A systematic overview of the literature regarding group prenatal care for high-risk pregnant women

Introduction: Health guidelines suggest that pregnant women should participate in daily physical activity, yet rarely do they meet these guidelines. Means to enhance accessibility of physical activity for pregnant women are required, and yoga has been suggested as a possible method to enhance women’s sense of confidence and competence with physical activity. In this pilot study, our primary aim is to evaluate pregnant women’s perceptions about their lived experience of an intervention which integrates a low-intensity form of physical activity, yoga, into prenatal care; our secondary aim is to evaluate changes in participants’ self-efficacy for physical activity and time spent in physical activity over time. Methods: Held in an outpatient obstetrics department of an urban hospital system in the United States, this pilot study enrolled 16 pregnant women to participate in the intervention throughout their pregnancy. We explored participants’ lived experience of the intervention using qualitative methods (phenomenology). Means, variances, and covariances were calculated for the 2 measures (self-efficacy and time spent in physical activity) over the intervention period. Results: Qualitative findings from focus groups suggest that it is acceptable for prenatal yoga to be integrated into group prenatal care classes and women reported increased confidence with physical activity during pregnancy. Participants did not consider the intervention to fit within the traditional definition of exercise. Women reported increased amounts of time spent in physical activity from baseline to the end of pregnancy, but there were no statistically significant changes in self-efficacy over time. Discussion: The integration of gentle physical activity into the group prenatal care model warrants further attention for potential benefits with regard to maternal physical and mental wellness.

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Case management as a high-risk prenatal care strategy

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2018-0483 ◽

2019 ◽

Vol 72 (3) ◽

pp. 692-699

Author(s):

Leticia Gramazio Soares ◽

Ieda Harumi Higarashi

Keyword(s):

High Risk ◽

Prenatal Care ◽

Health Services ◽

Case Management ◽

Pregnant Women ◽

Prenatal Case Management ◽

Management Method ◽

South Of Brazil ◽

Care Study ◽

Complex Cases

ABSTRACT Objective: to discuss the benefits of using high-risk prenatal case management. Method: a qualitative, convergent care study with six high-risk pregnant women, performed in a municipality in the south of Brazil. Data were produced by case management from April to August of 2017 through observation-participant. Analysis followed the processes of Convergent Care Research: apprehension, synthesis, theorization and transfer. Results: case management identified important elements in the care of pregnant women, which denoted a greater complexity to the cases; was shown as a relevant space for nurses to act, because it is an intervention that requires knowledge and specific skills. Final considerations: case management provides differentiated management in complex cases, facilitates the flow between health services, concretizing the comprehensiveness and equity of the care. It was found, in the convergence between research and care, that participants were benefited by case management.

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Correction: Group prenatal care experiences among pregnant women in a Bangladeshi community

PLoS ONE ◽

10.1371/journal.pone.0220816 ◽

2019 ◽

Vol 14 (7) ◽

pp. e0220816

Author(s):

Marufa Sultana ◽

Nausad Ali ◽

Raisul Akram ◽

Tania Jahir ◽

Rashidul Alam Mahumud ◽

...

Keyword(s):

Prenatal Care ◽

Pregnant Women ◽

Group Prenatal Care

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Group Prenatal Care and Doula Care for Pregnant Women

Reducing Racial/Ethnic Disparities in Reproductive and Perinatal Outcomes ◽

10.1007/978-1-4419-1499-6_15 ◽

2010 ◽

pp. 369-399 ◽

Cited By ~ 8

Author(s):

Susan C. Vonderheid ◽

Rieko Kishi ◽

Kathleen F. Norr ◽

Carrie Klima

Keyword(s):

Prenatal Care ◽

Pregnant Women ◽

Group Prenatal Care

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Developing an Effective Communications Campaign to Reach Pregnant Women at High Risk of Late or No Prenatal Care

Social Marketing Quarterly ◽

10.1080/15245000601038873 ◽

2006 ◽

Vol 12 (4) ◽

pp. 35-50 ◽

Cited By ~ 4

Author(s):

Patricia A. Doyle ◽

Barbara C. Bird ◽

Steve Appel ◽

Donna Parisi ◽

Perdietha Rogers ◽

...

Keyword(s):

High Risk ◽

Prenatal Care ◽

Pregnant Women

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Group prenatal care experiences among pregnant women in a Bangladeshi community

PLoS ONE ◽

10.1371/journal.pone.0218169 ◽

2019 ◽

Vol 14 (6) ◽

pp. e0218169 ◽

Cited By ~ 1

Author(s):

Marufa Sultana ◽

Nausad Ali ◽

Raisul Akram ◽

Tania Jahir ◽

Rashidul Alam Mahumud ◽

...

Keyword(s):

Prenatal Care ◽

Pregnant Women ◽

Group Prenatal Care

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Factors Associated to the Search for Dental Care in High Risk Pregnancy

Dental Research and Management ◽

10.33805/2572-6978.148 ◽

2020 ◽

pp. 66-70

Author(s):

Jessica Galvan ◽

Danielle Bordin ◽

Cristina Berger Fadel

Keyword(s):

High Risk ◽

Prenatal Care ◽

Pregnant Women ◽

Dental Care ◽

Dental Service ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Factors Associated ◽

Risk Pregnancy

Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.

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Pregnancy vs. Paycheck: A qualitative study of patient’s experience with employment during pregnancy at high risk for preterm birth

10.21203/rs.3.rs-36777/v3 ◽

2020 ◽

Author(s):

Sarahn M. Wheeler ◽

Kelley E. C. Massengale ◽

Konyin Adewumi ◽

Thelma A. Fitzgerald ◽

Carrie B. Dombeck ◽

...

Keyword(s):

Preterm Birth ◽

High Risk ◽

Prenatal Care ◽

Pregnant Women ◽

Structured Interview ◽

Close Monitoring ◽

Risk Pregnancy ◽

Increased Risk ◽

History Of ◽

In Pregnancy

Abstract Background: Pregnant women with a history of preterm birth are at risk for recurrence, often requiring frequent prenatal visits for close monitoring and/or preventive therapies. Employment demands can limit uptake and adherence to recommended monitoring and preterm birth prevention therapies. Method: We conducted a qualitative descriptive study using in-depth interviews (IDIs) of pregnant women with a history of preterm birth. IDIs were conducted by trained qualitative interviewers following a semi-structured interview guide focused on uncovering barriers and facilitators to initiation of prenatal care, including relevant employment experiences, and soliciting potential interventions to improve prompt prenatal care initiation. The IDIs were analyzed via applied thematic analysis. Results: We described the interview findings that address women’s employment experiences. The current analysis includes 27 women who are majority self-described as non-Hispanic Black (74%) and publically insured (70%). Participants were employed in a range of professions; food services, childcare and retail were the most common occupations. Participants described multiple ways that being pregnant impacted their earning potential, ranging from voluntary work-hour reduction, involuntary duty hour reductions by employers, truncated promotions, and termination of employment. Participants also shared varying experiences with workplace accommodations to their work environment and job duties based on their pregnancy. Some of these accommodations were initiated by a collaborative employee/employer discussion, others were initiated by the employer’s perception of safe working conditions in pregnancy, and some accommodations were based on medical recommendations. Participants described supportive and unsupportive employer reactions to requests for accommodations. Conclusions: Our findings provide novel insights into women’s experiences balancing a pregnancy at increased risk for preterm birth with employment obligations. While many women reported positive experiences, the most striking insights came from women who described negative situations that ranged from challenging to potentially unlawful. Many of the findings suggest profound misunderstandings likely exist at the patient, employer and clinical provider level about the laws surrounding employment in pregnancy, safe employment responsibilities during pregnancy, and the range of creative accommodations that often allow for continued workplace productivity even during high risk pregnancy.

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Factors Associated to the Search for Dental Care in High Risk Pregnancy

Dental Research and Management ◽

10.33805/10.33805/2572-6978.148 ◽

2020 ◽

pp. 66-70

Author(s):

Jessica Galvan ◽

Danielle Bordin ◽

Cristina Berger Fadel ◽

Alessandra Martins ◽

Fabiana Bucholdz Teixeira Alves

Keyword(s):

High Risk ◽

Prenatal Care ◽

Pregnant Women ◽

Dental Care ◽

Dental Service ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Factors Associated ◽

Risk Pregnancy

Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.

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Pregnancy vs. paycheck: a qualitative study of patient’s experience with employment during pregnancy at high risk for preterm birth

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03246-7 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Sarahn M. Wheeler ◽

Kelley E. C. Massengale ◽

Konyin Adewumi ◽

Thelma A. Fitzgerald ◽

Carrie B. Dombeck ◽

...

Keyword(s):

Preterm Birth ◽

High Risk ◽

Prenatal Care ◽

Pregnant Women ◽

Structured Interview ◽

Close Monitoring ◽

Risk Pregnancy ◽

Increased Risk ◽

History Of ◽

In Pregnancy

Abstract Background Pregnant women with a history of preterm birth are at risk for recurrence, often requiring frequent prenatal visits for close monitoring and/or preventive therapies. Employment demands can limit uptake and adherence to recommended monitoring and preterm birth prevention therapies. Method We conducted a qualitative descriptive study using in-depth interviews (IDIs) of pregnant women with a history of preterm birth. IDIs were conducted by trained qualitative interviewers following a semi-structured interview guide focused on uncovering barriers and facilitators to initiation of prenatal care, including relevant employment experiences, and soliciting potential interventions to improve prompt prenatal care initiation. The IDIs were analyzed via applied thematic analysis. Results We described the interview findings that address women’s employment experiences. The current analysis includes 27 women who are majority self-described as non-Hispanic Black (74%) and publically insured (70%). Participants were employed in a range of professions; food services, childcare and retail were the most common occupations. Participants described multiple ways that being pregnant impacted their earning potential, ranging from voluntary work-hour reduction, involuntary duty hour reductions by employers, truncated promotions, and termination of employment. Participants also shared varying experiences with workplace accommodations to their work environment and job duties based on their pregnancy. Some of these accommodations were initiated by a collaborative employee/employer discussion, others were initiated by the employer’s perception of safe working conditions in pregnancy, and some accommodations were based on medical recommendations. Participants described supportive and unsupportive employer reactions to requests for accommodations. Conclusions Our findings provide novel insights into women’s experiences balancing a pregnancy at increased risk for preterm birth with employment obligations. While many women reported positive experiences, the most striking insights came from women who described negative situations that ranged from challenging to potentially unlawful. Many of the findings suggest profound misunderstandings likely exist at the patient, employer and clinical provider level about the laws surrounding employment in pregnancy, safe employment responsibilities during pregnancy, and the range of creative accommodations that often allow for continued workplace productivity even during high risk pregnancy.

Download Full-text