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Post by laurenandronici on Oct 10, 2017 20:02:25 GMT -5
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genierotundo
NY - New York State Centering Exchange
Posts: 61
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Post by genierotundo on Oct 19, 2017 10:37:09 GMT -5
Hi Lauren,
I was a bit disheartened when I read this article. I wonder if they have seen the research out of South Carolina by Dr. Amy Crockett?
In a Retrospective Cohort Study, she demonstrated an erasure of racial disparity for PTB between white and black women. She has also shown lower rates of NICU admissions with her women in Centering.
Please go to the Centering Healthcare Website and look through the current research and especially look at Dr. Crockett's work.
Genie Rotundo
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Post by John Craine on Oct 20, 2017 6:10:03 GMT -5
Often with these articles, the important elements get buried by the headlines. It is important to understand that most studies on Centering do not meet the criteria established by the researchers to be included in their meta analysis. CHI offers an up-to-date bibliography of studies on our website (scroll to the bottom of the page to download a PDF). For context, it is also helpful to review the published responses to the article including the author's response to the responses. journals.lww.com/greenjournal/Citation/2017/01000/In_Reply.33.aspx
Talking Points - Carter Article in Green Journal2016 Carter, et al - Group Prenatal Care Compared With Traditional Prenatal Care Outcomes measuredPreterm birth NICU admission Low birth weight Breastfeeding initiation POSITIVES - Significant reductions found in overall rates of Low Birth Weight
- The three Ickovics and Picklesimer studies specific to CenteringPregnancy were ranked among the five highest quality studies - those studies show significant improvement across all outcome measures.
- Significant reductions were found in rates of preterm birth among African American women. Our findings in this study suggest a risk reduction of three preterm births per 100 live births in African American women. This is a potentially significant finding because rates of preterm birth are nearly twice as high in African American women compared with white women, even after controlling for confounding factors such as socioeconomic status.
- No negative outcomes for group prenatal care
CHALLENGES - Selected studies may have included group care models other than CenteringPregnancy
- Only 4 RCTs and 10 observational studies met inclusion criteria
- There was significant clinical, methodological, and statistical heterogeneity between studies overall
- Only looked at four outcomes measures; it is worth reading each of the studies to see some of the other significant outcomes reported for Centering that were not included in this article
CHI CENTERING COUNTS DATA 2015137 reporting sites that have met CHI Site Approval standards; ~14,270 patients PTB = 7% LBW = 6.1% BF = 85% Patient Satisfaction = 97% |
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