dr. janet seabrook m.d. ceo, community healthnet april 4, 2004 infant mortality conference indiana...
TRANSCRIPT
CENTERING PREGNANCY
Dr. Janet Seabrook M.D.CEO, Community HealthNet
April 4, 2004Infant Mortality Conference Indiana University Northwest
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
Community HealthNet
5 locationsCalumet High School Miller 3900 Calhoun Street 1015 Shelby StreetGary, IN Gary, IN
6100 Broadway Merrillville, IN
Hammond location Main Office5927 Columbia Ave 1021 West 5th AveHammond, IN Gary, IN
(219)880-1190
Community HealthNet
Leah Staples RN, CNM, AFNPLead facilitator Marie Crisler, MACentering/Prenatal CoordinatorVinnette Donaldson, RNNurse educatorCherry Rosser, MAPrenatal staff
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
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
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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 ModelCentering 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
Mom checks her own BP
Weight
Mom makes notations of the data for her record
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The Check-up
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Prenatal Physical Assessment
Fundal height
Fetal heart tones
Fetal position
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EducationComfort IssuesRisks of tobacco and its effects on the babyExercise/relaxationNutritionChildbirth preparationSexualityPostpartum changes
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Education
Communication/self esteem Issues of Abuse Baby Care Infant Feeding Parenting Contraception
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SupportRefreshmentsFormal and Informal Sharing and
NetworkingStability of the group members and a
reduction in no show ratesExchange of names, telephone numbersConsistency of leadership by the healthcare
team which leads to a decrease in provider shopping
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Support
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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
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Next StepsCentering ParentingMother-Baby care for the first year of life and
beyond...Groups of 5-6 mothers/babies with similar
birthdaysGroups 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
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Centering Pregnancy CHN is building relationships and communityCHN is assisting in creative problem solvingCHN is creating an efficient means to educateCHN 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
Questions???