The Mexican Experience Adapting CenteringPregnancy: Lessons Learned in a Publicly Funded Health Care System Serving Vulnerable Women.
Ileana B Heredia-Pi, Evelyn Fuentes-Rivera, Zafiro Andrade-Romo and 4 others
PMID 30199143WHAT IT FOUND
Group prenatal care was adapted for Mexican public clinics and delivered to 129 women, with 83% attending at least 5 prenatal sessions.
Providers reported acceptance, but satisfaction was anecdotal and the paper did not test birth or health outcomes.
Key findings
01The adapted model was run in 10 groups with 129 participating women, and 83% attended at least 5 prenatal sessions.
02Team reports after sessions suggested high satisfaction and acceptance among women and providers, but the formal evaluation of satisfaction and barriers is ongoing.
03Only the attending physician was authorized to enter information into the patient chart, so the team had to work with physicians to complete documentation for group care.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Satisfaction and acceptance were based on team reports from sessions, not formal outcome measures. The formal evaluation of women's satisfaction, self-efficacy, and provider barriers was still ongoing. The paper did not test birth or health outcomes. Implementation was in small primary care clinics, so it may not apply to larger facilities or different health systems. The adapted model changed some original elements, such as group size and facilitator teams.
The easy way to misread this
Do not conclude that group prenatal care improves birth or health outcomes. The paper reports adaptation lessons and anecdotal satisfaction, not a controlled evaluation of clinical results.