The Mexican Experience Adapting CenteringPregnancy: Lessons Learned in a Publicly Funded Health Care System Serving Vulnerable Women

Ileana B. Heredia-Pi, Evelyn Fuentes-Rivera, Zafiro Andrade-Romo, María de Lourdes Bravo Bolaños Cacho, Jacqueline Alcalde-Rabanal, Laurie Jurkiewicz, Blair G. Darney

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Group antenatal care is an innovative model of health care in which all components of antenatal care—clinical, educational, and supportive—happen in a group context with health care professionals as facilitators. CenteringPregnancy is the most studied model of group antenatal care, now widely implemented in the United States. This model has been shown to be effective in improving health and behavioral outcomes in the United States, but there is less known about the experience adapting group antenatal care in settings outside the US health care system. This article describes the adaptation of the CenteringPregnancy model to a Mexican context. We describe the Mexican health care context and our adaptation process and highlight key factors to consider when adapting the content and modality of the CenteringPregnancy model for diverse populations and health systems. Our findings are relevant to others seeking to implement group antenatal care in settings outside the US health care system.

Original languageEnglish (US)
Pages (from-to)602-610
Number of pages9
JournalJournal of Midwifery and Women's Health
Volume63
Issue number5
DOIs
StatePublished - Sep 1 2018

Keywords

  • CenteringPregnancy
  • Mexico
  • adaptation
  • antenatal care
  • feasibility study
  • group antenatal care
  • group prenatal care

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery

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