Impact of An Evidence Based Prenatal Care Model on Patient Outcomes

Health care providers face many challenges when providing prenatal care. This article reports on a program called Prenatal Care: the Beginning of a Lifetime (PCBL), to implement standardized prenatal care in central North Carolina. The purpose of this pilot study was to determine if there were diffe...

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Main Authors: Lynne Porter Lewallen PhD, RN, CNE, Cindy Jarrett-Pulliam RN, MSN, FACHE, Kelly Herger Dixon MSN, WHNP-BC
Format: Article
Language:English
Published: SAGE Publishing 2010-10-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/2150131910378526
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author Lynne Porter Lewallen PhD, RN, CNE
Cindy Jarrett-Pulliam RN, MSN, FACHE
Kelly Herger Dixon MSN, WHNP-BC
author_facet Lynne Porter Lewallen PhD, RN, CNE
Cindy Jarrett-Pulliam RN, MSN, FACHE
Kelly Herger Dixon MSN, WHNP-BC
author_sort Lynne Porter Lewallen PhD, RN, CNE
collection DOAJ
description Health care providers face many challenges when providing prenatal care. This article reports on a program called Prenatal Care: the Beginning of a Lifetime (PCBL), to implement standardized prenatal care in central North Carolina. The purpose of this pilot study was to determine if there were differences in patient outcomes between a control group and 3 groups (A, B, and C) of increasing levels of intervention in standardized prenatal care. A total of 150 patients were enrolled and followed through delivery. There were no significant differences between the groups in cigarette smoking status, weight gain, genetic screening, sexually transmitted infection screening, diabetes screening, domestic violence assessment, 17P candidacy assessment, gestational age at delivery, or infant birth weight. However, a significant difference was found in depression screening. An association between intervention group membership and likelihood of being screened for depression was found in each trimester. As the level of intervention increased, the number of participants screened for depression increased significantly.
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spelling doaj.art-f1c7be6a39d14d3da1a4bc355fbcb48f2022-12-22T01:12:02ZengSAGE PublishingJournal of Primary Care & Community Health2150-13192150-13272010-10-01110.1177/2150131910378526Impact of An Evidence Based Prenatal Care Model on Patient OutcomesLynne Porter Lewallen PhD, RN, CNE0Cindy Jarrett-Pulliam RN, MSN, FACHE1Kelly Herger Dixon MSN, WHNP-BC2 School of Nursing, the University of North Carolina at Greensboro, Greensboro, North Carolina Nursing and Patient Services, the Women’s Hospital of Greensboro/Moses Cone Health System, Greensboro, North Carolina Central Carolina OB/GYN, a Division of Piedmont Healthcare, Greensboro, North CarolinaHealth care providers face many challenges when providing prenatal care. This article reports on a program called Prenatal Care: the Beginning of a Lifetime (PCBL), to implement standardized prenatal care in central North Carolina. The purpose of this pilot study was to determine if there were differences in patient outcomes between a control group and 3 groups (A, B, and C) of increasing levels of intervention in standardized prenatal care. A total of 150 patients were enrolled and followed through delivery. There were no significant differences between the groups in cigarette smoking status, weight gain, genetic screening, sexually transmitted infection screening, diabetes screening, domestic violence assessment, 17P candidacy assessment, gestational age at delivery, or infant birth weight. However, a significant difference was found in depression screening. An association between intervention group membership and likelihood of being screened for depression was found in each trimester. As the level of intervention increased, the number of participants screened for depression increased significantly.https://doi.org/10.1177/2150131910378526
spellingShingle Lynne Porter Lewallen PhD, RN, CNE
Cindy Jarrett-Pulliam RN, MSN, FACHE
Kelly Herger Dixon MSN, WHNP-BC
Impact of An Evidence Based Prenatal Care Model on Patient Outcomes
Journal of Primary Care & Community Health
title Impact of An Evidence Based Prenatal Care Model on Patient Outcomes
title_full Impact of An Evidence Based Prenatal Care Model on Patient Outcomes
title_fullStr Impact of An Evidence Based Prenatal Care Model on Patient Outcomes
title_full_unstemmed Impact of An Evidence Based Prenatal Care Model on Patient Outcomes
title_short Impact of An Evidence Based Prenatal Care Model on Patient Outcomes
title_sort impact of an evidence based prenatal care model on patient outcomes
url https://doi.org/10.1177/2150131910378526
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