Transcript Centering Pregnancy - Indiana University Northwest

Dr. Janet Seabrook M.D.
CEO, Community HealthNet
April 4, 2004
Infant Mortality Conference
Indiana University Northwest
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Incorporated in the State of Indiana in 1998
Became a Federally Qualified Health Center
(FQHC) in 2006
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CHN had over 31,000 patients visits in 2013
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CHN has 5 locations in Northwest Indiana
5 locations
Calumet High School
3900 Calhoun Street
Gary, IN
Miller
1015 Shelby Street
Gary, IN
6100 Broadway Merrillville, IN
Hammond location
5927 Columbia Ave
Hammond, IN
Main Office
1021 West 5th Ave
Gary, IN
(219)880-1190
Leah Staples RN, CNM, AFNP
Lead facilitator
Marie Crisler, MA
Centering/Prenatal Coordinator
Vinnette Donaldson, RN
Nurse educator
Cherry Rosser, MA
Prenatal 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
What is Centering Pregnancy?
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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 Model
Centering 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
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Mom checks her own BP
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Weight
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Mom makes notations of the data for her
record
The Check-up
Prenatal Physical Assessment
Fundal height
Fetal heart tones
Fetal position
Education
Comfort Issues
Risks of tobacco and its effects on the baby
Exercise/relaxation
Nutrition
Childbirth preparation
Sexuality
Postpartum changes
Education
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Communication/self esteem
Issues of Abuse
Baby Care
Infant Feeding
Parenting
Contraception
Support
Refreshments
Formal and Informal Sharing and Networking
Stability of the group members and a reduction in
no show rates
Exchange of names, telephone numbers
Consistency of leadership by the healthcare team
which leads to a decrease in provider shopping
Support
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
Next Steps
Centering Parenting
Mother-Baby care for the first year of life and
beyond...
Groups of 5-6 mothers/babies with similar
birthdays
Groups 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
Centering Pregnancy
CHN is building relationships and community
CHN is assisting in creative problem solving
CHN is creating an efficient means to educate
CHN 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
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Questions???