WE'RE DELIVERING TOGETHER

A group of pregnant women together on a journey with health care providers.

What is CenteringPregnancy®?

CenteringPregnancy® empowers women to partner with their health care team to achieve the best outcomes for moms and babies through patient centered learning in a safe, supportive, comforting and relaxing environment.

CenteringPregnancy® brings eight to twelve pregnant women, who are due around the same time, together for prenatal care. The program combines health assessment, interactive learning and community building that brings patients out of the exam room and into a group setting where patients gain valuable information and make lifelong friends.

Who can participate?

Women who are expecting can be enrolled into CenteringPregnancy®. At Bothwell, CenteringPregnancy® is the standard of care and all patients are encouraged to participate. After your initial OB appointment, your physician and clinic staff will work with you to enroll into the appropriate group based on your due date. The patient always has the option to opt-out of the program and continue with individualized care.

If you're interesting in enrolling or learning more contact Janet Bombella, Women's Health Director at 660-827-9478.

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What all is involved in a CenteringPregnancy® Program?

Two CenteringPregnancy Moms and their Babies

Imagine that your healthcare visits were in a comfortable setting and that you had time to ask all of your questions, learn more about your own health, and share with others who were experiencing similar things at the same time.

CenteringPregnancy® brings 8-12 pregnant women who are due around the same time together for routine prenatal care. Each of the 10 visits is 90 minutes to two hours long—giving you ten times as much time with your provider team. During the visit, you engage in your care by taking your weight and blood pressure, recording your own health data, and having private time with your provider for a belly check.

The active participation of CenteringPregnancy® makes you more aware of your progress and results and what they mean to your health and your baby’s health. The remaining time is a facilitated discussion on health topics related to your pregnancy. The group learns from the provider and also from one another.

Why Should I Enroll in a CenteringPregnancy® Program?

Women have better birth outcomes with CenteringPregnancy®. Here’s why:

Extended time with your healthcare team: Each CenteringPregnancy® visit is 2 hours long. You’ll have an opportunity for individual, private time with your provider and time for discussions and activities with your group. Over the course of your pregnancy you will spend 20 hours face-to-face with your provider, allowing for relaxed conversation and an opportunity to really feel heard and understood. In traditional care, patients typically spend from 2 to 4 hours with their provider over the course of their entire pregnancy.

No waiting: CenteringPregnancy® is designed to be respectful of your time. There is no wasted time standing in line to check in or waiting for your appointment to start – when you arrive you will go right to the CenteringPregnancy® room to get started. Groups start and end on time.

Self-care: CenteringPregnancy® participants are involved in their own care. At the start of each visit, you will weigh yourself, check your blood pressure and complete other basic monitoring tests. We have seen that participants have a better understanding, appreciation, and recall of their health information when they actively participate in this way.

Community Building: We are learning more and more about the benefits of social support and community in protecting pregnant women and babies from unnecessary stress. A special community develops in CenteringPregnancy® groups. Participants tell us the group feels like a circle of friends sharing common concerns and the experiences of pregnancy, birth and parenting. You may find that the relationships developed in your group extend long past the scheduled visits as you create lasting friendships and support systems.

Interactive learning: It’s not a class. Your CenteringPregnancy® healthcare team won’t lecture. Instead, you’ll explore the topics that matter most in a way that is fun and engaging. Everyone benefits from real discussions with your trusted healthcare team and group, instead of relying on advice found on the web. Participants are empowered to share and learn from others in the group.

FAQ’s about CenteringPregnancy®

Where does CenteringPregnancy® meet?

Bothwell CenteringPregnancy® groups meet at the Bothwell Healing Arts located at 3700 West 10th in Sedalia.

How is my privacy protected in a group setting?

At the first group session, each person signs a confidentiality agreement and it is emphasized that particular concerns should not be discussed outside the group setting. Ground rules are agreed upon and posted in the group space. The decision to share information with the group is made by each participant; no one ever is pressured to disclose personal concerns. Individual time with your provider will be conducted in a private area of the CenteringPregnancy® facility. Should you require an exam or have issues that require additional privacy, you will be seen in an exam room outside the CenteringPregnancy® appointment.

What is the cost of this type of care?

Your charges and/or copays for CenteringPregnancy® are the same as traditional care and are determined by your insurance coverage. If you have questions about your coverage and estimated out-of-pocket expenses, talk with the staff at Bothwell OB/GYN Associates, at 660-827-0015.

I am not sure I can leave my job for a two-hour appointment.

CenteringPregnancy® group care is your healthcare visit. And while two hours may seem like a long time for a prenatal visit, remember there is no waiting for your appointment to start – when you arrive you will go right to the CenteringPregnancy® room to get started. There is no need to check out after, or to spend valuable time scheduling your next visit. You will receive a schedule of all your appointments when you enroll in CenteringPregnancy® program so that you can make arrangements for time off in advance.

Bothwell is working to also offer group times outside of traditional office hours to better serve their patients as additional group times are added to the schedule.

I have problems with childcare. May I bring my older children to my group visits?

There are multiple reasons why this is strongly discouraged. First, most children will be bored in a two hour group. Bored children are typically a distraction for their moms and other group participants. Also, children do not sign confidentiality agreements and the group’s privacy is something we take very seriously. You will know the schedule of visits in advance and have confidence that each group visit will start and end on time. We hope this will make it easier for you to make child care arrangements in advance.

I’m afraid that my provider won’t really get to know me in a group setting.

Most patients and providers find they get to know one another better through CenteringPregnancy® groups. This is because you spend so much more time together! In CenteringPregnancy®, you get both private time to ask questions and talk with your provider, as well as group time that is fun and informative.

Can my partner or other support person attend my groups with me?

We encourage you to bring your partner or support person – they will benefit from being a part of the group too! We ask that you bring the same person to each session for continuity and confidentiality. Support people sit in the circle and fully participate in the activities and discussions.

What if someone is sick?

If you are not feeling well and are potentially contagious, we ask that don’t come to your group visit. Just call the Bothwell OB/GYN Associate office at 660-827-0015 and schedule an individual appointment. Your group will appreciate it and look forward to seeing you next time!

I won’t feel comfortable sharing information in a group setting.

That’s a common concern. Rest assured that there is no pressure to share anything with the group that you are not comfortable sharing. However, most participants find the group quickly feels like a group of friends who are all going through similar things, and the benefits they receive from sharing their experiences are tremendous.

Two hours seems like a long time for a healthcare visit. What happens during the two hours?

At the start of a CenteringPregnancy® session, you will complete your self-care and have an individual assessment and time with your provider. You may complete a “Conversation Starter” in your CenteringPregnancy® notebook about a topic you’ll discuss later, enjoy snacks and chat with other group participants while each patient meets with the provider individually. When the group “circles up” together, there is facilitated discussion and activities. There is time to practice skills, such as breathing and relaxing or holding and comforting a baby.

Will I still get my ultrasounds and lab tests that I expect in prenatal care?

CenteringPregnancy® is your prenatal care. Your provider is responsible to see your care meets all the standards for prenatal care. Labs, prescriptions and ultrasounds will be ordered for you, as appropriate. Results of the lab tests and ultrasounds will be shared privately with you. The reason for and significance of testing and medications is often a topic for group discussion. Women in CenteringPregnancy® tell us they better understand lab testing and medications prescribed during pregnancy after the group conversations.

Is CenteringPregnancy® something new?

CenteringPregnancy® programs have been around for several years and the CenteringPregnancy® program has recently been established at Bothwell Regional Health Center. Numerous studies have shown that women who participate in the CenteringPregnancy® concept are more satisfied with their care and feel more prepared for birth. Other studies have shown a decrease in the risk of preterm birth and higher birth weights for babies who are born premature.

Is CenteringPregnancy® for everyone?

We believe anyone can enjoy and benefit from CenteringPregnancy®. Talk with your provider during your first OB appointment if you have any further questions about whether CenteringPregnancy® is right for you.