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Effects of CenteringPregnancy Group Prenatal Care on Breastfeeding Outcomes
Introduction The purpose of this study was to examine the effects of CenteringPregnancy group prenatal care on breastfeeding outcomes, relative to traditional prenatal care delivered in an individual format. Methods A quasi‐experimental research design was conducted with 794 women receiving prenatal...
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| Published in: | Journal of midwifery & women's health 2013-07, Vol.58 (4), p.389-395 |
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| Main Authors: | , , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c4278-a7704e07ced4c21b6a9cea2dfd304229fe35274ae307e8367bf5fc450f0bd6d13 |
| container_end_page | 395 |
| container_issue | 4 |
| container_start_page | 389 |
| container_title | Journal of midwifery & women's health |
| container_volume | 58 |
| creator | Tanner-Smith, Emily E. Steinka-Fry, Katarzyna T. Lipsey, Mark W. |
| description | Introduction
The purpose of this study was to examine the effects of CenteringPregnancy group prenatal care on breastfeeding outcomes, relative to traditional prenatal care delivered in an individual format.
Methods
A quasi‐experimental research design was conducted with 794 women receiving prenatal care delivered in a group or individual format at 4 sites in Tennessee. Propensity scores were used to create groups of women statistically matched on background demographics and medical history. Outcomes included breastfeeding at discharge and breastfeeding at postpartum follow‐up.
Results
Compared with the matched comparison group of women receiving prenatal care in an individual format, women in CenteringPregnancy group prenatal care had significantly higher odds of any breastfeeding at discharge (odds ratio [OR], 2.08; 95% confidence interval [CI], 1.32‐3.26; P < .001). Across the 4 sites, there were no consistent differences in the odds of any breastfeeding at follow‐up or exclusive breastfeeding at discharge or postpartum follow‐up.
Discussion
CenteringPregnancy group prenatal care may have beneficial effects on initial rates of breastfeeding relative to individually delivered care. However, there is not sufficient evidence to conclude that CenteringPregnancy group prenatal care has robust effects on exclusive breastfeeding at discharge or postpartum follow‐up. |
| doi_str_mv | 10.1111/jmwh.12008 |
| format | article |
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The purpose of this study was to examine the effects of CenteringPregnancy group prenatal care on breastfeeding outcomes, relative to traditional prenatal care delivered in an individual format.
Methods
A quasi‐experimental research design was conducted with 794 women receiving prenatal care delivered in a group or individual format at 4 sites in Tennessee. Propensity scores were used to create groups of women statistically matched on background demographics and medical history. Outcomes included breastfeeding at discharge and breastfeeding at postpartum follow‐up.
Results
Compared with the matched comparison group of women receiving prenatal care in an individual format, women in CenteringPregnancy group prenatal care had significantly higher odds of any breastfeeding at discharge (odds ratio [OR], 2.08; 95% confidence interval [CI], 1.32‐3.26; P < .001). Across the 4 sites, there were no consistent differences in the odds of any breastfeeding at follow‐up or exclusive breastfeeding at discharge or postpartum follow‐up.
Discussion
CenteringPregnancy group prenatal care may have beneficial effects on initial rates of breastfeeding relative to individually delivered care. However, there is not sufficient evidence to conclude that CenteringPregnancy group prenatal care has robust effects on exclusive breastfeeding at discharge or postpartum follow‐up.</description><identifier>ISSN: 1526-9523</identifier><identifier>EISSN: 1542-2011</identifier><identifier>DOI: 10.1111/jmwh.12008</identifier><identifier>PMID: 23855366</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Antenatal care ; antepartum care ; Breast Feeding - statistics & numerical data ; Breastfeeding ; Breastfeeding & lactation ; CenteringPregnancy/group care ; Confidence intervals ; Female ; Follow-Up Studies ; Group Processes ; Humans ; Infant ; Infant, Newborn ; Medical history ; Nursing ; Obstetrics ; Odds Ratio ; Patient Discharge ; Postpartum women ; Pregnancy ; Prenatal care ; Prenatal Care - methods ; Standard of Care ; Studies ; Tennessee ; Women ; Womens health ; Young Adult</subject><ispartof>Journal of midwifery & women's health, 2013-07, Vol.58 (4), p.389-395</ispartof><rights>2013 by the American College of Nurse‐Midwives</rights><rights>2013 by the American College of Nurse-Midwives.</rights><rights>Copyright Wiley Subscription Services, Inc. Jul/Aug 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4278-a7704e07ced4c21b6a9cea2dfd304229fe35274ae307e8367bf5fc450f0bd6d13</citedby><cites>FETCH-LOGICAL-c4278-a7704e07ced4c21b6a9cea2dfd304229fe35274ae307e8367bf5fc450f0bd6d13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999,31000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23855366$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanner-Smith, Emily E.</creatorcontrib><creatorcontrib>Steinka-Fry, Katarzyna T.</creatorcontrib><creatorcontrib>Lipsey, Mark W.</creatorcontrib><title>Effects of CenteringPregnancy Group Prenatal Care on Breastfeeding Outcomes</title><title>Journal of midwifery & women's health</title><addtitle>Journal of Midwifery & Women's Health</addtitle><description>Introduction
The purpose of this study was to examine the effects of CenteringPregnancy group prenatal care on breastfeeding outcomes, relative to traditional prenatal care delivered in an individual format.
Methods
A quasi‐experimental research design was conducted with 794 women receiving prenatal care delivered in a group or individual format at 4 sites in Tennessee. Propensity scores were used to create groups of women statistically matched on background demographics and medical history. Outcomes included breastfeeding at discharge and breastfeeding at postpartum follow‐up.
Results
Compared with the matched comparison group of women receiving prenatal care in an individual format, women in CenteringPregnancy group prenatal care had significantly higher odds of any breastfeeding at discharge (odds ratio [OR], 2.08; 95% confidence interval [CI], 1.32‐3.26; P < .001). Across the 4 sites, there were no consistent differences in the odds of any breastfeeding at follow‐up or exclusive breastfeeding at discharge or postpartum follow‐up.
Discussion
CenteringPregnancy group prenatal care may have beneficial effects on initial rates of breastfeeding relative to individually delivered care. However, there is not sufficient evidence to conclude that CenteringPregnancy group prenatal care has robust effects on exclusive breastfeeding at discharge or postpartum follow‐up.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Antenatal care</subject><subject>antepartum care</subject><subject>Breast Feeding - statistics & numerical data</subject><subject>Breastfeeding</subject><subject>Breastfeeding & lactation</subject><subject>CenteringPregnancy/group care</subject><subject>Confidence intervals</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Group Processes</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Medical history</subject><subject>Nursing</subject><subject>Obstetrics</subject><subject>Odds Ratio</subject><subject>Patient Discharge</subject><subject>Postpartum women</subject><subject>Pregnancy</subject><subject>Prenatal care</subject><subject>Prenatal Care - methods</subject><subject>Standard of Care</subject><subject>Studies</subject><subject>Tennessee</subject><subject>Women</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1526-9523</issn><issn>1542-2011</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqN0VtPFDEYBuDGaOQgN_4AMok3xmTw63nmUja4qCDGoHjXdDtfYdY5rO1MYP-9HRe44AJs0rRNnr5J-xLymsIBTeP9sr2-OqAMoHhGtqkULGdA6fNpz1ReSsa3yE6MSwCqoYSXZIvxQkqu1Db5cuQ9uiFmvc9m2A0Y6u7yW8DLznZunc1DP66ydO7sYJtsZgNmfZcdBrRx8IhV0tnZOLi-xfiKvPC2ibh3u-6SHx-PzmfH-cnZ_NPsw0nuBNNFbrUGgaAdVsIxulC2dGhZ5SsOgrHSI5dMC4scNBZc6YWX3gkJHhaVqijfJW83uavQ_xkxDqato8OmsR32YzRUUkZLWih4mgqloORCyf-g6VelLjlL9M0DuuzH0KU3T0oVkoOc1LuNcqGPMaA3q1C3NqwNBTMVZ6bizL_iEt6_jRwXLVb39K6pBOgGXNcNrh-JMp9PL47vQvPNnToOeHN_x4bfRmmupbn4Oje_OPue5k9T8L8M17AJ</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Tanner-Smith, Emily E.</creator><creator>Steinka-Fry, Katarzyna T.</creator><creator>Lipsey, Mark W.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201307</creationdate><title>Effects of CenteringPregnancy Group Prenatal Care on Breastfeeding Outcomes</title><author>Tanner-Smith, Emily E. ; Steinka-Fry, Katarzyna T. ; Lipsey, Mark W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4278-a7704e07ced4c21b6a9cea2dfd304229fe35274ae307e8367bf5fc450f0bd6d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Antenatal care</topic><topic>antepartum care</topic><topic>Breast Feeding - statistics & numerical data</topic><topic>Breastfeeding</topic><topic>Breastfeeding & lactation</topic><topic>CenteringPregnancy/group care</topic><topic>Confidence intervals</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Group Processes</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Medical history</topic><topic>Nursing</topic><topic>Obstetrics</topic><topic>Odds Ratio</topic><topic>Patient Discharge</topic><topic>Postpartum women</topic><topic>Pregnancy</topic><topic>Prenatal care</topic><topic>Prenatal Care - methods</topic><topic>Standard of Care</topic><topic>Studies</topic><topic>Tennessee</topic><topic>Women</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanner-Smith, Emily E.</creatorcontrib><creatorcontrib>Steinka-Fry, Katarzyna T.</creatorcontrib><creatorcontrib>Lipsey, Mark W.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of midwifery & women's health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanner-Smith, Emily E.</au><au>Steinka-Fry, Katarzyna T.</au><au>Lipsey, Mark W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of CenteringPregnancy Group Prenatal Care on Breastfeeding Outcomes</atitle><jtitle>Journal of midwifery & women's health</jtitle><addtitle>Journal of Midwifery & Women's Health</addtitle><date>2013-07</date><risdate>2013</risdate><volume>58</volume><issue>4</issue><spage>389</spage><epage>395</epage><pages>389-395</pages><issn>1526-9523</issn><eissn>1542-2011</eissn><abstract>Introduction
The purpose of this study was to examine the effects of CenteringPregnancy group prenatal care on breastfeeding outcomes, relative to traditional prenatal care delivered in an individual format.
Methods
A quasi‐experimental research design was conducted with 794 women receiving prenatal care delivered in a group or individual format at 4 sites in Tennessee. Propensity scores were used to create groups of women statistically matched on background demographics and medical history. Outcomes included breastfeeding at discharge and breastfeeding at postpartum follow‐up.
Results
Compared with the matched comparison group of women receiving prenatal care in an individual format, women in CenteringPregnancy group prenatal care had significantly higher odds of any breastfeeding at discharge (odds ratio [OR], 2.08; 95% confidence interval [CI], 1.32‐3.26; P < .001). Across the 4 sites, there were no consistent differences in the odds of any breastfeeding at follow‐up or exclusive breastfeeding at discharge or postpartum follow‐up.
Discussion
CenteringPregnancy group prenatal care may have beneficial effects on initial rates of breastfeeding relative to individually delivered care. However, there is not sufficient evidence to conclude that CenteringPregnancy group prenatal care has robust effects on exclusive breastfeeding at discharge or postpartum follow‐up.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>23855366</pmid><doi>10.1111/jmwh.12008</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1526-9523 |
| ispartof | Journal of midwifery & women's health, 2013-07, Vol.58 (4), p.389-395 |
| issn | 1526-9523 1542-2011 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1512191860 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley-Blackwell Read & Publish Collection |
| subjects | Adolescent Adult Antenatal care antepartum care Breast Feeding - statistics & numerical data Breastfeeding Breastfeeding & lactation CenteringPregnancy/group care Confidence intervals Female Follow-Up Studies Group Processes Humans Infant Infant, Newborn Medical history Nursing Obstetrics Odds Ratio Patient Discharge Postpartum women Pregnancy Prenatal care Prenatal Care - methods Standard of Care Studies Tennessee Women Womens health Young Adult |
| title | Effects of CenteringPregnancy Group Prenatal Care on Breastfeeding Outcomes |
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