Group prenatal care: effectiveness and challenges to implementation

Zafiro Andrade-Romo, Ileana B. Heredia-Pi, Evelyn Fuentes-Rivera, Jacqueline Alcalde-Rabanal, Lourdes Bravo Bolaños Cacho, Laurie Jurkiewicz, Blair G. Darney

Research output: Contribution to journalReview article

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.

Original languageEnglish (US)
Number of pages1
JournalRevista de saude publica
Volume53
DOIs
StatePublished - Jan 1 2019

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'Group prenatal care: effectiveness and challenges to implementation'. Together they form a unique fingerprint.

  • Cite this

    Andrade-Romo, Z., Heredia-Pi, I. B., Fuentes-Rivera, E., Alcalde-Rabanal, J., Cacho, L. B. B., Jurkiewicz, L., & Darney, B. G. (2019). Group prenatal care: effectiveness and challenges to implementation. Revista de saude publica, 53. https://doi.org/10.11606/s1518-8787.2019053001303