Research on Centering & Gestational Diabetes
Jul 21, 2016 9:09:45 GMT -5
Tanya Munroe, Margie, and 1 more like this
Post by Molly Ryan on Jul 21, 2016 9:09:45 GMT -5
Improved Outcomes for Hispanic Women with Gestational Diabetes Using the Centering Pregnancy© Group Prenatal Care Model - Abstract
Megan M. Schellinger, Mary Pell Abernathy, Barbara Amerman, Carissa May, Leslie A. Foxlow, Amy L. Carter, Kelli Barbour, Erin Luebbehusen, Katherine Ayo, Dina Bastawros, Rebecca S. Rose, David M. Haas
Objective To determine the impact of Centering Pregnancy©-based group prenatal care for Hispanic gravid diabetics on pregnancy outcomes and postpartum follow-up care compared to those receiving traditional prenatal care.
Methods A cohort study was performed including 460 women diagnosed with gestational diabetes mellitus (GDM) who received traditional or Centering Pregnancy© prenatal care. The primary outcome measured was completion of postpartum glucose tolerance testing. Secondary outcomes included postpartum visit attendance, birth outcomes, breastfeeding, and initiation of a family planning method.
Results 203 women received Centering Pregnancy© group prenatal care and 257 received traditional individual prenatal care. Women receiving Centering Pregnancy© prenatal care were more likely to complete postpartum glucose tolerance testing than those receiving traditional prenatal care, (83.6 vs. 60.7 %, respectively; p < 0.001), had a higher rate of breastfeeding initiation (91.0 vs. 69.4 %; p < 0.001), had higher rates of strictly breastfeeding at their postpartum visit (63.1 vs. 46.3 %; p = 0.04), were less likely to need medical drug therapy compared to traditional prenatal care (30.2 vs. 42.1 %; p = 0.009), and were less likely to undergo inductions of labor (34.5 vs. 46.2 %; p = 0.014). When only Hispanic women were compared, women in the Centering group continued to have higher rates of breastfeeding and completion of postpartum diabetes screening.
Conclusion for Practice Hispanic women with GDM who participate in Centering Pregnancy© group prenatal care may have improved outcomes.
Glycemic control, compliance, and satisfaction for diabetic gravidas in Centering® group care - Abstract
Laura I. Parikh MD, Angie C. Jelin MD, Sara N. Iqbal MD, Sarah L. Belna WHNP-BC, Melissa H. Fries MD, Misbah Patel MBBS, Sameer Desale MS & Patrick S. Ramsey MD, MPSH
Purpose: To determine if diabetic gravidas enrolled in Centering® group care have improved glycemic control compared to those attending standard prenatal care. To compare compliance and patient satisfaction between the groups.
Materials and Methods: We conducted a prospective cohort study of diabetics enrolled in Centering group care from October 2013 to December 2015. Glycemic control, compliance, and patient satisfaction (5 point Likert scale) were evaluated. Student’s t-test, Chi-Square, and mixed effects model were used to compare outcomes.
Results: We compared 20 patients in Centering to 28 standard prenatal care controls. Mean fasting blood sugar was lower with Centering group care (91.0vs.105.5mg/dL,p=.017). There was no difference in change in fasting blood sugar over time between the two groups (p = 0.458). The percentage of time patients brought their blood glucose logs did not differ between the Centering group and standard prenatal care (70.7vs.73.9%,p=.973). Women in Centering group care had better patient satisfaction scores for “ability to be seen by a physician” (5vs.4,p=.041) and “time in waiting room” (5vs.4,p=.001).
Conclusion: Fasting blood sugar was lower for patients in Centering group care. Change in blood sugar over time did not differ between groups. Diabetic gravidas enrolled in Centering group care report improved patient satisfaction.
Megan M. Schellinger, Mary Pell Abernathy, Barbara Amerman, Carissa May, Leslie A. Foxlow, Amy L. Carter, Kelli Barbour, Erin Luebbehusen, Katherine Ayo, Dina Bastawros, Rebecca S. Rose, David M. Haas
Objective To determine the impact of Centering Pregnancy©-based group prenatal care for Hispanic gravid diabetics on pregnancy outcomes and postpartum follow-up care compared to those receiving traditional prenatal care.
Methods A cohort study was performed including 460 women diagnosed with gestational diabetes mellitus (GDM) who received traditional or Centering Pregnancy© prenatal care. The primary outcome measured was completion of postpartum glucose tolerance testing. Secondary outcomes included postpartum visit attendance, birth outcomes, breastfeeding, and initiation of a family planning method.
Results 203 women received Centering Pregnancy© group prenatal care and 257 received traditional individual prenatal care. Women receiving Centering Pregnancy© prenatal care were more likely to complete postpartum glucose tolerance testing than those receiving traditional prenatal care, (83.6 vs. 60.7 %, respectively; p < 0.001), had a higher rate of breastfeeding initiation (91.0 vs. 69.4 %; p < 0.001), had higher rates of strictly breastfeeding at their postpartum visit (63.1 vs. 46.3 %; p = 0.04), were less likely to need medical drug therapy compared to traditional prenatal care (30.2 vs. 42.1 %; p = 0.009), and were less likely to undergo inductions of labor (34.5 vs. 46.2 %; p = 0.014). When only Hispanic women were compared, women in the Centering group continued to have higher rates of breastfeeding and completion of postpartum diabetes screening.
Conclusion for Practice Hispanic women with GDM who participate in Centering Pregnancy© group prenatal care may have improved outcomes.
Glycemic control, compliance, and satisfaction for diabetic gravidas in Centering® group care - Abstract
Laura I. Parikh MD, Angie C. Jelin MD, Sara N. Iqbal MD, Sarah L. Belna WHNP-BC, Melissa H. Fries MD, Misbah Patel MBBS, Sameer Desale MS & Patrick S. Ramsey MD, MPSH
Purpose: To determine if diabetic gravidas enrolled in Centering® group care have improved glycemic control compared to those attending standard prenatal care. To compare compliance and patient satisfaction between the groups.
Materials and Methods: We conducted a prospective cohort study of diabetics enrolled in Centering group care from October 2013 to December 2015. Glycemic control, compliance, and patient satisfaction (5 point Likert scale) were evaluated. Student’s t-test, Chi-Square, and mixed effects model were used to compare outcomes.
Results: We compared 20 patients in Centering to 28 standard prenatal care controls. Mean fasting blood sugar was lower with Centering group care (91.0vs.105.5mg/dL,p=.017). There was no difference in change in fasting blood sugar over time between the two groups (p = 0.458). The percentage of time patients brought their blood glucose logs did not differ between the Centering group and standard prenatal care (70.7vs.73.9%,p=.973). Women in Centering group care had better patient satisfaction scores for “ability to be seen by a physician” (5vs.4,p=.041) and “time in waiting room” (5vs.4,p=.001).
Conclusion: Fasting blood sugar was lower for patients in Centering group care. Change in blood sugar over time did not differ between groups. Diabetic gravidas enrolled in Centering group care report improved patient satisfaction.