Anxiety; Gynecology; Obstetrics; Pregnancy; Pregnancy Complications; Sexually Transmitted Diseases; Cognitive Therapy; Delivery, Obstetric
Major research interest: Models for delivery of obstetric care.
Other research interests: Use of cognitive behavior therapy in the treatment of anxiety in patients with pregnancy losses with Dr Neill Epperson; Medical complications of pregnancy; Ultrasound of fetal anomalies.
“Group Prenatal Care” The Centering Pregnancy Program is an innovative model for providing group prenatal care that has been implemented at prenatal care sites around the United States since 1995. It has ten defined 2-hour sessions implemented from weeks 16 through 40 of pregnancy. All prenatal care occurs within the group setting except for the initial intake done prior to group assignment, medical concerns involving the need for privacy, and cervical assessments late in pregnancy.
In this group setting, up to 12 women of the same gestational age receive basic prenatal risk assessments, can share support from other women, and obtain knowledge and skills related to pregnancy, childbirth, and parenting. Groups are led by an obstetrical provider and an assistant trained in the model. Group prenatal care is designed to address the recommended content for prenatal care, as well as the psychosocial needs and as such is designed to improve the quality of care and consequently perinatal outcomes. We are currently in participating in a randomized clinical trial to examine whether the intervention improves STD rates as well and are looking forward to implementing the model to different sites including Haiti and South Africa.
Specialized Terms: Obstetric care delivery; Cognitive behavioral therapy; Complications of pregnancy; Centering pregnancy
- Kershaw TS, Magriples U, Westdahl C, Rising SS, Ickovics J. Pregnancy as a window of opportunity for HIV prevention: effects of an HIV intervention delivered within prenatal care. Am J Public Health. 2009 Nov;99(11):2079-86. Epub 2009 Sep 17.
- Forray A, Mayes LC, Magriples U, Epperson CN. Prevalence of post-traumatic stress disorder in pregnant women with prior pregnancy complications. J Matern Fetal Neonatal Med. 2009 Jun;22(6):522-7.