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Delivery Outcomes after Centering versus Routine Prenatal Care.

Sarah Kelly1, Joel Agarwal1, Ilya Goldstein1

  • 1Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York, United States.

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Centering prenatal care showed no significant difference in preterm birth or low birth weight compared to routine care. However, Centering care was linked to fewer cesarean deliveries and more prenatal visits.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Public Health

Background:

  • Centering pregnancy is an innovative group model of prenatal care.
  • Traditional prenatal care models have varying outcomes.
  • Comparing Centering and routine prenatal care is crucial for optimizing maternal health.

Purpose of the Study:

  • To compare delivery outcomes between Centering and routine prenatal care.
  • To analyze the association between Centering prenatal care and preterm birth.
  • To evaluate other clinical outcomes such as birth weight and delivery mode.

Main Methods:

  • Retrospective cohort study analyzing data from 2013-2018.
  • Included women receiving Centering or routine prenatal care in Northern Manhattan.
  • Used logistic regression to analyze associations between care models and delivery outcomes.

Main Results:

  • Centering care (n=714) vs. routine care (n=9,469) showed similar preterm birth rates (<37 weeks): 5.9% vs. 7.1%.
  • No significant differences in very low birth weight or birth weight <2500g.
  • Centering prenatal care was associated with lower odds of cesarean delivery (OR 0.71) and more frequent visits.

Conclusions:

  • Centering prenatal care is associated with a reduced likelihood of cesarean delivery.
  • Centering care did not significantly increase or decrease the likelihood of preterm birth or low birth weight.
  • Centering pregnancy care offers potential benefits in delivery outcomes and patient engagement.