This study was to determine if any difference exists in the rates of cesarean birth, emergency room visits and preterm birth in African-American women who participated in CenteringPregnancy® group prenatal care in comparison with those in traditional prenatal care. Prenatal care under this model emphasizes risk assessment, health promotion, social support and education in a group setting of between eight and twelve patients. The effectiveness of CenteringPregnancy has had favorable clinical and behavioral outcomes, as well as high patient and provider satisfaction. Since few studies have researched outcome variables, this study was to answer if CenteringPregnancy prenatal care is related to improved birth outcomes than traditional prenatal care. Leininger’s Transcultural Nursing Theory guided this study to provide a comprehensive and culturally sensitive nursing approach in caring for pregnant African-American women. The population was a convenience sample of African-American women between the ages of 15 and 38 years of age. A retrospective chart review was utilized for data collection and a total of 61 CenteringPregnancy charts and 62 traditional prenatal care charts were reviewed looking at the rates of preterm births, cesarean births and emergency room utilization between the two groups of women. A bivariate statistical analysis using the t-Test was utilized to describe any differences between the patients in the two different types of prenatal care and a chi-square was used to analyze any difference in frequency of preterm births and cesarean births between the two types of prenatal care. The results indicated that African-American women receiving CenteringPregnancy prenatal care had fewer preterm births than African-American women in traditional prenatal care (1.6% vs 11.3%). However, there was no evidence found that African-American women receiving CenteringPregnancy prenatal care had less cesarean births or utilized the emergency room during their pregnancies less frequently.
|Advisor:||Upvall, Michele J.|
|Commitee:||Jones, Mildred A., Munroe, Tanya|
|School Location:||United States -- Pennsylvania|
|Source:||DAI-B 77/08(E), Dissertation Abstracts International|
|Subjects:||African American Studies, Black studies, Medicine, Nursing|
|Keywords:||African-American, CenteringPregnancy, Midwifery, Prenatal care|
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