Group care has been used successfully in a variety of medical settings for management of chronic medical conditions such as chronic pain, human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS), cancer, diabetes, and congestive heart failure 4 5 6 7 8 9. Working out at home is easier than ever — in fact, you can do a challenging full-body workout without leaving your living room. Caring for our future: a report by the expert panel on the content of prenatal care. Cluster randomized controlled trial of group prenatal care: perinatal outcomes among adolescents in New York City health centers. Experts suggest that “group prenatal care is an innovative and promising model with comparable pregnancy outcomes to individual prenatal care in the general population and improved outcome in some demographic groups” 35. American College of Obstetricians and Gynecologists Self-management: enabling and empowering patients living with cancer as a chronic illness. Most of the visit is then spent in facilitated discussion of topics suggested by the curriculum but prioritized by the group. There are different variations guiding the relevant calculations of pregnancy.Pregnancy wheel is one of the variations. Ongoing costs (eg, patient notebooks and snacks, supplies for group activities, program coordination, meeting space set up and breakdown) can be cost prohibitive without a sustainable funding source or the availability of enhanced reimbursement above the standard set for prenatal visits.

Obstet Gynecol 2018;131:e104–8. Rising SS.

Any updates to this document can be found on www.acog.org or by calling the ACOG Resource Center.While ACOG makes every effort to present accurate and reliable information, this publication is provided “as is” without any warranty of accuracy, reliability, or otherwise, either express or implied. Because of heterogeneity in the primary studies, neither the meta-analyses nor the comprehensive review assessed patient and obstetrician or obstetric care provider satisfaction and improved knowledge of childbirth, family planning, postpartum depression, or early child rearing.

Observational studies show that women with diabetes in group prenatal care improved their hemoglobin A1c levels, less often progressed to needing insulin or other medications, and were more likely to breastfeed and to adhere to postpartum glucose tolerance screening. The goal of prenatal care is to ensure that you and your baby remain healthy during your entire pregnancy. Several trials of this population suggest that adolescent group prenatal care is associated with higher patient satisfaction, increased self-esteem, decreased social conflict, increased visit attendance, improved weight management, increased breastfeeding, increased rates of postpartum contraception, and decreased incidence of repeat pregnancy within 12 months 3 24 25 26 27. The American College of Obstetricians and Gynecologists reviews its publications regularly; however, its publications may not reflect the most recent evidence. Referral to these resources does not imply the American College of Obstetricians and Gynecologists’ endorsement of the organization, the organization’s website, or the content of the resource. In theory, the expanded visit time and opportunity for in-depth peer-to-peer personal discussion facilitates learning opportunities and social support.

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