care, safety, efficiency, effectiveness, timeliness, culturally appropriate patient centered
pressure and weight. In Centering women are encouraged to engage in self care
assessment and management taking and documenting their own weights and blood
pressures, gestational age and completing a self assessment tool addressing what in
assessment and any client to nurse questions can be answered at this time. If privacy is
needed for a deemed medical concern by the patient or the facilitator such as a vaginal
exam or a need for medical reassessed the patient is removed from the group to a more a
private setting. The last 90 minutes are used for educational and discussion sessions
during this session as opposed to the traditional maternity visit were you see the provider
provider/ patient interactions as possible. Patients are forbidden from eating in the private
office therefore, snacks are not allowed. Centering, differs from the traditional office visit (Vonderheid, Handler&Korr, 2007)
Listed are four components that make up the curriculum for Centering :
Group discussion of health matters.
Peer group support, repeated interactions and discussions with other pregnant women.
A collaborative provider – Client partnership based on component in four ways allows it to feminist approach to healthcare ( Andrist, 1997).
Self management training and activities with an emphasis on maintaining a record of observations made during the pregnancy.
Center for Disease Control.
Ickovics, J.R., Kershaw, T.S., Westdahl, C., Magriples, U., Massey, Z., Reynolds, H., &
Rising, S.S. (2007). Group prenatal care and perinatal outcomes - A randomized
controlled trial. Obstetrics and Gynecology, Aug;110(2):330-9.
Klima, C.,Norr,K.,Vonderheid, S.,and Handler,A. “Introduction to Certering Pregnacy in a Public
Health Clinic” ( in press). Journal of...