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The Mexican Experience Adapting CenteringPregnancy: Lessons Learned in a Publicly Funded Health Care System Serving Vulnerable Women
Authors:Ileana B. Heredia‐Pi MD  MSc   PhD  Evelyn Fuentes‐Rivera MSc  Zafiro Andrade‐Romo MD  MSc  María de Lourdes Bravo Bolaños Cacho CPM  Jacqueline Alcalde‐Rabanal PhD  Laurie Jurkiewicz CNM  MS  Blair G. Darney PhD  MPH
Abstract: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.
Keywords:antenatal care  group antenatal care  group prenatal care  Mexico  adaptation  feasibility study  CenteringPregnancy
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