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Group pre and postnatal care is a social model of care originating in the United States that has spread internationally. The Centering Health Care Institute has championed the model and fostered its spread. Health care, assessment and support is provided in a facilitated group setting. Facilitation is provided by professionals using an egalitarian (rather than expert) knowledge-holder approach. An association between Centering Pregnancy with reduced preterm birth and low birth weight in socially at-risk women, as well as increased maternal knowledge and satisfaction, has been demonstrated in several studies. Increased breastfeeding initiation and duration has also been found. Mothers described feeling empowered and supported. Physicians described providing richer care and learning more about the women in their care in order to better support their needs. Implementing a substantially different model of care alongside standard care presents unique challenges and opportunities that impact work load processes and values.
As a current example of reorienting health systems, participants will understand the theory, practice and implementation perspectives associated with centering health care models for this population.
By the end of this session, participants will be able to:
- Describe the unique characteristics of Centering Health Care approaches for pre and post natal care;
- Identify outcomes and experiences associated with using Centering Health Care approaches in practice;
- Describe challenges and opportunities of implementing Centering Health Care;
- Understand the role of public health in the Centering Health Care model.
Presenter: Deborah McNeil
Deborah A. McNeil is currently the Scientific Director of the Maternal Newborn Child and Youth Strategic Clinical Network and Adjunct Associate Professor, University of Calgary Faculty of Nursing and Cumming School of Medicine. Following a 25-year clinical career, Deborah has held research positions in maternal child health and population public and Indigenous health for the past 17 years. Deborah’s current research focus includes perinatal depression and anxiety, measuring health inequities, childhood immunization, and group pre and postnatal care.
The opinions expressed by speakers and moderators do not necessarily reflect the official policies or views of Public Health Ontario, nor does the mention of trade names, commercial practices, or organizations imply endorsement by Public Health Ontario.
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