Non-Hispanic black women are disproportionately affected by higher rates of shorter interpregnancy intervals. The purpose of this study is to identify whether the Centering Pregnancy model of group prenatal care (GPC) can reduce this health disparity by increasing postpartum contraception receipt.
This retrospective chart analysis measures consistency in contraception intent versus actual postpartum receipt in populations of women who received either individual or GPC. The main predictors were: race, insurance type (public or private), marital status, and type of prenatal care. The main outcomes were: type of contraception received, consistency with contraception intent, and presence of a short interpregnancy interval.
Of the limited sample population analyzed (n=37), a distribution test found that only 10% of GPC patients (n=10) received a different contraception, compared to 48% of non-GPC patients (n=13). Non-Hispanic black patients overall (n=7) were 20% more likely than White patients (n=12) to receive a different contraception than intended prepartum. Correlation between contraception consistency and variables race (-0.3895) and GPC participation (0.2828) is low, while insignificant for insurance and marital status (<0.06). Due to lack of Ob/Gyn patient follow up in chart documentation, interpregnancy intervals could not be addressed in this research. Data collection is still in progress.
These results suggest that (1) non-Hispanic black women are unable to receive the contraception requested during prenatal care and (2) GPC may be an appropriate intervention in increasing autonomy over contraception receipt. To evaluate racial disparities in these outcomes, an additional comparison must be made between non-Hispanic black women who attended GPC and those who did not.
Raju, MS, Amulya and Hand, PhD, Dennis, "Racial discrepancies in interpregnancy intervals and postpartum contraception receipt in Centering Pregnancy prenatal care" (2021). Phase 1. Paper 7.