TY - JOUR
T1 - Group prenatal care
T2 - effectiveness and challenges to implementation
AU - Andrade-Romo, Zafiro
AU - Heredia-Pi, Ileana B.
AU - Fuentes-Rivera, Evelyn
AU - Alcalde-Rabanal, Jacqueline
AU - Cacho, Lourdes Bravo Bolaños
AU - Jurkiewicz, Laurie
AU - Darney, Blair G.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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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U2 - 10.11606/s1518-8787.2019053001303
DO - 10.11606/s1518-8787.2019053001303
M3 - Review article
C2 - 31576945
SN - 0034-8910
VL - 53
JO - Revista de saude publica
JF - Revista de saude publica
ER -