From the Field: Group Prenatal and Well Baby Care

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Project Title

Group Prenatal and Well Baby Care


UNC Department of Family Medicine

Primary Contact Name and Title

Barbara A. Hotelling, Perinatal Nurse Coordinator

Project Aim and Goals

Group Prenatal Care was started around 2001-2002 and we offer 12 groups yearly. Baby groups were piloted in the 2005 timeframe and packaged/started in 2007.  We have done multiple national presentations on group care at organizational meetings.

Blueprint Area(s) Addressed

Strategies Used


In this initial study, participants showed utilization patterns and vaccination rates similar to those of babies receiving individual care. Qualitative findings demonstrated high satisfaction, mutual support, shared learning, parental involvement, and more time with providers as key outcomes for parents. By providing ample time for preventive services and involving parents where appropriate, WellBabies group visits increase the likelihood that prevention is adequately addressed. Additionally, positive patient response to group well-child visits may aid in recruitment and retention of pediatric patients in the practice.

Only 4 of the 21 WellBabies participants in the first year of the program left the practice, and they did so because their families relocated. Perhaps the most important finding concerns the degree of social support the participants described.  In expressing the value they place not only on the support they receive, but also on the opportunity to provide it, our participants touch on a key factor in postpartum mental health.

Articles About The Project

Page, C., Reid, A., Hoagland, E., and Leonard, S.B.  (2010). WellBabies: Mothers’ perspectives on an innovative model of group well-child care.  42(3): 202-207. [Full Text Article (PDF)]

For More Information

Barbara A. Hotelling,

Filed in Care coordination, Consumer advocacy or political action, Decision making and choice, New care delivery model, Shared decision making, Stories from the Field on Fri., Sep 30, 2011

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