群体产前保健：效果及实施面临的挑战。
Group prenatal care: effectiveness and challenges to implementation.
机构信息
Instituto Nacional de Salud Pública. Centro de Investigación en Sistemas de Salud. Cuernavaca, MOR, México.
University of California San Francisco. San Francisco General Hospital. Department of ObGyn & Reproductive Sciences. San Francisco, CA, USA.
出版信息
Rev Saude Publica. 2019 Sep 30;53:85. doi: 10.11606/s1518-8787.2019053001303. eCollection 2019.
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.
群体产前护理是一种替代的妊娠护理模式，替代了标准的个体产前护理。该模式已经显示出对产妇的益处，并在不同的背景下得到了实施。我们对相关文献进行了叙述性综述，研究其效果，使用了 PubMed、EBSCO、Science Direct、Wiley Online 和 Springer 等数据库，时间范围为 2002 年至 2018 年。此外，我们根据在墨西哥的经验，讨论了其实施的挑战和解决方案。群体产前护理可能会提高孕妇在产前的知识水平，并增加产后计划生育服务的使用。该模式已在 22 个以上的国家实施，但在供应和需求方面都存在实施的挑战。供应方面的挑战包括人员、物质资源和组织问题；需求方面的挑战包括参与者的招募和保留、材料的适应性以及隐私问题。我们强调了可以在不同卫生系统中应用的具体解决方案。
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