title: Promoting improved social support and quality of life with the CenteringPregnancy®group model of prenatal care.
abstract: This prospective cohort study compared women participating in CenteringPregnancy® group prenatal care (N = 120) with those in standard individual care (N = 221) to determine if participation in Centering was associated with improvements in perceived social support and quality of life, with concomitant decreases in screens of postpartum depression and improvements in breastfeeding rates. Participants completed surveys at the onset of prenatal care, in the late third trimester and in the postpartum period. Centering participants had higher scores of perceived social support from friends after participating in group care (p < 0.05) with associated improvements in quality of life in the psychological and relational domains (p < 0.05) compared to standard care participants who showed higher scores of perceived support from family (p < 0.05) but did not show concomitant improvements in quality of life. This did not translate to any significant difference in scores on postpartum depression screens but was associated with improvements in breastfeeding continuation rates among Centering participants in the postpartum period. This study indicates that Centering care is associated with improved perceptions of peer social support with associated improvements in quality of life and higher rates of continued breastfeeding.
authors.affiliation: JFK Family Medicine Residency Program, 65 James Street, Edison, NJ, 08818, USA. schae@jfkhealth.org.
authors.forename: Sung Y
authors.initials: SY
authors.lastname: Chae
authors.affiliation: JFK Family Medicine Residency Program, 65 James Street, Edison, NJ, 08818, USA.
authors.forename: Mark H
authors.initials: MH
authors.lastname: Chae
authors.affiliation: JFK Family Medicine Residency Program, 65 James Street, Edison, NJ, 08818, USA.
authors.forename: Sridevi
authors.initials: S
authors.lastname: Kandula
authors.affiliation: JFK Family Medicine Residency Program, 65 James Street, Edison, NJ, 08818, USA.
authors.forename: Robin O
authors.initials: RO
authors.lastname: Winter
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000523:psychology / Q000706:statistics & numerical data*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006126:Group Processes; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009035:Mothers / Q000193:education* / Q000523:psychology; D017063:Outcome Assessment, Health Care; D049590:Postpartum Period; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods* / Q000523:psychology; D011788:Quality of Life; D012944:Social Support; D012959:Socioeconomic Factors; D059039:Standard of Care; D011795:Surveys and Questionnaires
keywords: Breastfeeding; CenteringPregnancy; Group prenatal care; Quality of life; Social support