Motherhood Together: Effects of an Adapted Prenatal Curriculum on Mother and Infant Outcomes.

Rebecca Lovan, Clare C Brown, Keneshia Bryant-Moore, Leslie McCormack, Nicole Ward, Shannon Kalkwarf, Beverly English, Elizabeth Riley
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Abstract

Background: Research shows that pregnant women experiencing housing insecurity are more likely to face barriers to prenatal care that can lead to negative health outcomes for both mother and infant. Previous studies have also shown that prenatal education programs provide pregnant mothers with the knowledge and resources that increase the likelihood of positive health outcomes. An interprofessional healthcare team in Central Arkansas modified an existing prenatal education program to create Motherhood Together, a program specifically tailored for pregnant women facing house insecurity.

Methods: The purpose of this initial evaluation of the Motherhood Together program was to identify the feasibility of the program and preliminary outcomes. This evaluation sought to better understand the demographic composition of the population participating in Motherhood Together (n = 19), as well as the effect of the program on infant outcomes, health literacy, and maternal self-care. The overall participant experience and feedback to enhance the program was also obtained.

Results: The average age of participants was 24.6 years old and 77.8% reported high school as their highest level of educational attainment. The majority of participants identified as Black/African American (77.8%) and 22.2% identified as White. Participants scored the experience of Motherhood Together sessions positively with an overall score of 3.75/4.00. Participants reported an average gestational age at delivery being 36.9 weeks with 25% reporting preterm births following the program. Multivitamins were reported as being taken by 100% of participants following participation.

Conclusion: Tailoring the pre-existing educational program to create the Motherhood Together program was clearly feasible and continues to serve as a critical resource for improving equity in infant and maternal outcomes in central Arkansas.

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一起做母亲:适应产前课程对母亲和婴儿结局的影响。
背景:研究表明,经历住房不安全的孕妇更有可能面临产前护理的障碍,这可能导致母亲和婴儿的负面健康结果。以前的研究也表明,产前教育项目为孕妇提供了知识和资源,增加了积极健康结果的可能性。阿肯色州中部的一个跨专业医疗团队修改了现有的产前教育项目,创建了“一起做母亲”项目,这是一个专门为面临住房不安全的孕妇量身定制的项目。方法:对“一起做母亲”计划进行初步评估的目的是确定该计划的可行性和初步结果。这项评估旨在更好地了解参与“一起做母亲”计划的人口构成(n = 19),以及该计划对婴儿结局、健康素养和产妇自我保健的影响。参与者的整体经验和反馈,以提高计划也得到了。结果:参与者的平均年龄为24.6岁,77.8%的人报告高中是他们的最高教育程度。大多数参与者认为自己是黑人/非裔美国人(77.8%),22.2%认为自己是白人。参与者对“一起做母亲”课程的评分为正面,总分为3.75/4.00。参与者报告分娩时的平均胎龄为36.9周,其中25%的人报告在该计划后早产。据报道,100%的参与者在参与后服用了复合维生素。结论:调整已有的教育项目,创建“母亲在一起”项目显然是可行的,并将继续作为改善阿肯色州中部婴儿和母亲结果公平性的关键资源。
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