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Moms-Teach each other in monthly group prenatal visits



ASHEVILLE, NC (AP) – In a large room full of mom-in-law, pregnant women check each other's arterial pressure and weight, midwife nurse measures their growing abdomen, and they all join a sedentary circle for two hours of frank conversations about what to expect when you expect.

The discovery of a young woman about her awesome craving for glue and fabric soap maker gets some laughs, after explaining to the nurse that such unusual signs may signal iron deficiency. This is an incomprehensible topic that does not always occur in typical 15-minute pre-natal examinations, when doctors may seem hasty, and patients do not dare to recall the small, dubious worries that may seem insignificant.

women open up, and the conversation goes beyond the vital signs, increasing weight and timing.

"I can say that this is normal, but if you have one more mom in the group who says:" Oh, it happened to me, that's normal. & # 39; This is more acceptable if it comes from peers, "said Laura Moore, a nurse at the Asheville Clinic, North Carolina.

Pregnant women in a clinic can join a group session for their monthly audits instead of traditional ones. It is usually advisable to visit the office one-on-one with your doctor.

The monthly classes on weekdays include about 1

0 women who are at one stage of pregnancy. A nurse or nurse midwife usually monitors the topics discussed, including common abnormalities in pregnancy, stress management, nutrition, and induction of labor. Parents or other partners are invited to participate and participate. But expectant women take a leading role in teaching, sharing experiences with pregnancy.

Kylie Morel Alvarez has never heard of prenatal visits on December when she learned she was pregnant last summer. But a 21-year-old man and her husband were sold after their first visit to the OB-GYN Clinic of the Health Center of the Mountain Area. Her daughter, Sofia, was born in February.

"Of course, the best part was that other women would go through the same thing I was at the same time," she said.

"At first I was really anxious, if the baby gets everything she needs, she is growing normally," Morel Alvarez said, later she was disturbed by cramps and early contractions, teaching that other women are also experiencing all these things, "" It was very helpful, "she said.

This low technological approach hardly seems to embody the medicine of the 21st century. But group prenatal care may have important benefits outside the company. found fewer premature births, low birth weight babies and newborns who require intensive care, and higher breastfeeding rates in women receiving group care.

This is a model that the American College of Obstetricians and Gynecologists recently approved as a promising one. I love it honestly, "said Victoria Tate, 28. She had a traditional prenatal care for her first two children, but decided to try group training for the third time. Her son, Deklin, was born on January 30.

have two hours to discuss the health problems of other women were also invaluable and helped make this experience less stressful, for it included non-group genetic testing and gestational exercise

"I had to change what I was doing I was having to check my sugar a lot, "she said. [19659002] Health insurance typically involves group care.At the time when the number of visits in the United States increases, Jessica Lewis, deputy director of pregnancy research at Yale School of Public Health, said that the study found that only 3% of women in The United States receives group support Some people do not want to, but they are not offered by many. One of the reasons why they do not have medical centers is the initial cost of training staff and meeting rooms.

Lewis co-authored the largest study to date with 9.3 thousand. Nearly six years of data showed that women who attended at least one group lessons had a 70 percent less chance of having premature babies with a lower weight than women who have received individual care. The study involved a program that Lewis founded under the name Expect with Me

. As group prenatal care can improve the health of the mother and the child is unclear. For some women, they first applied for medical attention for the first time in an adult, and Lewis said that pregnancy is "an excellent window of opportunity when women are motivated to change many behaviors. They stop smoking, drink,

Group activities can ease these changes and says Lewis.

Some doctors believe that the benefits may be related to stress reduction. High levels of stress and anxiety during pregnancy, from relationships or financial difficulties, to struggle. from and young children while working for a long time, having excessive anxiety about childbirth and childbirth can raise the level of blood pressure and stress hormones in women and are associated with complications, including premature births.

The Aschville Clinic, which uses the Centering program, suggested group care from 2013, last year's number was attended by 400 women, however, less than one third of pregnant women offered this option, one of the reasons for the lack of childcare on the site. For other women, this idea seems too foreign, says Amber McCarter, program specialist.

For Kian Burgin, two-hour visits in the morning removed the time from work in the factory in 45 minutes. She loved the setting up of the support group, but missed the individual, individual attention that she received during her pregnancy with her daughter, now. Her son, Christopher, was born in January, and Burgin says she is likely to return to her personal assistance.

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Follow AP Medical writer Lindsay Tanner at @LindseyTanner

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