Principal Investigator
Lyndsay Avalos – Kaiser Permanente Northern California
Project Description
This study aimed to understand whether there were differences in postpartum outcomes for mothers participating in group multimodal prenatal care (GMPC via CenteringPregnancy’s model) and individual multimodal prenatal care (IMPC) delivered through a combination of remotely delivered and in-person visits. The research team launched a frequency-matched longitudinal cohort study at Kaiser Permanente Northern California, an integrated health care delivery system. Participants included 424 individuals who were pregnant (212 GMPC and 212 frequency-matched IMPC controls matched on gestational age, race and ethnicity, insurance status, and maternal age) receiving prenatal care in 2020 and 2021. Participants completed a baseline survey before 14 weeks’ gestation and a follow-up survey between four and eight weeks post-partum.
Research Questions
- Is group prenatal care delivered virtually with individual in-person office visits associated with better postpartum psychosocial, behavioral, and perceived quality of prenatal care outcomes, satisfaction with prenatal care, and preparation for self and baby care compared with individual prenatal care delivered with a combination of remote and in-person visits?
Key Findings
The final analytic cohort included 390 participants. CenteringPregnancy’s GMPC approach was associated with a 21 percent decreased risk of perceived stress compared with IMPC. There were no significant differences between GMPC and IMPC for other psychosocial outcomes. While in the primary analyses there were no significant group differences in perceived quality of prenatal care and feeling prepared to take care of a baby at home, the dose-stratified analyses documented higher perceived quality of prenatal care and preparation for taking care of a baby at home for GMPC among those attending 70 percent of visits. No significant differences were noted in patients’ overall satisfaction with prenatal care and feeling prepared for taking care of themselves after delivery.
Study Citation
Avalos, L. A., Oberman, N., Gomez, L., Quesenberry, C. P., Sinclair, F., Kurtovich, E., … & Stark, J. (2024). Group Multimodal Prenatal Care and Postpartum Outcomes. JAMA Network Open, 7(5), e2412280-e2412280.
The Key Findings above were reproduced from the published report and do not necessarily reflect interpretation of Overdeck Family Foundation staff.
