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Improved Infant Outcomes with Group Prenatal Care in Puerto Rico. | LitMetric

Improved Infant Outcomes with Group Prenatal Care in Puerto Rico.

Source J Obstet Gynaecol

Maternal Infant Studies Center (CEMI), Obstetrics and Gynecology Department, UPR School of Medicine, Puerto Rico.

Published: February 2017

Objectives: To evaluate the impact of group prenatal care () on the rate of Preterm Birth (PTB) and low birth weight. Women were enrolled into Centering Pregnancy () if they fell in the category of poverty, and had at least one risk for PTB according to known risk factors for low birth weight or PTB.

Methods: Mother's age, parity, risk factors, prenatal/delivery complications, infants' Gestational Age (GA), birth weight, Apgar scores, delivery route, indications for delivery, and use of Neonatal Intensive Care Unit (NICU) were abstracted from charts of mothers who received group or traditional care at the University Hospital in San Juan, PR.

Results: More infants were born at term if the mothers received . The mean birth weight and gestational age of the infants were higher (6.59 vs. 6.33 lbs. and 37.8 vs. 36.8 weeks) than for those in traditional care. also had lower rates of preterm birth (27.7% vs. 34.1%) and births earlier than 31 weeks (2.8% vs. 9.9%). All were statistically significant (P<0.05).

Conclusions: We successfully implemented group prenatal care () for the first time in PR in a complex environment: tertiary care hospital with a high-risk prenatal clinic. Despite having known risk factors for preterm birth, the mothers in had better outcomes. In an environment of adverse determinants of health, the program was effective in reducing the odds for adverse infant outcomes early in life and demonstrating that innovative models of health care can improve such outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110527PMC

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