TY - JOUR
T1 - Participation in the CenteringPregnancy Program and Pregnancy-Induced Hypertension
AU - Momodu, Oluwatosin A.
AU - Horner, Ronnie D.
AU - Liu, Jihong
AU - Crouch, Elizabeth L.
AU - Chen, Brian K.
N1 - Funding Information:
The authors would like to express sincere gratitude to CenteringPregnancy Manager, Ms. Beverly Huegel, who provided support to the conception and logistics of data acquisition. We also extend our appreciation to Ivory Harding, Allyson Malbouf, and other members of the Obstetrics and Gynecology Department and the Information Technology Department for their assistance with research logistics and participants’ data gathering. We could not have successfully gathered these data without their help and support. We would also like to acknowledge Dr. James Hardin, Interim Department Chair, Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina for his support and willingness to provide statistical insights and guidance from his wealth of experience when we needed it. The research presented in this paper is that of the authors and does not reflect the official policy of the NIH. There's no sponsor or funding associated with the research. The protocol was reviewed, approved, and documented by the Prisma Health Medical Group and the University of South Carolina IRB (IRB-Pro00088616) for Human Research. The research was conducted at the University of South Carolina, Arnold School of Public Health, Department of Health Services Policy and Management, No financial disclosures were reported by the authors of this paper. Oluwatosin A. Momodu: Conceptualization, Methodology, Validation, Formal analysis, Investigation, Data Curation, Writing–original draft, Writing–reviewing & editing, Project administration. Ronnie D. Horner: Conceptualization, Methodology, Validation, Writing–reviewing & editing, Supervision. Jihong Liu: Conceptualization, Methodology, Validation, Writing–reviewing & editing, Supervision. Elizabeth Crouch: Conceptualization, Methodology, Validation, Writing–reviewing & editing, Supervision. Brian Chen: Conceptualization, Methodology, Validation, Writing- reviewing & editing, Supervision.
Publisher Copyright:
© 2023 American Journal of Preventive Medicine
PY - 2023
Y1 - 2023
N2 - Introduction: CenteringPregnancy emphasizes nutrition, learning, and peer support through a group meeting format in contrast to the standard of prenatal care that maximizes a pregnant patient's time with their provider. It was hypothesized that the program may yield a reduced risk of pregnancy-induced hypertension. In this observational study, authors examined the impacts of the CenteringPregnancy program versus those of standard of prenatal care on pregnancy-induced hypertension. Methods: In 2021, birth certificate data were linked to hospital discharge records of women who delivered in obstetric clinics in the Midlands of South Carolina between 2015 and 2019. Logistic regression models were used to estimate the association between CenteringPregnancy participation (n=547) and any pregnancy-induced hypertension and specific pregnancy-induced hypertension diagnoses (gestational hypertension/unspecified hypertension, mild pre-eclampsia, and severe pre-eclampsia/eclampsia). Propensity score techniques (e.g., inverse probability of treatment weighting) were used to adjust for self-selection into the program versus into standard of prenatal care. Results: CenteringPregnancy participants had higher odds of developing any pregnancy-induced hypertension under all specifications (OR=1.48, 95% CI=1.15, 1.92) and specifically gestational hypertension/unspecified hypertension (OR=1.76, 95% CI=1.28, 2.42) than those in standard of prenatal care. However, CenteringPregnancy participants did not experience significantly higher odds of mild pre-eclampsia (OR=1.06, 95% CI=0.65, 1.78) and severe pre-eclampsia/eclampsia (OR=1.21, 95% CI=0.78, 1.89) compared with standard of prenatal care participants. Conclusions: Participation in CenteringPregnancy was associated with higher odds of pregnancy-induced hypertension, particularly gestational hypertension, than participation in standard of prenatal care. Additional research is warranted to definitely rule out selection bias and identify contributing factor(s) that increased pregnancy-induced hypertension despite efforts to improve pregnancy-related health outcomes among CenteringPregnancy participants.
AB - Introduction: CenteringPregnancy emphasizes nutrition, learning, and peer support through a group meeting format in contrast to the standard of prenatal care that maximizes a pregnant patient's time with their provider. It was hypothesized that the program may yield a reduced risk of pregnancy-induced hypertension. In this observational study, authors examined the impacts of the CenteringPregnancy program versus those of standard of prenatal care on pregnancy-induced hypertension. Methods: In 2021, birth certificate data were linked to hospital discharge records of women who delivered in obstetric clinics in the Midlands of South Carolina between 2015 and 2019. Logistic regression models were used to estimate the association between CenteringPregnancy participation (n=547) and any pregnancy-induced hypertension and specific pregnancy-induced hypertension diagnoses (gestational hypertension/unspecified hypertension, mild pre-eclampsia, and severe pre-eclampsia/eclampsia). Propensity score techniques (e.g., inverse probability of treatment weighting) were used to adjust for self-selection into the program versus into standard of prenatal care. Results: CenteringPregnancy participants had higher odds of developing any pregnancy-induced hypertension under all specifications (OR=1.48, 95% CI=1.15, 1.92) and specifically gestational hypertension/unspecified hypertension (OR=1.76, 95% CI=1.28, 2.42) than those in standard of prenatal care. However, CenteringPregnancy participants did not experience significantly higher odds of mild pre-eclampsia (OR=1.06, 95% CI=0.65, 1.78) and severe pre-eclampsia/eclampsia (OR=1.21, 95% CI=0.78, 1.89) compared with standard of prenatal care participants. Conclusions: Participation in CenteringPregnancy was associated with higher odds of pregnancy-induced hypertension, particularly gestational hypertension, than participation in standard of prenatal care. Additional research is warranted to definitely rule out selection bias and identify contributing factor(s) that increased pregnancy-induced hypertension despite efforts to improve pregnancy-related health outcomes among CenteringPregnancy participants.
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U2 - 10.1016/j.amepre.2023.04.010
DO - 10.1016/j.amepre.2023.04.010
M3 - Article
C2 - 37105447
AN - SCOPUS:85159364528
SN - 0749-3797
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
ER -