260087 CenteringParenting: Care for Mother and Baby During the Postpartum Year

Monday, October 29, 2012 : 4:30 PM - 4:50 PM

Sharon Schindler Rising, MSN, CNM, FACNM , Centering Healthcare Institute, Inc., Silver Spring, MD
Laura Wise, MD, MPH , Lifelong Medical Care, West Berkeley Family Practice, Berkeley, CA
The postpartum year for most women is one of challenge. Maternal changes, physical and emotional, often are ignored due to the more pressing demands of a new infant and reorganization of the family unit. Women's issues include: nutrition, support for breastfeeding, weight management, stress management, contraception, exercise, possible depression, and family stresses that may include violence. Woven into this are the baby's needs that include eating, sleeping, support for healthy developmental, and attachment. CenteringParenting is a group model that provides care to both the mother and baby within the group setting, and allows time for interactive education/sharing and community building among a stable cohort of 5-7 mother/baby dyads. These parents and babies meet together for 9 sessions throughout the first year of life; many of the groups continue from CenteringPregnancy. Data will be shared from an evaluative study of 91 mother/baby dyads followed for at least 9 months, compared to 76 dyads in the traditional care comparison group, followed for at least 6 months. The collected data responded to four identified areas: healthy babies, healthy moms, maternal efficacy and confidence in parenting skills, and mother-infant bonding. Reassuring outcomes for CenteringParenting dyads include: better attendance, more robust breastfeeding, better maternal weight management, and improved depression screening and treatment. Additional comments from women include the importance of community building, gaining increased confidence in caring for themselves and their baby, and bonding with their baby. Successful passage through this year strengthens the entire family and helps prepare the mother for future childbearing decisions.

Learning Areas:
Implementation of health education strategies, interventions and programs
Provision of health care to the public

Learning Objectives:
1. Discuss needs of the mother, baby, and family during the postpartum year 2. Describe CenteringParenting as a dyad model for well woman/well baby care 3. Discuss findings from data collected on outcomes from the CenteringParenting model

Keywords: Health Care Reform, Workers' Compensation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was primary person responsible for the development of the CenteringParenting care model and have led workshops to train clinicians and staff to provide dyad care and to facilitate discussion in Centering groups. I have participated as part of a research team at Yale that conducted a small randomized controlled trial on the model and have consulted with several US and international sites regarding implementation of the model.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.