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Effect of Applying Pregnancy Centered Care Model on Pregnant Women Health Behaviors and Prenatal Controls

Rehab Soliman Abd El Aliem1,, Shimaa Ahmed Mustafa2, Mona Abo Bakr Abd Ellatef3

1Obstetrics & Women's Health Nursing, Faculty of Nursing, Benha University, Egypt

2Women's Health & Obstetric Nursing, Faculty of Nursing, Kafr Elsheikh University, Egypt

3Community health nursing, Faculty of Nursing, Ain shams University, Cairo Egypt

American Journal of Nursing Research. 2019, 7(2), 219-227. DOI: 10.12691/ajnr-7-2-14
Received January 13, 2019; Revised February 18, 2019; Accepted February 25, 2019

Abstract

Background: Pregnancy Centered Care is a revolutionary model of prenatal care that offers education and prenatal care in a group setting that makes a positive contribution to the transition from conception to delivery rather than traditional hospital care. The aim: this study aimed to evaluate the effect of applying a pregnancy centered care model on pregnant women's health behaviors and prenatal controls. Design: A quasi-experimental design used to achieve the aim of this study. Setting: The present study conducted at an equipped room in the obstetric department, and outpatient clinic of the obstetrics and gynecological department of Benha University Hospital. Sample: A purposive sample of 220 pregnant women aged between (15-35years) recruited for this study. Tools: using an interview questionnaire to assess their socio-demographic characteristics and obstetric history of pregnant women. Health behavior assessment scale used to assess the health-promoting behaviors of pregnant women. The third tool was a prenatal control questionnaire that assesses the presence of minors' discomfort and prenatal controls. Results: The study results showed a highly statistically significant improvement in pregnant women prenatal health behaviors and prenatal controls after implementation of pregnancy centered care model at (p-value <0.001). A positive statistically significant correlation revealed between total prenatal health behaviors score and improving good prenatal controls of pregnancy centered care group compared to hospital routine care group at (p-value <0.001). The current study concluded that the pregnancy centered care model associated with improved prenatal health behaviors and prenatal controls compared to routine hospital care. Recommendations: the pregnancy centered care model is beneficial in improving maternal health behaviors and could be used as a model for best practices at antenatal clinics and as a guide for education and training of future maternity nurses.

Keywords:

pregnancy centered care model, pregnant women, health behaviors, prenatal controls
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