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Centering Pregnancy

Centering Pregnancy. Dr. Janet Seabrook M.D. CEO, Community HealthNet April 4, 2004 Infant Mortality Conference Indiana University Northwest. Community HealthNet. Incorporated in the State of Indiana in 1998 Became a Federally Qualified Health Center (FQHC) in 2006

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Centering Pregnancy

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  1. Centering Pregnancy Dr. Janet Seabrook M.D. CEO, Community HealthNet April 4, 2004 Infant Mortality Conference Indiana University Northwest

  2. 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

  3. Community HealthNet 5 locations Calumet High School Miller 3900 Calhoun Street 1015 Shelby Street Gary, IN Gary, IN 6100 Broadway Merrillville, IN Hammond location Main Office 5927 Columbia Ave 1021 West 5th Ave Hammond, IN Gary, IN (219)880-1190

  4. Community HealthNet Leah Staples RN, CNM, AFNP Lead facilitator Marie Crisler, MA Centering/Prenatal Coordinator Vinnette Donaldson, RN Nurse educator Cherry Rosser, MA Prenatal staff

  5. Community HealthNet • 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

  6. Community HealthNet 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

  7. Community HealthNet • 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)

  8. Community HealthNet 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

  9. Community HealthNet • 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

  10. Community HealthNet

  11. Community HealthNet • Self Monitoring • Mom checks her own BP • Weight • Mom makes notations of the data for her record

  12. Community HealthNet The Check-up

  13. Community HealthNet Prenatal Physical Assessment Fundal height Fetal heart tones Fetal position

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  15. Community HealthNet Education Comfort Issues Risks of tobacco and its effects on the baby Exercise/relaxation Nutrition Childbirth preparation Sexuality Postpartum changes

  16. Community HealthNet Education • Communication/self esteem • Issues of Abuse • Baby Care • Infant Feeding • Parenting • Contraception

  17. Community HealthNet 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

  18. Community HealthNet Support

  19. Community HealthNet Support…..Community Building

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  21. CommunityHealthNet

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  25. Community HealthNet • 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

  26. Community HealthNet • 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

  27. Community HealthNet • 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

  28. Community HealthNet 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

  29. Community HealthNet 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

  30. Community HealthNet • Thank you • Questions???

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