Park Chul Hyun, Driver Nichola, Richards Robert C, Ward Penny
School of Public Policy, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA.
Clinton School of Public Service, University of Arkansas, 1200 President Clinton Avenue, Little Rock, AR 72201, USA.
Healthcare (Basel). 2025 May 3;13(9):1052. doi: 10.3390/healthcare13091052.
: CenteringPregnancy (CP) is a group prenatal care model that empowers pregnant women through risk assessment, education, and social support. CP participants have more contact time with providers compared to those in traditional prenatal care. Despite contradictory findings in the literature, this study aimed to determine if CP leads to better health outcomes for women and their infants. : A quasi-experimental design was used. Data were collected from hospital birth records of both CP participants and those receiving traditional prenatal care from 2018 to 2020. Various treatment effect models for observational data were used to assess CP's effectiveness. : CP improved women's access to prenatal care and reduced rates of preterm birth and perinatal death compared to traditional prenatal care. It also resulted in longer gestation periods and better infant birth weight outcomes. However, no significant differences were found in delivery type (vaginal or C-section) or breastfeeding initiation and continuation between the two groups. : These findings provide compelling evidence that CenteringPregnancy can lead to significantly improved maternal and infant health outcomes by demonstrating its effectiveness in a real-world clinical setting.
“以孕妇为中心的孕期保健模式（CP）是一种群体产前护理模式，通过风险评估、教育和社会支持赋予孕妇权力。与接受传统产前护理的孕妇相比，参与CP模式的孕妇与医护人员的接触时间更多。尽管文献中有相互矛盾的研究结果，但本研究旨在确定CP模式是否能为女性及其婴儿带来更好的健康结局。
采用了准实验设计。收集了2018年至2020年期间参与CP模式的孕妇以及接受传统产前护理的孕妇的医院分娩记录数据。使用了各种观察性数据的治疗效果模型来评估CP模式的有效性。
与传统产前护理相比，CP模式改善了女性获得产前护理的机会，降低了早产率和围产期死亡率。它还导致了更长的妊娠期和更好的婴儿出生体重结果。然而，两组之间在分娩方式（阴道分娩或剖宫产）或母乳喂养的开始和持续情况方面没有发现显著差异。
这些发现提供了令人信服的证据，表明以孕妇为中心的孕期保健模式通过在实际临床环境中证明其有效性，可以显著改善母婴健康结局。
