Redesigning Prenatal Care Through CenteringPregnancy


  • Sharon Schindler Rising CNM, MSN,

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    • Sharon Schindler Rising, MSN, CNM, FACNM, is the Founding Director of the CenteringPregnancy and Parenting Association. She is a clinical associate professor at the Yale School of Nursing and an adjunct clinical professor at Quinnipiac University, Hamden, CT.

  • Holly Powell Kennedy CNM, PhD,

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    • Holly Powell Kennedy, CNM, PhD, FACNM, is an assistant professor at the University of California, San Francisco, San Francisco, CA. She codirects the UCSF/SFGH Interdepartmental Nurse-Midwifery Education Program and conducts research on the midwifery model of care. She has recently been funded by the TriService Nursing Research Program to conduct a clinical trial on CenteringPregnancy in the military health care system.

  • Carrie S. Klima CNM, PhD

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    • Carrie S. Klima, CNM, PhD, is a clinical assistant professor at the University of Illinois, College of Nursing, Chicago, IL. She leads CenteringPregnancy groups in Chicago and CenteringPregnancy instructional workshops.

CenteringPregnancy and Parenting Association, 50 Mountain Road, Cheshire, CT 06410. E-mail:


CenteringPregnancy is a model of group prenatal care that provides more than 20 hours of contact time between the childbearing care provider and a cohort of pregnant women with similar due dates. During this time, each woman has the opportunity to build community with other pregnant women, learn self-care skills, get assurance about the progression of her pregnancy, and gain knowledge about pregnancy, birth, and parenting. Ten essential elements have been defined, which contribute to the success of this model of prenatal care delivery. These elements correspond with the Institute of Medicine's 2001 challenge to improve the quality of health care in the United States. Foundational perspectives provide potential explanations for the model's growing influence and success. Implications for clinical practice and further research to link it with perinatal health outcomes are suggested.