title: Glycemic control, compliance, and satisfaction for diabetic gravidas in centering group care.
abstract: OBJECTIVE
  To determine if diabetic gravidas enrolled in Centering® group care have improved glycemic control compared to those attending standard prenatal care. To compare compliance and patient satisfaction between the groups.
  
  
  METHODS
  We conducted a prospective cohort study of diabetics enrolled in centering group care from October 2013 to December 2015. Glycemic control, compliance and patient satisfaction (five-point Likert scale) were evaluated. Student's t-test, Chi-Square and mixed effects model were used to compare outcomes.
  
  
  RESULTS
  We compared 20 patients in centering to 28 standard prenatal care controls. Mean fasting blood sugar was lower with centering group care (91.0 versus 105.5 mg/dL, p =0.017). There was no difference in change in fasting blood sugar over time between the two groups (p = 0.458). The percentage of time patients brought their blood glucose logs did not differ between the centering group and standard prenatal care (70.7 versus 73.9%, p = 0.973). Women in centering group care had better patient satisfaction scores for "ability to be seen by a physician" (5 versus 4, p = 0.041) and "time in waiting room" (5 versus 4, p =0.001).
  
  
  CONCLUSIONS
  Fasting blood sugar was lower for patients in centering group care. Change in blood sugar over time did not differ between groups. Diabetic gravidas enrolled in centering group care report improved patient satisfaction.
authors.affiliation: a Department of Obstetrics & Gynecology , Medstar Washington Hospital Center , Washington , DC , USA.
authors.forename: Laura I
authors.initials: LI
authors.lastname: Parikh
authors.affiliation: b Department of Gynecology & Obstetrics , Johns Hopkins School of Medicine , Baltimore , MD , USA.
authors.forename: Angie C
authors.initials: AC
authors.lastname: Jelin
authors.affiliation: a Department of Obstetrics & Gynecology , Medstar Washington Hospital Center , Washington , DC , USA.
authors.forename: Sara N
authors.initials: SN
authors.lastname: Iqbal
authors.affiliation: a Department of Obstetrics & Gynecology , Medstar Washington Hospital Center , Washington , DC , USA.
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Belna
authors.affiliation: a Department of Obstetrics & Gynecology , Medstar Washington Hospital Center , Washington , DC , USA.
authors.forename: Melissa H
authors.initials: MH
authors.lastname: Fries
authors.affiliation: a Department of Obstetrics & Gynecology , Medstar Washington Hospital Center , Washington , DC , USA.
authors.forename: Misbah
authors.initials: M
authors.lastname: Patel
authors.affiliation: c Department of Biostatistics and Bioinformatics , Medstar Health Research Institute , Hyattsville , MD , USA , and.
authors.forename: Sameer
authors.initials: S
authors.lastname: Desale
authors.affiliation: d Department of Obstetrics & Gynecology , Center for Pregnancy and Newborn Research, University of Texas Health Sciences Center at San Antonio , San Antonio , TX , USA.
authors.forename: Patrick S
authors.initials: PS
authors.lastname: Ramsey
mesh_terms: D001786:Blood Glucose / Q000032:analysis*; D016022:Case-Control Studies; D016640:Diabetes, Gestational / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D005951:Glucose Tolerance Test / Q000706:statistics & numerical data; D006801:Humans; D008875:Middle Aged; D010349:Patient Compliance; D017060:Patient Satisfaction; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods*; D011446:Prospective Studies
chemical_list: D001786:Blood Glucose
keywords: Centering; diabetic group prenatal care; diabetic prenatal care; group prenatal care