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巴西一家公立妇产医院实施的群体产前护理研究方案。

Study protocol of group antenatal care implementation at a public women's hospital in Brazil.

作者信息

Rodrigues Larissa, Surita Fernanda Garanhani, Costa Maria Laura, Sánchez Odette Del Risco, Marinato Ysabelle Cristina Cardoso, Scarpino Nicole Julie

机构信息

Women's Health and Newborn's Health Area, School of Nursing, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil.

Department of Obstetrics and Gynecology, School of Medical Science, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil.

出版信息

PLoS One. 2025 Jun 25;20(6):e0326084. doi: 10.1371/journal.pone.0326084. eCollection 2025.

DOI:10.1371/journal.pone.0326084
PMID:40560891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12192027/
Abstract

The antenatal care is an important service offered to women during pregnancy that aims to guarantee the mother and fetus's health. In Brazil, although the coverage of this service is high, the outcomes need to be improved. This study aims to implement a pilot study of a group antenatal care among pregnant women in follow up at a Woman´s Hospital of Universidade Estadual de Campinas, a public teaching hospital referral in women's health. This randomized clinical trial will be conducted. The study group will be composed of a maximum of 15 women that will be followed in a group antenatal care with 11 meetings every 4 weeks or earlier, during all pregnancy period, while control group will receive the individual antenatal care. Sociodemographic data, quality of life, anxiety and depression will be assessed in women from both groups and women's satisfaction and experience among the intervention group will be evaluated. A 5% significance level was adopted for quantitative analysis and the sample size was calculated based on ambulatory's flow. A positive result among the intervention group is expected, mainly in providing a better antenatal experience for women and their knowledge of maternal and child health. This study was approved by the Ethics and Research Commission of UNICAMP number of approval: 25333119.2.0000.5404 and the Brazilian Registry of Clinical Trials (REBEC): RBR-8xcjmf UTN code: U1111-1243-6241. Date: jan.2025, version 1.

摘要

产前护理是在孕期为女性提供的一项重要服务,旨在保障母亲和胎儿的健康。在巴西,尽管这项服务的覆盖率很高,但结果仍有待改善。本研究旨在在坎皮纳斯州立大学妇女医院(一家女性健康领域的公立教学转诊医院)对随访的孕妇实施一项团体产前护理试点研究。将开展这项随机临床试验。研究组最多由15名女性组成,她们将在团体产前护理中接受随访,在整个孕期每4周或更早进行11次会面,而对照组将接受个体产前护理。将评估两组女性的社会人口统计学数据、生活质量、焦虑和抑郁情况,并评估干预组女性的满意度和体验。定量分析采用5%的显著性水平,并根据门诊流量计算样本量。预计干预组会有积极结果,主要是为女性提供更好的产前体验以及她们对母婴健康的了解。本研究已获得坎皮纳斯州立大学伦理与研究委员会批准,批准号:25333119.2.0000.5404,以及巴西临床试验注册中心(REBEC):RBR - 8xcjmf,UTN代码:U1111 - 1243 - 6241。日期:2025年1月,版本1。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/12192027/47d5709cbf03/pone.0326084.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/12192027/47d5709cbf03/pone.0326084.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/12192027/47d5709cbf03/pone.0326084.g001.jpg

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本文引用的文献

1
Long-term cost savings with Centering-based group antenatal care.基于集中管理的小组产前护理可实现长期成本节约。
Midwifery. 2023 Nov;126:103829. doi: 10.1016/j.midw.2023.103829. Epub 2023 Sep 14.
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CenteringPregnancy: A Review of Implementation and Outcomes.围产期保健:实施和结果的综述。
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Participation in the CenteringPregnancy Program and Pregnancy-Induced Hypertension.参与集中孕期计划与妊娠高血压。
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JAMA. 2022 Dec 20;328(23):2345-2356. doi: 10.1001/jama.2022.21243.
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Factors associated with person-centered care during pregnancy and birth for Black women and birthing people in California.加利福尼亚州黑人女性及分娩者在怀孕和分娩期间以患者为中心的护理相关因素。
Birth. 2023 Jun;50(2):329-338. doi: 10.1111/birt.12675. Epub 2022 Aug 25.
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Prenatal care in the Brazilian public health services.巴西公共卫生服务中的产前保健。
Rev Saude Publica. 2020 Jan 20;54:08. doi: 10.11606/s1518-8787.2020054001458. eCollection 2020.
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Group antenatal care models in low- and middle-income countries: a systematic evidence synthesis.中低收入国家的群体产前保健模式:系统证据综合。
Reprod Health. 2018 Mar 5;15(1):38. doi: 10.1186/s12978-018-0476-9.
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ACOG Committee Opinion No. 731: Group Prenatal Care.美国妇产科医师学会委员会意见 No.731:团体产前保健。
Obstet Gynecol. 2018 Mar;131(3):e104-e108. doi: 10.1097/AOG.0000000000002529.
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A systematic overview of the literature regarding group prenatal care for high-risk pregnant women.高危孕妇群体产前护理相关文献的系统综述
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