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Group Prenatal Care Attendance and Women’s Characteristics Associated with Low Attendance: Results from Centering and Racial Disparities (CRADLE Study)
- Source :
- Maternal and child health journal, vol 23, iss 10
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- ObjectivesGroup prenatal care (GPC), an alternative to individual prenatal care (IPC), is becoming more prevalent. This study aimed to describe the attendance and reasons of low attendance among pregnant women who were randomly assigned to receive GPC or IPC and explore the maternal characteristics associated with low-attendance.MethodsThis study was a descriptive study among Medically low risk pregnant women (N = 992) who were enrolled in an ongoing prospective study. Women were randomly assigned to receive CenteringPregnany GPC (N = 498) or IPC (N = 994) in a single clinical site The attendance frequency and reason for low-attendance (i.e. ≤ 5/10 sessions in GPC or ≤ 5 visits in IPC) were described separately in GPC and IPC. Multivariable logistic regressions were performed to explore the associations between maternal characteristics and low-attendance.ResultsOn average, women in GPC attended 5.32 (3.50) sessions, with only 6.67% attending all 10 sessions. Low-attendance rate was 34.25% in GPC and 10.09% in IPC. The primary reasons for low-attendance were scheduling barriers (23.19%) and not liking GPC (16.43%) in GPC but leaving the practice (34.04%) in IPC. In multivariable analysis, lower perceived family support (P = 0.01) was positively associated with low-attendance in GPC, while smoking in early pregnancy was negatively associated low-attendance (P = 0.02) in IPC.Conclusions for practiceScheduling challenges and preference for non-group settings were the top reasons for low-attendance in GPC. Changes may need to be made to the current GPC model in order to add flexibility to accommodate women's schedules and ensure adequate participation.Trial registrationNCT02640638 Date Registered: 12/20/2015.
- Subjects :
- Adult
medicine.medical_specialty
Epidemiology
South Carolina
Family support
Early pregnancy factor
Prenatal care
Logistic regression
Medical and Health Sciences
03 medical and health sciences
0302 clinical medicine
Pregnancy
Negatively associated
Surveys and Questionnaires
Group prenatal care
parasitic diseases
Humans
Medicine
Prospective Studies
030212 general & internal medicine
Prospective cohort study
030219 obstetrics & reproductive medicine
biology
business.industry
Pregnant women
Public health
Public Health, Environmental and Occupational Health
Attendance
Obstetrics and Gynecology
Prenatal Care
Race Factors
Treatment Adherence and Compliance
Logistic Models
Low-attendance
Studies in Human Society
Patient Satisfaction
Family medicine
Pediatrics, Perinatology and Child Health
biology.protein
Female
Public Health
Pregnant Women
business
Subjects
Details
- ISSN :
- 15736628 and 10927875
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Maternal and Child Health Journal
- Accession number :
- edsair.doi.dedup.....7c6d1d3379d2901d231251c871099c0f