Group prenatal care: effectiveness and challenges to implementation

Atención prenatal en grupo: efectividad y retos de su implementación
octubre 10, 2019
Plan de la ICM para el Año Internacional del personal de Enfermería y Partería
enero 14, 2020
Título: Group prenatal care: effectiveness and challenges to implementation

Autor: Zafiro Andrade-Romo, Ileana B. Heredia-Pi, et. al.

Fecha: 2019

Resumen: 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.