Reasons Women in Appalachia Decline CenteringPregnancy Care

摘要: Introduction CenteringPregnancy, a proprietary form of group prenatal care, reduces rates preterm birth when compared to traditional care. Appalachian women have high birth, yet several regional providers struggled recruit and retain in CenteringPregnancy The purpose this study was survey from one rural center southern Appalachia on their reasons for declining care. Methods Twenty-nine whose charts noted they had declined care were interviewed qualitative descriptive study. Conventional (inductive) content analysis manifest used analyze interview transcripts. Results There 3 broad did not use care: preferred one-to-one experienced barriers participation, know an option. Women who gave preference that included dislike groups, fear bodily or emotional exposure the group, no need change existing individual concerns about partner involvement. Discussion Barriers found at sample institution including groups fears exposure, logistical concerns. Clinicians should consider adjusting promotional materials locally acceptable terminology address privacy Modifications may increase utilization effective model. However, even with these changes, meet needs all women. A large subset averse any form. Clinics continue provide diverse options delivery access vulnerable