PMID- 31259671
OWN - NLM
STAT- MEDLINE
DCOM- 20200622
LR  - 20221207
IS  - 1931-843X (Electronic)
IS  - 1540-9996 (Linking)
VI  - 28
IP  - 7
DP  - 2019 Jul
TI  - The Impact of CenteringPregnancy Group Prenatal Care on Birth Outcomes in 
      Medicaid Eligible Women.
PG  - 919-928
LID - 10.1089/jwh.2018.7469 [doi]
AB  - Background: CenteringPregnancy group prenatal care (GPNC) has been shown to 
      reduce rates of preterm birth (PTB). We evaluated the impact of GPNC on 
      spontaneous PTB (sPTB) as a first step in exploring the possible mechanism by 
      which GPNC may decrease rates of PTB. We also evaluated whether attending more 
      than five GPNC sessions affected PTB risk and examined all differences by 
      race/ethnicity. Materials and Methods: We conducted a retrospective cohort study 
      among women delivering at a single institution between April 2009 and March 2014. 
      Birth outcome data from vital statistics records were appended to patient 
      records, and detailed chart abstraction was used to determine spontaneous versus 
      indicated PTB. The association between GPNC and attending more than five GPNC 
      sessions and birth outcomes (i.e., PTB, sPTB, low birth weight [LBW], and 
      neonatal intensive care unit [NICU] admissions) was analyzed using generalized 
      estimating equation log binomial regression models. We examined effect 
      modification of the associations by race/ethnicity. Results: The analysis 
      included 1,292 women in GPNC and 8,703 in traditional individual prenatal care 
      (IPNC). After controlling for potential confounders, the risk of PTB (risk ratio 
      [RR] 0.38; 95% confidence interval [CI] 0.31-0.47), sPTB (RR 0.49; 95% CI 
      0.38-0.63), LBW (RR 0.46; 95% CI 0.37-0.56), and NICU admissions (RR 0.46; 95% CI 
      0.37-0.57) was lower in GPNC compared to IPNC women. Results differed by maternal 
      race/ethnicity, with the strongest associations among non-Hispanic white mothers 
      and the weakest associations among Hispanic mothers, especially for sPTB. 
      Similarly, the risk of PTB, LBW, and NICU admissions was lower among GPNC women 
      who attended more than five sessions. Conclusion: Participation in GPNC 
      demonstrated a decreased risk for sPTB, as well as other adverse birth outcomes. 
      In addition, participation in more than five GPNC sessions demonstrated a 
      decreased risk for adverse birth outcomes. Prospective longitudinal studies are 
      needed to further explore mechanisms associated with these findings.
FAU - Abshire, Chelsea
AU  - Abshire C
AD  - 1Department of Epidemiology, Center for Social Epidemiology and Population 
      Health, University of Michigan School of Public Health, Ann Arbor, MI 48109.
FAU - Mcdowell, Misty
AU  - Mcdowell M
AD  - 2Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, 
      The University of South Carolina School of Medicine-Greenville, Greenville, South 
      Carolina.
FAU - Crockett, Amy H
AU  - Crockett AH
AD  - 2Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, 
      The University of South Carolina School of Medicine-Greenville, Greenville, South 
      Carolina.
FAU - Fleischer, Nancy L
AU  - Fleischer NL
AD  - 1Department of Epidemiology, Center for Social Epidemiology and Population 
      Health, University of Michigan School of Public Health, Ann Arbor, MI 48109.
LA  - eng
PT  - Journal Article
DEP - 20190628
PL  - United States
TA  - J Womens Health (Larchmt)
JT  - Journal of women's health (2002)
JID - 101159262
SB  - IM
MH  - Adult
MH  - Black People/statistics & numerical data
MH  - Cohort Studies
MH  - Ethnicity
MH  - Female
MH  - Hispanic or Latino/statistics & numerical data
MH  - Humans
MH  - Infant, Low Birth Weight
MH  - Medicaid
MH  - Odds Ratio
MH  - Pregnancy
MH  - Pregnancy Outcome/*epidemiology
MH  - Premature Birth/*epidemiology
MH  - Prenatal Care/*methods
MH  - Retrospective Studies
MH  - Risk Factors
MH  - United States/epidemiology
MH  - White People/statistics & numerical data
OTO - NOTNLM
OT  - CenteringPregnancy
OT  - adverse birth outcomes
OT  - group prenatal care
OT  - prenatal care
OT  - preterm birth
OT  - spontaneous preterm birth
EDAT- 2019/07/02 06:00
MHDA- 2020/06/23 06:00
CRDT- 2019/07/02 06:00
PHST- 2019/07/02 06:00 [pubmed]
PHST- 2020/06/23 06:00 [medline]
PHST- 2019/07/02 06:00 [entrez]
AID - 10.1089/jwh.2018.7469 [doi]
PST - ppublish
SO  - J Womens Health (Larchmt). 2019 Jul;28(7):919-928. doi: 10.1089/jwh.2018.7469. 
      Epub 2019 Jun 28.