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The Mexican Experience Adapting CenteringPregnancy: Lessons Learned in a Publicly Funded Health Care System Serving Vulnerable Women
Author(s) -
HerediaPi Ileana B.,
FuentesRivera Evelyn,
AndradeRomo Zafiro,
Bravo Bolaños Cacho María de Lourdes,
AlcaldeRabanal Jacqueline,
Jurkiewicz Laurie,
Darney Blair G.
Publication year - 2018
Publication title -
journal of midwifery and women's health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.543
H-Index - 62
eISSN - 1542-2011
pISSN - 1526-9523
DOI - 10.1111/jmwh.12891
Subject(s) - context (archaeology) , health care , nursing , medicine , prenatal care , adaptation (eye) , family medicine , psychology , political science , environmental health , paleontology , population , neuroscience , law , biology
Group antenatal care is an innovative model of health care in which all components of antenatal care—clinical, educational, and supportive—happen in a group context with health care professionals as facilitators. CenteringPregnancy is the most studied model of group antenatal care, now widely implemented in the United States. This model has been shown to be effective in improving health and behavioral outcomes in the United States, but there is less known about the experience adapting group antenatal care in settings outside the US health care system. This article describes the adaptation of the CenteringPregnancy model to a Mexican context. We describe the Mexican health care context and our adaptation process and highlight key factors to consider when adapting the content and modality of the CenteringPregnancy model for diverse populations and health systems. Our findings are relevant to others seeking to implement group antenatal care in settings outside the US health care system.