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Group prenatal care is a model that may be used for the second stage of labour, but it may also be used in other contexts. For instance, prenatal care provided in a community clinic setting can provide continuity of care and information sharing for women, while providing a link with the hospital team for those who need transfer to hospital care. An interprofessional model of care in the hospital setting may be used to address staff turnover. Prenatal care with a midwife is well suited for rural settings.29-32
Group prenatal care may include the traditional model of prenatal care (as in a primary care clinic or a multidisciplinary clinic) or have a different set of health professionals (obstetrician, nurse practitioner, midwife, family physician) with a different set of responsibilities. In either case, group prenatal care provides a support structure for information and access to care. Group prenatal care may also be provided as part of a hospital intrapartum continuum of care including birthing suites and postpartum units where a woman would have the option of giving birth in a traditional hospital setting, with or without the support of a family physician. It may also include a birth centre or home birth.
A woman's pregnancy and birth are important and significant life events. The concepts of birth and pregnancy are similarly important to HCPs, who may be called on to provide care and support throughout the continuum of care. As noted previously, there is a need for HCPs who can provide women with information and advice, coordinate care, and facilitate referrals. Like family members, friends, and other HCPs, women often gain emotional and psychological support from the overall care experience. Friends and family members can provide emotional support and help with practical issues. Pregnancy and birth can present women and families with a wide array of personal, social, cultural, economic, and emotional issues. Both women and their families are strong advocates for a positive birth experience, and they often seek the care that they believe will make this experience more comfortable. There is often a desire for a more natural, less medicalised birth, and a preference for low intervention birth.
Interprofessional prenatal care can also be an opportunity to address other issues, such as the provider shortage in the primary care sector, including the overuse of care in primary care. A better understanding of the interprofessional model of prenatal care, including the reasons for its implementation, will lead to improved patient care.
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