Cluster Randomized Controlled Trial of Group Prenatal Care
Perinatal Outcomes Among Adolescents in New York City Health Centers
Bibliographic Data
Objectives. We compared an evidence-based model of group prenatal care to traditional individual prenatal care on birth, neonatal, and reproductive health outcomes. Methods. We performed a multisite cluster randomized controlled trial in 14 health centers in New York City (2008–2012). We analyzed 1148 pregnant women aged 14 to 21 years, at less than 24 weeks of gestation, and not at high obstetrical risk. We assessed outcomes via medical records and surveys. Results. In intention-to-treat analyses, women at intervention sites were significantly less likely to have infants small for gestational age ( Conclusions. CenteringPregnancy Plus group prenatal care resulted in more favorable birth, neonatal, and reproductive outcomes. Successful translation of clinical innovations to enhance care, improve outcomes, and reduce cost requires strategies that facilitate patient adherence and support organizational change
Birth weight · Cluster randomised controlled trial · Confidence interval · Environmental health · Gestation · Gestational age · Low birth weight · Neonatal intensive care unit · Obstetrics · Odds ratio · Population · Pregnancy · Prenatal care · Randomized controlled trial · Small for gestational age · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Internal Medicine · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Pediatrics
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| Unique citing works | 29 |
|---|---|
| Citations per year | 2,64 |
| Citation span | 2015 - 2026 (12) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 26 |