Weight Gain
keywords: Centering pregnancy; Group prenatal care; Postpartum contraception; Teen pregnancy