Promoting improved social support and quality of life with the CenteringPregnancy^® group model of prenatal care

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• 作者：Sung Y. Chae ; Mark H. Chae ; Sridevi Kandula…
• 关键词：Group prenatal care ; CenteringPregnancy ; Social support ; Quality of life ; Breastfeeding
• 刊名：Archives of Women's Mental Health
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：20
• 期：1
• 页码：209-220
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Psychiatry; Psychotherapy;
• 出版者：Springer Vienna
• ISSN：1435-1102
• 卷排序：20

文摘

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.