Group prenatal care: effectiveness and challenges to implementation

ABSTRACT Group prenatal care is an alternative model of care during pregnancy, replacing standard individual prenatal care. The model has shown maternal benefits and has been implemented in different contexts. We conducted a narrative review of the literature in relation to its effectiveness, using...

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Main Authors: Zafiro Andrade-Romo, Ileana B. Heredia-Pi, Evelyn Fuentes-Rivera, Jacqueline Alcalde-Rabanal, Lourdes Bravo Bolaños Cacho, Laurie Jurkiewicz, Blair G. Darney
Format: Article
Language:English
Published: Universidade de São Paulo
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100604&lng=en&tlng=en
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author Zafiro Andrade-Romo
Ileana B. Heredia-Pi
Evelyn Fuentes-Rivera
Jacqueline Alcalde-Rabanal
Lourdes Bravo Bolaños Cacho
Laurie Jurkiewicz
Blair G. Darney
author_facet Zafiro Andrade-Romo
Ileana B. Heredia-Pi
Evelyn Fuentes-Rivera
Jacqueline Alcalde-Rabanal
Lourdes Bravo Bolaños Cacho
Laurie Jurkiewicz
Blair G. Darney
author_sort Zafiro Andrade-Romo
collection DOAJ
description ABSTRACT Group prenatal care is an alternative model of care during pregnancy, replacing standard individual prenatal care. The model has shown maternal benefits and has been implemented in different contexts. We conducted a narrative review of the literature in relation to its effectiveness, using databases such as PubMed, EBSCO, Science Direct, Wiley Online and Springer for the period 2002 to 2018. In addition, we discussed the challenges and solutions of its implementation based on our experience in Mexico. Group prenatal care may improve prenatal knowledge and use of family planning services in the postpartum period. The model has been implemented in more than 22 countries and there are challenges to its implementation related to both supply and demand. Supply-side challenges include staff, material resources and organizational issues; demand-side challenges include recruitment and retention of participants, adaptation of material, and perceived privacy. We highlight specific solutions that can be applied in diverse health systems.
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spelling doaj.art-35eec893df174f56ac76437185fcaf0a2022-12-22T00:02:31ZengUniversidade de São PauloRevista de Saúde Pública1518-87875310.11606/s1518-8787.2019053001303S0034-89102019000100604Group prenatal care: effectiveness and challenges to implementationZafiro Andrade-RomoIleana B. Heredia-PiEvelyn Fuentes-RiveraJacqueline Alcalde-RabanalLourdes Bravo Bolaños CachoLaurie JurkiewiczBlair G. DarneyABSTRACT Group prenatal care is an alternative model of care during pregnancy, replacing standard individual prenatal care. The model has shown maternal benefits and has been implemented in different contexts. We conducted a narrative review of the literature in relation to its effectiveness, using databases such as PubMed, EBSCO, Science Direct, Wiley Online and Springer for the period 2002 to 2018. In addition, we discussed the challenges and solutions of its implementation based on our experience in Mexico. Group prenatal care may improve prenatal knowledge and use of family planning services in the postpartum period. The model has been implemented in more than 22 countries and there are challenges to its implementation related to both supply and demand. Supply-side challenges include staff, material resources and organizational issues; demand-side challenges include recruitment and retention of participants, adaptation of material, and perceived privacy. We highlight specific solutions that can be applied in diverse health systems.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100604&lng=en&tlng=enAtención PrenatalEfectividadModelos OrganizacionalesServicios de Salud Materno-Infantil
spellingShingle Zafiro Andrade-Romo
Ileana B. Heredia-Pi
Evelyn Fuentes-Rivera
Jacqueline Alcalde-Rabanal
Lourdes Bravo Bolaños Cacho
Laurie Jurkiewicz
Blair G. Darney
Group prenatal care: effectiveness and challenges to implementation
Revista de Saúde Pública
Atención Prenatal
Efectividad
Modelos Organizacionales
Servicios de Salud Materno-Infantil
title Group prenatal care: effectiveness and challenges to implementation
title_full Group prenatal care: effectiveness and challenges to implementation
title_fullStr Group prenatal care: effectiveness and challenges to implementation
title_full_unstemmed Group prenatal care: effectiveness and challenges to implementation
title_short Group prenatal care: effectiveness and challenges to implementation
title_sort group prenatal care effectiveness and challenges to implementation
topic Atención Prenatal
Efectividad
Modelos Organizacionales
Servicios de Salud Materno-Infantil
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100604&lng=en&tlng=en
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AT jacquelinealcalderabanal groupprenatalcareeffectivenessandchallengestoimplementation
AT lourdesbravobolanoscacho groupprenatalcareeffectivenessandchallengestoimplementation
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