sandsdan
New Member
Posts: 2 
I work at a: Healthcare Facility
My job role is: Staff
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Post by sandsdan on Feb 11, 2016 15:34:00 GMT -5
Hello,
My site has recently shown an interest in having a postpartum/reunion visit for moms who have delivered over the past few months. Have any other sites done this and what have you done?
Thanks so much!
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ssweeny
Active Member
Posts: 90
I work at a: Educational Institution
I am interested in Centering because: it is changing the lives of families and fixing a broken healthcare system.
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Post by ssweeny on Feb 12, 2016 15:43:23 GMT -5
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ljurkiewicz
New Member
Posts: 14
I work at a: Healthcare Facility
My job role is: Healthcare Provider
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Post by ljurkiewicz on Feb 13, 2016 19:15:42 GMT -5
We at our site have been doing this for years. It is just a party. People bring food. We have music and take pictures. We also usually have a go around question re: how things are going postpartum or "what have you learned from the experience birth and motherhood?" At times I have also used this as an opportunity to checkin about contraception, make sure there has been follow up, etc. With people who have had significant trauma, I have also used this time as an opportunity to check in re: depression. But it is mostly social.
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Post by cvassar on Jul 6, 2016 15:04:45 GMT -5
We are about to start out second CenteringPregnancy group and I read the following in the Implementation Guide: "If the group does not continue on to CenteringParenting together, a reunion is scheduled 1-2 months postpartum. Plan this visit to include some individual assessment time, so that it can be counted as a woman's postpartum visit."
I was wondering if any institutions currently use the reunion visit as a postpartum visit. The two barriers I see are the necessity of a pelvic exam with a postpartum visit and the requirement of the visit to be between 4 and 6 weeks after delivery (and the moms all have different due dates.) It'd be interesting to find out what that "individual assessment time" looks like at other facilities.
Thank you for your insight and assistance!
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Post by Margie on Jul 13, 2016 3:50:25 GMT -5
We are about to start out second CenteringPregnancy group and I read the following in the Implementation Guide: "If the group does not continue on to CenteringParenting together, a reunion is scheduled 1-2 months postpartum. Plan this visit to include some individual assessment time, so that it can be counted as a woman's postpartum visit." I was wondering if any institutions currently use the reunion visit as a postpartum visit. The two barriers I see are the necessity of a pelvic exam with a postpartum visit and the requirement of the visit to be between 4 and 6 weeks after delivery (and the moms all have different due dates.) It'd be interesting to find out what that "individual assessment time" looks like at other facilities. Thank you for your insight and assistance! We did not do the pelvic portion, but did prep the charts, then have moms do their own vitals, do a depression screen and a quick check in to include birth control plans. Similar to 3 minute check same as in pregnancy. In circle up we talked about birth stories, post partum changes, birth control, baby care, breastfeeding, depression etc as needed by the moms. We billed using an individual code for the topic discussed. Any mom who hasn't completed the evaluation might do so at this session. For the closing circle ask: what would you tell another pregnant mom about getting care this way. |
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Post by mntparish on Jul 27, 2016 10:44:33 GMT -5
We are a new site. We have had 2 reunion visits so far. The participants have loved them. We bill as a postpartum visit. We do not do the pelvic exam. We do postnatal depression screening, vitals, any follow-up labs that may be needed. We target breastfeeding concerns, reinforce safe sleep, etc. We have the event catered and we have door prizes for the moms as well as giving medium sleep sacks, children's books and infant care items to each participant. We take pictures of the moms and babies and print them out on site for them to take home in frames as a memento. We also hire a massage therapist to give the moms chair massages to reinforce the need for self care. We have noticed these reunions really reinforce the social support built in group and give the moms another opportunity to maintain their bonds and plan for future meetings outside of the group space. I do admit that are reunions are very nice. We could not fund these without the generous support of our community. Those without this funding would obviously need to do it on a lesser scale, but I think the moms would still greatly appreciate the opportunity to gather and celebrate regardless.
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Wenonah (she/they)
In-House Trainers
Posts: 48
I work at a: Healthcare Facility
My job role is: Staff
I am interested in Centering because: ...it's about relationships and support being recognized as an essential component of health & Healthcare. The lasting connections created during the transformational year of pregnancy is an invaluable asset for new parents.
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Post by Wenonah (she/they) on Aug 1, 2016 13:51:08 GMT -5
Our site has always held postpartum reunions for as long as we have been offering Centering Pregnancy. We do them 4 weeks after the 10th session. It is generally a more casual meeting structurally, with more time allowed for socializing. The parents bring potluck and we put a blanket on the floor for everyone to sit in a circle with their babies. During the circle time we have families share their experience of their birth. Often we ask them to limit their birth story to a response to "What was the most surprising thing about your labor/birth?" or "What was the most challenging or exciting thing about your labor?". Usually we have some other newborn care/parenting questions come up.
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jrucka
VA / MD / DC Centering Network
Posts: 4
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Post by jrucka on Nov 28, 2016 14:50:10 GMT -5
Hello! We just had our first Centering group come back for the postpartum visit/reunion session and I was asked to share our experience. In this group we had a total of 8 mothers who participated in Centering with 4 being primips and 4 being multips. It was such a wonderful experience to have the majority of the patients (2 were unable to come) circle back up and talk about their births and their overall experience in Centering. They all talked about family support, depression, different avenues for support and are still in contact with each other today. One of the activities we did to end our group was we invited all of the moms to add a leaf to a tree (wall decal) that we have displayed in the area with the name of their baby and the month and year that they were born. I look forward to watching this tree grow. |
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Post by John Craine on Nov 28, 2016 17:12:28 GMT -5
Brilliant!
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Post by nlewis on Nov 29, 2016 9:12:35 GMT -5
Such a lovely idea with the tree! I may share the idea on Twitter and Facebook if that's ok?
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Chelsey Caley
MI - Michigan Centering Consortium
Posts: 12
I work at a: Healthcare Facility
My job role is: Staff
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Post by Chelsey Caley on Dec 9, 2016 14:31:01 GMT -5
Hello! We just had our first Centering group come back for the postpartum visit/reunion session and I was asked to share our experience. In this group we had a total of 8 mothers who participated in Centering with 4 being primips and 4 being multips. It was such a wonderful experience to have the majority of the patients (2 were unable to come) circle back up and talk about their births and their overall experience in Centering. They all talked about family support, depression, different avenues for support and are still in contact with each other today. One of the activities we did to end our group was we invited all of the moms to add a leaf to a tree (wall decal) that we have displayed in the area with the name of their baby and the month and year that they were born. I look forward to watching this tree grow. Hi! I love it! Where did you get the decal? |
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jrucka
VA / MD / DC Centering Network
Posts: 4
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Post by jrucka on Dec 20, 2016 10:25:22 GMT -5
we ordered the decal off of amazon and I am ok if it is shared on social media. Thank you all for the feedback!
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Post by Tanya Munroe on Sept 25, 2017 16:06:09 GMT -5
Does anyone have any materials or resources on PPD that they distribute or use as talking points? I'm here in Michigan at a statewide Centering meeting sponsored by the Michigan Primary Care Association and the sites here have been struggling to find something they like. Margie or Cynthia CE Wade or mhutchison or amymac might you have some suggestions? Thanks!! |
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Post by Andrea CCFT on Sept 26, 2017 11:43:27 GMT -5
We have been doing Reunions since we started doing Centering. We got a grant and we give a gift basket to all who attend. We have food. We discuss their birth stories and review postpartum and birth control. We also ask if anyone is having any current childcare issue. We take pictures. Moms usually exchange ph # and make plans to meet up at a later date.
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agrady
IN - Indiana Centering Consortium
Family Medicine with Surgical OB
Posts: 5
I work at a: Healthcare Facility
My job role is: Healthcare Provider
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Post by agrady on Sept 26, 2017 14:34:42 GMT -5
If you bill for the group session as your postpartum visit, are you able to also bill a one-on-one where the pelvic exam can be done? Or do you just eliminate the pelvic exam portion?
I want to be able to offer the reunion group but am concerned about billing and also feel that women need to have a pelvic exam.
Anna
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