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Participation in the CenteringPregnancy Program and Pregnancy-Induced Hypertension
Oluwatosin A Momodu1, Ronnie D Horner2, Jihong Liu3
1Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.
American Journal of Preventive Medicine
|April 27, 2023
Summary
CenteringPregnancy care was linked to increased odds of pregnancy-induced hypertension, especially gestational hypertension, compared to standard prenatal care. Further research is needed to understand these findings and potential biases.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Public Health
Background:
- CenteringPregnancy offers group prenatal care focusing on education and peer support, differing from standard one-on-one appointments.
- It was hypothesized that CenteringPregnancy might reduce the risk of pregnancy-induced hypertension.
- This study investigated the association between CenteringPregnancy participation and pregnancy-induced hypertension.
Purpose of the Study:
- To compare the incidence of pregnancy-induced hypertension in women receiving CenteringPregnancy care versus standard prenatal care.
- To analyze specific diagnoses of pregnancy-induced hypertension, including gestational hypertension, mild pre-eclampsia, and severe pre-eclampsia/eclampsia.
Main Methods:
- An observational study utilizing linked birth certificate and hospital discharge data from South Carolina (2015-2019).
- Logistic regression models and propensity score weighting were employed to analyze data from 547 CenteringPregnancy participants and a comparison group.
- Outcomes assessed included any pregnancy-induced hypertension and specific hypertensive disorders of pregnancy.
Main Results:
- CenteringPregnancy participants showed higher odds of developing any pregnancy-induced hypertension (OR=1.48) and gestational hypertension/unspecified hypertension (OR=1.76).
- No significant difference in the odds of mild pre-eclampsia (OR=1.06) or severe pre-eclampsia/eclampsia (OR=1.21) was observed between groups.
- The findings suggest an increased risk for certain hypertensive disorders in the CenteringPregnancy group.
Conclusions:
- CenteringPregnancy participation was associated with increased odds of pregnancy-induced hypertension, particularly gestational hypertension.
- Further research is necessary to confirm these findings, address potential selection bias, and identify underlying factors.
- Understanding these associations is crucial for optimizing prenatal care models and improving maternal health outcomes.
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