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Abstract
Purpose: To determine if diabetic gravidas enrolled in Centering® group care have improved glycemic control compared to those attending standard prenatal care. To compare compliance and patient satisfaction between the groups.
Materials and methods: We conducted a prospective cohort study of diabetics enrolled in centering group care from October 2013 to December 2015. Glycemic control, compliance and patient satisfaction (five-point Likert scale) were evaluated. Student’s t-test, Chi-Square and mixed effects model were used to compare outcomes.
Results: We compared 20 patients in centering to 28 standard prenatal care controls. Mean fasting blood sugar was lower with centering group care (91.0 versus 105.5 mg/dL, p =0.017). There was no difference in change in fasting blood sugar over time between the two groups (p = 0.458). The percentage of time patients brought their blood glucose logs did not differ between the centering group and standard prenatal care (70.7 versus 73.9%, p = 0.973). Women in centering group care had better patient satisfaction scores for “ability to be seen by a physician” (5 versus 4, p = 0.041) and “time in waiting room” (5 versus 4, p =0.001).
Conclusion: Fasting blood sugar was lower for patients in centering group care. Change in blood sugar over time did not differ between groups. Diabetic gravidas enrolled in centering group care report improved patient satisfaction.
Acknowledgements
Preliminary results from this study were presented in abstract/poster format at the Society for Maternal Fetal Medicine (SMFM) 2015 Annual Meeting in San Diego, California. Abstract ID 245/Title: Do pregnant diabetic patients enrolled in Centering group care have improved compliance? Preliminary results were also presented at the Diabetes in Pregnancy Study Group of North America (DPSG-NA) 2015 Biennial Meeting in Washington, DC. Abstract Title: Do pregnant diabetic patients enrolled in Centering group care have improved compliance and patient satisfaction?
Declaration of interest
The authors have no conflicts of interest to report. Funding for patient care and research related to centering at our institution is supported by the Charles and Mary Latham Fund (grant proposal number GM004889, project number 00000000000128). Statistical analysis services were funded in part with Federal funds (Grant # UL1TR000101 previously UL1RR031975) from the National Center for Advancing Translational Sciences (NCATS), National Institutes of Health (NIH), through the Clinical and Translational Science Awards Program (CTSA), a trademark of DHHS, part of the Roadmap Initiative, “Re-Engineering the Clinical Research Enterprise”.