Centering Pregnancy Does Not Affect Rates of Breastfeeding at Postpartum Discharge [25N]. (May 2018)

• Record Type: Journal Article
• Authors: Hosein, Safiyah; Paoletti, Andrew; Pitcairn-Ramirez, Alexis; Bondy, Jessica; Cohen, Arnold; Jaspan, David
• Is Part Of: Obstetrics and gynecology. Volume 131(2018)Supplement 1
• Publication Date: 2018-05
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; 618
• DOI: 10.1097/01.AOG.0000533121.72041.ee
• Languages: English
• ISSNs: 0029-7844

Abstract

Abstract : INTRODUCTION: Centering Pregnancy, a group prenatal care model, has been shown to have many benefits including increased breastfeeding rates in postpartum adolescents. We examined if our Centering Pregnancy program demonstrated increased breastfeeding rates overall. METHODS: A retrospective chart review was performed on all patients who delivered at our inner city tertiary care hospital from June 2016 to June 2017. This included 267 Centering patients and 2289 patients who received routine office based prenatal care. Patients who participated in our Centering Pregnancy program did so secondary to schedule availability and patient preferences. Center Pregnancy promoted breastfeeding through educational materials and lactation consultant educational sessions. Data on breastfeeding vs. bottle feeding choice was obtained on all patients via EMR abstraction at the time of postpartum discharge. Statistical analysis was performed using Chi-squared test for independence. RESULTS: Of the 267 Centering Pregnancy patients, 147 (55%) were breastfeeding at time of discharge, 120 (45%) were not. Of the routine prenatal care patients, 1278 (56%) were breastfeeding at time of discharge, 1011 (44%) were not. No statistical difference was noted in breastfeeding between the two groups. A subanalysis on patients with government assistance insurance similarly showed no difference in the rate of breastfeeding. CONCLUSION: Centering Pregnancy did not increase breastfeeding rates at the time of postpartum discharge. It may be useful to investigate breastfeeding rates at 3 and 6 months postpartum to look at continued adherence.