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The CenteringPregnancy Model

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The CenteringPregnancy Model

SKU# 9780826132420

The Power of Group Health Care


  • Sharon Schindler Rising CNM, MSN, FACNM
  • Charlotte Houde Quimby CNM, MSN, FACNM
Winner of the American College of Nurse Midwives 2017 Book of the Year Award!

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Written by two distinguished leaders in midwifery, this text provides a comprehensive examination of an effective model of group care. This book describes basic tenets of the Centering Healthcare model, which brings together cohorts of people with similar health care needs in a group setting for care. Chapters discuss the landscape leading to the model's development, its use in clinical practice, and its widespread and continuing growth as an effective alternative to traditional care.

Interspersed with comments and stories from Centering participants and health care professionals, the chapters emphasize the power of facilitative leadership that encourages behavior change and personal empowerment. Applicable in most health care settings, domestically and around the world, this book will be an invaluable resource for use by clinicians, administrators, researchers, educators, and others who are eager to improve outcomes from health care delivery.


  • Describes the theoretical foundations of the Centering Healthcare model
  • Documents the importance of the Centering model components to achieve improved health care and reduced cost
  • Discusses the impact of evidence-based research on providers, administrators, and policy makers
  • Demonstrates the validity and applicability of the model to a variety of health care populations, both domestic and international

Product Details 

  • Publication Date December 19, 2016
  • Page Count 313
  • Product Form Paperback / softback
  • ISBN 13 9780826132420

About The Author(s) 

Sharon Schindler Rising, MSN, CNM, FACNM, is a certified nurse-midwife who graduated from the Yale School of Nursing, taught on the faculty there, and then established the graduate nurse-midwifery program and the Childbearing Childrearing Center at the University of Minnesota. From 1993 to 1994, she developed and piloted the CenteringPregnancy-model of group health care in Waterbury, Connecticut and began doing instructional workshops nationally and internationally. She is the founder and president emeritus of the Centering Healthcare Institute, Inc. (CHI), a nonprofit organization dedicated to improving health by transforming care through Centering groups. She has been on the clinical nursing faculty at the Yale School of Nursing and is an adjunct professor at the University of Technology, Sydney, Australia. In 2006, she was named a distinguished alumna by Yale University School of Nursing, and in 2007 she was presented with the National/International Award for Outstanding Contribution to Maternal & Child Health by the National Perinatal Association. She was awarded the Purpose Prize by Civic Ventures in December 2008, and in 2010 she won the Trout Premier Cares Award, was named an Edge Runner by the American Academy of Nursing, and received the Hattie Hemschemeyer Award from the American College of Nurse-Midwives.

Charlotte Houde Quimby, MSN, CNM, FACNM, graduated from the Yale School of Nursing, taught on the faculty, and served as chair of the department of Maternal Newborn Nursing and chief nurse-midwife at Yale New Haven Hospital. In 1997, she received the Distinguished Alumna Award for Yale University School of Nursing. She developed the nurse-midwifery service at Dartmouth Hitchcock Medical Center and was a faculty member at Dartmouth Medical School, where she continues as an adjunct faculty of Community and Family Medicine. She has worked in nursing and midwifery programs internationally for the American College of Nurse-Midwives Global Division, providing training needs assessments, training, and project evaluation in Africa and Asia. She was a Visiting Senior Associate in 1993/1994 at Emory University's Lillian Carter Center for International Nursing. She served in the New Hampshire Legislature and received the New Hampshire Nurses Association Legislator's Award for Outstanding Contribution to Nursing Legislation. She was a consultant/faculty member for the Centering Healthcare Institute, Inc. (CHI) from 2004 to 2014.

Table of Contents 



Foreword by Michael C. Lu, MD, MS, MPH



Charlotte's Story

Starting Point Comments From Vera Keane, CNM, MA, FACNM

Comments From Carmen Strickland, MD

Share The CenteringPregnancy® Model: The Power of Group Health Care

SECTION I: The CenteringPregnancy® Model

1. The Origins of CenteringPregnancy®

2. Making the Case for Centering Group Health Care

3. CenteringPregnancy® Group Care

4. Why Circles Work

5. CenteringParenting®: From Pregnancy Through Postpartum and Beyond

6. Facilitation: The Art and the Power

SECTION II: Centering Healthcare™: Transformative Change

7. Implementing Centering Group Care

8. Transformative Change

9. Spread of the Model to Other Health Populations

SECTION III: The Centering Healthcare™ Model: Making Change Sustainable

10. Making Change Sustainable: The Role of Policy and Advocacy

Lisa Summers

11. Growing Edge: Exploration of Innovation

A. CenteringPregnancy With Mindfulness Skills: Enhancing the Thread of Presence

Nancy Bardacke and Larissa G. Duncan

B. Centering Health and Oral Health: Moving Toward Healthy Women and Healthy Families

Sally H. Adams and Lisa Chung

C. Does CenteringPregnancy Promote Maternal Health Literacy?

Sandra A. Smith

12. Adapting CenteringPregnancy®-Based Group Antenatal Care Globally

Kathleen F. Norr and Crystal L. Patil

13. Moving Forward Into the Mainstream


Appendix A Pilot Study of CenteringParenting® in Two Public Health Clinics: Calgary, Alberta

Appendix B Field Notes From The Netherlands, Nepal, and Malawi/Tanzania

Field Notes: Introduction of Centering Healthcare in the Netherlands

Marlies Rijnders

Field Notes: CenteringPregnancy-Based Group Antenatal Care in Achham District, Nepal

Sheela Maru

Field Notes: Malawi and Tanzania

Crystal L. Patil and Kathleen F. Norr