Centered pregnancy model is the most well-known and evidence-based
approach of group prenatal care which has been recognized to improve maternal and neonatal
outcomes. Aim of research: The research aimed to investigate the effect of applying centered
pregnancy model versus individual prenatal care on maternal and neonatal outcomes. Research
design: A quasi-experimental (non-equivalent groups) research design was used to fulfill the aim of
the study. Setting: The research was conducted at the obstetrics and gynecology outpatient clinic in
Benha University Hospital. Sample: A purposive sample of 140 pregnant women divided randomly
into centered pregnancy group comprised (70) women and individual prenatal care group comprised
(70) women. Tools of data collection: Four tools were utilized for collecting data; a structured
interviewing questionnaire, health promotion lifestyle profile-II, birth outcomes assessment sheet and
patient participation and satisfaction questionnaire. Results: There was a statistically significant
difference between centered pregnancy and individual prenatal care groups in relation to items of
maternal and neonatal birth outcomes (P ≤ 0.05); there were lower rates of preterm labor and cesarean
section delivery, shorter length of maternal hospital stay and early initiation of breast feeding. Also,
decreased rates of low birth weight and neonatal admission to intensive care unit in centered
pregnancy group compared with individual prenatal care group. Conclusion: Centered pregnancy
model had a positive effect on improving health behaviors during pregnancy, positive maternal and
neonatal outcomes as well as most of the women in centered pregnancy group had high participation
and satisfaction with centered pregnancy model. |
