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Post by Tanya Munroe on Sept 28, 2017 14:51:48 GMT -5
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sarahck
SC - South Carolina Centering Consortium
Posts: 19
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Post by sarahck on Oct 4, 2017 8:05:51 GMT -5
We do postpartum exams and a group reunion party at the same time. Here's how we do it:
Around session 6 or 7, I take a look at the due dates of each of the group members and find a date that works for the highest number of them to be able to get their postpartum checkup on the same day. Per our Medicaid and medical guidelines, we can do the postpartum checkup any where between 3w0d and 7w6d postpartum. We need to have a minimum of 5 and a maximum of 8 patients having their postpartum checkups on that day in order to block the provider's schedule for the full half day. We created a new appointment type for this - CPV (Centering Postpartum Visit).
We do the whole postpartum checkup at these appointments, including pelvic. We use an exam room close to the Centering room. The patients come into the Centering room and do their weight and BP, and fill out the Edinburgh Postpartum Depression Scale, then the provider takes them to an exam room for the rest.
Once I find the date, we put in 8 slots. Here's how it would be structured for a morning:
8:00 - 1 CPV slot
8:15 - 1 CPV slot
8:30 - 1 CPV slot
8:45 - 1 CPV slot
9:00 - 4 CPV slots
The postpartum "PARTY" is actually scheduled from 9-10, when all the group members (including people who aren't able to get their postpartum checkups on that date because of odd due dates) will be there. That's when we'll chat about birth stories, babies, etc and have some cake. The people that are signed up for their CPV at 9:00 will actually be seen by the provider at 10:00, 10:15, 10:30, and 10:45. (I make their appointments for 9:00 so that they know to come for the party part, otherwise they come at their appointment time and miss the party.) Then the provider has lunch and has a regular schedule in the PM. If we do it in the afternoon, it'll be 1 CPV slot each at 1:00, 1:15, 1:30, and 1:45, and 4 CPV slots at 2:00.
We feel strongly here that we should combine the postpartum checkup with the group reunion for a couple of reasons:
1. It saves patients a trip if we do both at the same time. Transportation and time off work are such huge problems for our patients that this is really critical (and yes, many of them are back to work within 4 weeks of delivery - it's heartbreaking). If we had the party by itself, many people wouldn't be able to make it.
2. The postpartum checkup is a very highly reimbursed visit for our Medicaid patients, so if we can get more women here by combining it with a party, then that's really great for our financial health.
3. We felt like it was too hard on the providers to do their reunions outside of work time (like lunchtimes or evenings or weekends). Even though they love Centering, it's still work for them and we try to give our providers breaks.
It's not a perfect system, of course. Between the time that I schedule the group reunion and the date of the session, a lot can change. People deliver preterm, forget their appointments, etc.
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Stefanie G.
MI - Michigan Centering Consortium
Posts: 39
I work at a: Healthcare Facility
My job role is: Healthcare Provider
I am interested in Centering because: I am the new CenteringPregnancy Nurse Lead for a large OB/midwife office in Southwest Michigan.
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Post by Stefanie G. on Aug 23, 2018 9:17:47 GMT -5
We have a Centering Celebration at the conclusion of all of our groups. We order/cater food and give out a little gift package to all the moms that includes some diapers, a pack of wipes, a onesie, bib, and little toiletries and coupons. We also have a staff member who sews simple baby slings and we do a little babywearing demo for the moms and show them how to use them safely.
We just recently started incorporating our postpartum visits into our Celebrations. Before, our Celebrations we a non-billable encounter for the provider. Now we are saving the patients having to come back for an additional appointment, and our moms who deliver preterm at an out of town hospital do not have to travel for another appointment. We set aside a clinic room for moms who want a really private appointment or who need a pelvic/pap, otherwise we utilize our Centering room setup for the appointments. We have now done two of these combined Celebration/postpartum visits, and the providers and patients are loving it. Our show rate for PP visits for our Centering patients is phenomenal compared to the rest of the clinic, and this will only help increase those numbers.
We do also offer moms to schedule an individual PP visit if they desire.
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starrrivera
GA - Centering Georgia
Posts: 23 
I work at a: Healthcare Facility
My job role is: Staff
I am interested in Centering because: As a military spouse myself, I can see the HUGE benefit Centering has to our expectant moms who are often many miles from home with no friends or family nearby! I feel like the Centering model is a perfect fit for our environment!
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Post by starrrivera on Aug 23, 2018 13:14:57 GMT -5
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Post by Andrea CCFT on Aug 24, 2018 13:56:17 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! We do this for every group. Everyone does do their own vitals and we do a HGB on those that have not had their PPV if they need a pelvic exam we do it after the reunion. They bring in their babies and we take pictures. Everyone gets a chance to tell their birth story . We have snacks and music.Our clinic has given each women a laundry basket with gift item for the babies. We also talk about postpartum depression, birth control, baby care, We also talk about other parenting groups in the community where they might be able to continue to meet each other.
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ashlett
New Member
Posts: 1
I work at a: Healthcare Facility
My job role is: Staff
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Post by ashlett on Aug 28, 2018 10:06:35 GMT -5
Hello! We have just started Centering at my facility. We are coming up on our first Post Partum Party. We thought we may do cutsie awards with little prizes. (Biggest baby, quickest delivery, etc.) Granted, with this group we already know that everyone had a healthy, non traumatic delivery. We would be mindful of that in the future when doing these mock awards. Everyone is getting a "head start bag" that comes with outfits, diapers, wipes, samples of various things like milk storage bags and breast pads, nipple cream, diaper rash cream, etc. But we were wondering if there were fun games we could incorporate into the visit. Do any of you play games?
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Post by Marena Burnett on Aug 29, 2018 6:10:26 GMT -5
How about “borrowing” a few ideas from the CenteringParenting curriculum? You can ask each parent and caregiver to demonstrate one thing they do to soothe and comfort their babies. Model serve and return. Get everyone on the floor to practice tummy time. Gift a book and demonstrate the importance of talking to baby and reading from the earliest days. Or, you could all enjoy head to toe infant massage!
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Post by Rachel L on Aug 29, 2018 9:19:33 GMT -5
Hello! We have just started Centering at my facility. We are coming up on our first Post Partum Party. We thought we may do cutsie awards with little prizes. (Biggest baby, quickest delivery, etc.) Granted, with this group we already know that everyone had a healthy, non traumatic delivery. We would be mindful of that in the future when doing these mock awards. Everyone is getting a "head start bag" that comes with outfits, diapers, wipes, samples of various things like milk storage bags and breast pads, nipple cream, diaper rash cream, etc. But we were wondering if there were fun games we could incorporate into the visit. Do any of you play games? I really like the idea of the head start bag. We are a cash-strapped FQHC in Detroit - do you have donors who give the goody bags or do you have a budget item for the gifts? Our postpartum reunions have been our challenge. We have extremely good show rates. our last group (our fifth group) had 100% show rate! But the provider time takes a LONG time. We don't do pelvic exams unless the patient needs a pap, and then we do those after group in one of the private care rooms We share the birth stories, facilitate a discussion about weight loss, mood changes, depression, resuming intercourse etc... but we find that at that point the women don't have a ton of questions. For one of our smaller groups (only 5 women) we had time to do a smaller infant massage moment and it was a lot of fun. But I want to make sure that the time is effective and efficient. Any suggestions, especially for that provider time, would be helpful! |
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