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Group Multimodal Prenatal Care and Postpartum Outcomes
Lyndsay A Avalos1,2, Nina Oberman1, Lizeth Gomez1
1Division of Research, Kaiser Permanente Northern California, Oakland.
JAMA Network Open
|May 21, 2024
Summary
Group multimodal prenatal care (GMPC) showed reduced stress and improved care quality compared to individual multimodal prenatal care (IMPC). Virtual group sessions combined with in-person visits offer a promising alternative for expectant mothers.
Area of Science:
- Obstetrics and Gynecology
- Digital Health
- Health Services Research
Background:
- Group prenatal care models demonstrate comparable or superior postpartum outcomes to traditional individual care.
- The efficacy of group multimodal prenatal care (GMPC), a hybrid virtual and in-person model, requires evaluation against individual multimodal prenatal care (IMPC).
Purpose of the Study:
- To compare postpartum outcomes between GMPC and IMPC.
- To assess the impact of GMPC on psychosocial well-being and perceived quality of care.
Main Methods:
- A frequency-matched longitudinal cohort study involved 424 pregnant individuals (212 GMPC, 212 IMPC) at Kaiser Permanente Northern California.
- Participants completed surveys on psychosocial outcomes, care quality, and behavioral measures prenatally and 4–8 weeks postpartum.
- Log-binomial and linear regression analyses were used, including dose-stratified analyses based on visit attendance.
Main Results:
- GMPC was associated with a 21% decreased risk of perceived stress compared to IMPC in the primary analysis.
- Higher perceived quality of prenatal care and preparation for baby care were observed in GMPC participants attending at least 70% of visits.
- No significant differences were found for other psychosocial outcomes, overall satisfaction, or preparation for self-care.
Conclusions:
- Group multimodal prenatal care (GMPC) demonstrated equivalent or improved postpartum outcomes, notably reduced stress, compared to IMPC.
- The findings support the integration of virtual group prenatal care into multimodal care models.
- Healthcare systems may consider GMPC as a valuable option for prenatal care delivery.
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