Centered pregnancy model is the most well-known and evidence-based approach of
group prenatal care which has been recognized to improve maternal and neonatal outcomes. Aim of study:
The study aimed to investigate the effect of applying centered pregnancy model versus individual prenatal
care on maternal and neonatal outcomes. Study design: A quasi-experimental (non-equivalent groups) study
design was used to fulfill the aim of the study. Setting: The study was conducted at the obstetrics and
gynecology outpatient clinic in Benha University Hospital. Sample: A purposive sample of 140 pregnant
women divided randomly into individual prenatal care group comprised (70) women and centered pregnancy
group comprised (70) women. Tools of data collection: A structured interviewing questionnaire, health
promotion lifestyle profile-II, birth outcomes assessment sheet and patient participation and satisfaction
questionnaire. Results: There was a highly statistically significant difference of the total health promotion
lifestyle profile II and related dimensions (health responsibility, physical activity, nutrition, interpersonal
relations and stress management) after applying centered pregnancy model compared with the individual
prenatal care group. There was a statistically significant improvement in relation to birth outcomes both
maternal and neonatal. Also, most of the study group had high participation and satisfaction with the centered
pregnancy model. Conclusion: Pregnant women had improved health behaviors, positive birth outcomes and
higher participation and satisfaction after applying centered pregnancy model compared with individual
prenatal care group. Recommendation: Designing a training workshop to prepare health care providers to
deliver centered pregnancy model to be widely used in Egypt. |
