4.5 Article

Intensive Approaches to Prenatal Care May Reduce Risk of Gestational Diabetes

Journal

JOURNAL OF WOMENS HEALTH
Volume 30, Issue 5, Pages 713-721

Publisher

MARY ANN LIEBERT, INC
DOI: 10.1089/jwh.2020.8464

Keywords

prenatal care; gestational diabetes; Medicaid

Funding

  1. Center for Medicare and Medicaid Innovation (CMMI) [HHSM-500-T0004]

Ask authors/readers for more resources

The study observed the prevalence of gestational diabetes mellitus (GDM) among women receiving prenatal care from Birth Centers, Group Prenatal Care, and Maternity Care Homes. Results showed that Birth Center participants had significantly lower rates of GDM compared to women in Maternity Care Homes of the same race/ethnicity, indicating the need for further investigation on prenatal care approaches to reduce GDM and address health disparities.
Objectives:To observe gestational diabetes mellitus (GDM) prevalence among participants receiving enhanced prenatal care through one of three care models: Birth Centers, Group Prenatal Care, and Maternity Care Homes. Materials and Methods:This study draws upon data collected from 2014 to 2017 as part of the Strong Start II evaluation and includes data from nearly 46,000 women enrolled across 27 awardees with more than 200 sites throughout the United States. Descriptive and statistical analyses utilized data from participant surveys completed upon entry to the program and a limited chart review. Results:A total of 6.3% of Strong Start participants developed GDM during their pregnancy. Rates varied significantly and substantially by model. After adjusting for participant risk factors, we find that Birth Center participants of all races and ethnicities experienced significantly lower rates of GDM than women of the same race/ethnicity in Maternity Care Homes. Conclusions:The lower rates of gestational diabetes among women receiving Birth Center prenatal care suggest the need for further investigation of how prenatal care approaches can reduce GDM and address health disparities.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available