CENTERING PREGNANCY

Dr. Janet Seabrook M.D.CEO, Community HealthNet

April 4, 2004Infant Mortality Conference Indiana University Northwest

Community HealthNet

Incorporated in the State of Indiana in 1998

Became a Federally Qualified Health Center (FQHC) in 2006

CHN had over 31,000 patients visits in 2013

CHN has 5 locations in Northwest Indiana

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5 locationsCalumet High School Miller 3900 Calhoun Street 1015 Shelby StreetGary, IN Gary, IN

6100 Broadway Merrillville, IN

Hammond location Main Office5927 Columbia Ave 1021 West 5th AveHammond, IN Gary, IN

(219)880-1190

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Leah Staples RN, CNM, AFNPLead facilitator Marie Crisler, MACentering/Prenatal CoordinatorVinnette Donaldson, RNNurse educatorCherry Rosser, MAPrenatal staff

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In 2011 Community HealthNet received a grant from the March of Dimes of Indiana to implement a Centering Pregnancy Program

Community HealthNet requested the funding to implement a pilot project using the Centering Model of care as a means to reduce the infant mortality among the patients of the health center

A 2012 study in the American Journal of Obstetrics and Gynecology found a 47% reduction in preterm births for women in a Centering program compared to women in traditional maternity care

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What is Centering Pregnancy?

Group Prenatal visits that provide 3 components of prenatal

care Assessment of the mom and the baby Education of the mom and significant

others Support of the mom, the baby and family

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Centering Pregnancy creates a warm nurturing environment for the mom to be and her support system

As the Centering Pregnancy Program has evolved CHN staff noted that without any prompting peer to peer mentors, household and community leaders are emerging among the participants

Points of discussion in group can cover a wide range of topics (such as breastfeeding, tobacco cessation and nutrition)

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Group ModelCentering Pregnancy

Initial intake done before 1st session First group session is usually started when the

moms are between 12-16 weeks Groups of 8-12 women, with similar due dates

are placed together Moms will do their own weight and blood

pressure An individual physical assessment is done

within the group space by the provider

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10 Sessions lasting two hours each and they are facilitated by a group leader

4 Sessions occur every 4 weeks: 16,20,24,28 6 Sessions occur every 2 weeks 30,32,36,38,40/PP

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Self Monitoring

Mom checks her own BP

Weight

Mom makes notations of the data for her record

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The Check-up

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Prenatal Physical Assessment

Fundal height

Fetal heart tones

Fetal position

 

 

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EducationComfort IssuesRisks of tobacco and its effects on the babyExercise/relaxationNutritionChildbirth preparationSexualityPostpartum changes

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Education

Communication/self esteem Issues of Abuse Baby Care Infant Feeding Parenting Contraception

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SupportRefreshmentsFormal and Informal Sharing and

NetworkingStability of the group members and a

reduction in no show ratesExchange of names, telephone numbersConsistency of leadership by the healthcare

team which leads to a decrease in provider shopping

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Support

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Support…..Community Building

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Group 1 started November of 2012 11 women completed Centering Group 2 started in January of 2013 8 women completed Centering Group 3 started March of 2013 5 women completed Centering Group 4 started October of 2013 5 women completed Centering

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Group 5 began on March 19, 2014 15 women are registered

Group 6 began on April 2, 2014 10 women are registered

There have been challenges such as finding a time that is suitable for the majority to obtain optimum attendance other challenges include transportation and childcare

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Visit the Centering Pregnancy Institute website for more information on Centering

Refer patients who may be interested to learn more about Centering Pregnancy to Community HealthNet 1021 West 5th Avenue Gary, IN. (219)880-1190

Become an advocate for Centering Pregnancy

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Next StepsCentering ParentingMother-Baby care for the first year of life and

beyond...Groups of 5-6 mothers/babies with similar

birthdaysGroups begin about 2 weeks after birth…or

the Centering Pregnancy group continues to meet for 10 an additional sessions throughout the first year of life with the focus on Parenting and Life Skills

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Centering Pregnancy CHN is building relationships and communityCHN is assisting in creative problem solvingCHN is creating an efficient means to educateCHN is creating a vehicle for social change

CHN is CENTERING as a means to reduce Infant Mortality in Lake County

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Thank you

Questions???