The importance of prenatal care in the context of primary care: integrative review
DOI:
https://doi.org/10.17267/2317-3378rec.2023.e5205Keywords:
Primary health care, Prenatal care, Obstetric nursing, Pregnant womenAbstract
INTRODUCTION: To evaluate the importance of prenatal care during the gestational period, as well as to identify the risks, benefits and difficulties of this monitoring in primary care. METHOD: This is an integrative literature review. The bibliographic survey was carried out from February to March 2021, in the following databases: Scientific Electronic Library Online (SCIELO), and Latin American and Caribbean Literature in Life Sciences Health (LILACS). To operationalize the search, descriptors were used: “Primary health care”; "Prenatal care"; “Obstetric Nursing” and “Pregnant Women”, in Portuguese. RESULTS: Thirteen articles that met the inclusion criteria were analyzed. The articles were ordered in two tables in descending order according to the year of publication. From the analysis and synthesis of the articles included, it was possible to delineate two categories: the importance of prenatal care and the health promotion for pregnant women. FINAL CONSIDERATIONS: It is concluded that prenatal care with a qualified health professional can contribute to the reduction of obstetric complications and maternal and child morbidity and mortality. The synthesis of the results also reveals that effective prenatal care is still not carried out in the context of primary care, as there are gaps in primary care.
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References
(1) World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience [Internet]. 2016. Available from: https://www.who.int/publications/i/item/9789241549912
(2) Ministério da Saúde, Assistência pré-natal (Brasil). Importância do pré-natal [Internet]. Biblioteca Virtual em Saúde do Ministério da Saúde; 2016. Available from: https://bvsms.saude.gov.br/importancia-do-pre-natal/
(3) Mendes RB, Santos JMJ, Prado DS, Gurgel RQ, Bezerra FD, Gurgel RQ. Evaluation of the quality of prenatal care based on the recommendations Prenatal and Birth Humanization Program. Ciênc Saúde Coletiva. 2020;25(3):793-804. https://doi.org/10.1590/1413-81232020253.13182018
(4) Sehnem, GD, Saldanha LS, Arboit J, Ribeiro AC, Paula FM. Prenatal consultation in primary health care: weaknesses and strengths of Brazilian nurses’ per-formance. Rev Enf Ref. 2020;5(1):e19050. https://doi.org/10.12707/RIV19050
(5) Faustino LSV, Silva CIC, Boson AS, Souza MAP, Sousa MNA. Prenatal care in primary health care and reduction of vertical transmission of diseases in newborns. RECIMA21. 2022;3(1):e311077. https://doi.org/10.47820/recima21.v3i1.1077
(6) Organização das Nações Unidas (ONU). Transformando nosso mundo: a Agenda 2030 para o Desenvolvimento Sustentável [Internet]. Nova York: ONU; 2015. Available from: https://brasil.un.org/sites/default/files/2020-09/agenda2030-pt-br.pdf
(7) Lima MB, Silva RKR, Passos SG. The importance of health education in attention prenatal. Rev Inic Cient Ext [Internet]. 2021;4(2):720-36. Available from: https://revistasfacesa.senaaires.com.br/index.php/iniciacao-cientifica/article/view/333
(8) Gonçalves MF, Teixeira EMB, Silva MAS, Corsi NM, Ferrari RAP, Pelloso SM, et al. Prenatal care: preparation for childbirth in primary health care in the south of Brazil. Rev Gaúcha Enferm. 2017;38(3):e2016-0063. https://doi.org/10.1590/1983-1447.2017.03.2016-0063
(9) Ministério da Saúde (Brasil). Pré-Natal e Parto [Internet]. Brasília: Ministério da Saúde; 2022. Available from: https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/s/saude-da-crianca/pre-natal-e-parto
(10) Ministério da Saúde, Fundação Oswaldo Cruz (Brasil). Assistência pré-natal no Brasil e acesso ao parto nas maternidades do SUS [Internet]. Available from: https://nascernobrasil.ensp.fiocruz.br/wp-content/uploads/2020/05/Sinopse-de-pesquisa.pdf
(11) Mallmann MB, Boing AF, Tomasi YT, Anjos JC, Boing AC. Evolution of socioeconomic inequalities in conducting prenatal consultations among Brazilian parturient women: analysis of the period 2000-2015. Epidemiol Serv Saúde. 2018;27(4):e2018022. https://doi.org/10.5123/S1679-49742018000400014
(12) Pereira DG. Relação entre as consultas de pré natal e as características sociodemográficas maternas [monografia] [Internet]. Vitória de Santo Antão: Universidade Federal de Pernambuco; 2019. Available from: https://repositorio.ufpe.br/handle/123456789/36240
(13) Livramento DVP, Backes MTS, Damiani PR, Castillo LDR, Backes DS, Simão AMS. Perceptions of pregnant women about prenatal care in primary health care. Rev Gaúcha Enferm. 2019;40:e20180211. https://doi.org/10.1590/1983-1447.2019.20180211
(14) Castro LS, Rached CDA. Acolhimento humanizado no cuidado pré natal às gestantes da ESF. IJHM Review [Internet]. 2019;5(3). Available from: https://ijhmreview.emnuvens.com.br/ijhmreview/article/view/181
(15) Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto Enferm. 2008;17:758-64. https://doi.org/10.1590/S0104-07072008000400018
(16) Sousa LMM, Marques-Vieira CMA, Severino SSP, Antunes AV. A Metodologia de Revisão Integrativa da Literatura em Enfermagem. Rev Inv Enferm [Internet]. 2017;(21):17-26. Available from: https://www.sinaisvitais.pt/index.php/revista-investigacao-enfermagem/rie-serie-2/774-rie-21-novembro-2017
(17) Cardoso V, Trevisan I, Cicolella DA, Waterkemper R. Systematic review of mixed methods: method of research for the incorporation of evidence in nursing. Texto Contexto Enferm. 2019;28:e20170279. https://dx.doi.org/10.1590/1980-265X-TCE-2017-0279
(18) Campanati FLS, Ribeiro LM, Silva ICR, Hermann PRS, Brasil GC, Carneiro KKG, et al. Clinical simulation as a Nursing Fundamentals teaching method: a quasi-experimental study. Rev Bras Enferm. 2022;75(2):e20201155. https://doi.org/10.1590/0034-7167-2020-1155
(19) Bardin L. Análise de Conteúdo. 1a. ed. 3a. reimpressão. São Paulo: Edições 70; 2016.
(20) Tumas N, Godoy AC, Peresini V, Peisino ME, Boldrini G, Vaggione G, et al. Prenatal care and social determinants: ecological study in Argentina. Poblac Salud Mesoam [Internet]. 2022;19(2). Available from: https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1659-02012022000100224
(21) Cunha CS, Moreira MA, Morais WR, Marques PF, Nascimento SS, Oliveira DS. Multiprofessional assistance to pregnant women in the context of pandemic by COVID-19. Nursing. 2022;25(288):7770-9. https://doi.org/10.36489/nursing.2022v25i288p7770-7779
(22) Tintori JÁ, Mendes LMC, Monteiro JCS Gomes-Sponholz F. Epidemiology of maternal death and the challenge of care training. Acta Paul Enferm 2022;35:eAPE00251. https://doi.org/10.37689/acta-ape/2022AO00251
(23) Marques BL, Tomasi YT, Saraiva SS, Boing AF, Geremia DS. Guidelines to pregnant women: the importance of the shared care in primary health care. Esc Anna Nery. 2021;25(1):e20200098. https://doi.org/10.1590/2177-9465-EAN-2020-0098
(24) Lima TS, Silva JWM, Monteiro PVA, Pereira MLD, Almeida PC. Implementation of HIV rapid testing in prenatal Primary Health Care. Rev Enferm UERJ. 2022;30:e65945. http://dx.doi.org/10.12957/reuerj.2022.65945
(25) Santos PS, Terra FS, Felipe AOB, Calheiros CAP, Costa ACB, Freitas PS. Prenatal care provided by nurses in primary health care: the user’s perspective. Enferm Foco. 2022;13:e-202229. https://doi.org/10.21675/2357-707X.2022.v13.e-202229
(26) Arruda DEG, Sousa MNA. Pregnancy period and Covid-19: effects of the pandemic on the gestation process in the Sertão of Paraíba. Rev Ciênc Méd Biol. 2022;21(2):193-202. https://doi.org/10.9771/cmbio.v21i2.45257
(27) Lessa MSA, Nascimento ER, Coelho EAC, Soares IJ, Rodrigues QP, Santos CAST, et al. Prenatal care of Brazilian women: racial inequalities and their implications for care. Ciênc Saúde Colet. 2022;27(10):3881-90. https://doi.org/10.1590/1413-812320222710.01282022
(28) Rodrigues TD, Nogueira MC, Leite ICG, Neves LV, Guedes ALL. Association between the consolidation of Family Health and lower incidence of congenital syphilis: an ecological study. Rev APS [Internet]. 2022;25(1):7-21. Available from: https://periodicos.ufjf.br/index.php/aps/article/view/35513
(29) Cunha AC, Lacerda JT de, Alcauza MTR, Natal S. Evaluation of prenatal care in Primary Health Care in Brazil. Rev Bras Saude Mater Infant. 2019;19(2):447-58. https://doi.org/10.1590/1806-93042019000200011
(30) Ruschi GEC, Zandonade E, Miranda AE, Antônio FF. Determinants of prenatal quality in Primary Health Care: the role of Matrix Support in Women’s Health. Cad Saúde Colet. 2018;26(2):131-9. https://doi.org/10.1590/1414-462X201800020229
(31) Falavina LP, Oliveira RR, Melo EC, Varela PLR, Mathias TAF. Hospitalization during pregnancy according to childbirth financial coverage: a population-based study. Rev Esc Enferm USP. 2018;52:e03317. https://doi.org/10.1590/S1980-220X2017032403317
(32) Oliveira EC, Barbosa SM, Melo SEP. The importance of monitoring prenatal made by nurses. Rev Científica FacMais [Internet]. 2016;7(3). Available from: https://revistacientifica.facmais.com.br/revista-cientifica-facmais-volume-vi-numero-ii-20162o-semestre/
(33) Kuhnt J, Vollmer S. Antenatal care services and its implications for vital and health outcomes of children: evidence from 193 surveys in 69 low-income and middleincome countries. BJM Open. 2017;7:017122. http://dx.doi.org/10.1136/bmjopen-2017-017122
(34) McNellan CR, Dansereau E, Wallace MCG, Colombara DV, Palmisano EB, Johanns CK, et al. Antenatal care as a means to increase participation in the continuum of maternal and child healthcare: an analysis of the poorest regions of four Mesoamérican countries. BMC Pregnancy Childbirth. 2019;19(1):66. https://doi.org/10.1186/s12884-019-2207-9
(35) Wallenborn JT, Lu J, Perera RA, Wheeler DC, Masho SW. The impact of the professional qualifications of the prenatal care provider on breastfeeding duration. Breastfeed Med 2018;13(2):106-11. http://dx.doi.org/10.1089/bfm.2017.0133
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Copyright (c) 2023 Jeane Carla de Sousa Silva Freitas, Bruna Rossi, Matthaeus de Oliveira Gerdes, Bruna Vládima de Souza Pessoa, Renata Almeida Barros, Nathalia Silva Martins
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
