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Examining Delivery Method and Infant Feeding Intentions between Women in Traditional and Non-Traditional Prenatal Care

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Abstract

Introduction The purpose of the study is to evaluate delivery method and breastfeeding initiation in women enrolled in group prenatal care (CenteringPregnancy) and in traditional prenatal care. Methods Data were obtained from medical records of a hospital-based midwifery practice in south central Connecticut that offered both types of prenatal care programs. Medical information from 307 women enrolled in this practice was included in the analysis. Out of the 307, 80 were enrolled in group prenatal care. Socio-demographic, lifestyle, and previous and current obstetrical information from medical records formed the basis of comparison. Bivariate and logistic regression analyses were carried out. Results Women in Centering had fewer planned cesarean sections (1.3 vs. 12.8%) and had a higher breastfeeding initiation (88.7 vs. 80.0%). However, Centering women were found to have a higher portion of unplanned cesarean sections (27.5 vs. 11.0%). Both the unadjusted and the adjusted odds ratios of having a cesarean planned delivery were lower in the group care. Women in Centering had 2.44 (95% CI 1.05, 5.66) times the odds of breastfeeding initiation compared to the odds for women in traditional prenatal care after adjusting for maternal age, smoking status, gestation and race. Discussion CenteringPregnancy can have positive impact for the woman and baby. This program implementation saw lower rates of elective cesarean sections and increased breastfeeding compared to women in traditional care.

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Acknowledgements

The project, including the evaluation, is supported in part by program funds from the Connecticut March of Dimes, Connecticut Department of Public Health, The Community Fund for Women and Girls, and Connecticut State University System Faculty Development Research funds. The authors wish to thank Annette Hird Carbone, MPH, former Grants Officer at the Hospital of Saint Raphael Foundation for her assistance in securing funding and program oversight and the Centering Healthcare Institute for programmatic guidance.

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Authors and Affiliations

  1. Department of Public Health, Southern Connecticut State University, 501 Crescent Street, New Haven, CT, 06514, USA

    Deb Risisky & Victoria A. Zigmont

  2. Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Ronna L. Chan

  3. Connecticut Department of Mental Health and Addiction Services, Hartford, CT, USA

    Syed Masood Asghar

  4. Center for Women’s Health and Midwifery, Yale-New Haven Hospital, Hospital of Saint Raphael Campus, New Haven, CT, USA

    Nancy DeGennaro

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  1. Deb Risisky
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  2. Ronna L. Chan
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  4. Syed Masood Asghar
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  5. Nancy DeGennaro
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Correspondence to Deb Risisky.

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Risisky, D., Chan, R.L., Zigmont, V.A. et al. Examining Delivery Method and Infant Feeding Intentions between Women in Traditional and Non-Traditional Prenatal Care. Matern Child Health J 22, 274–282 (2018). https://doi.org/10.1007/s10995-017-2400-2

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  • DOI: https://doi.org/10.1007/s10995-017-2400-2

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