Impacto de estratégias educacionais no pré-natal de baixo risco: revisão sistemática de ensaios clínicos randomizados

This study aimed to analyze the impact of educational strategies developed in low-risk prenatal care on obstetric outcomes from a systematic literature review. This review consulted databases PubMed, Medline, SciELO and Lilacs, analyzing randomized clinical trials with the following birth outcomes: birth weight, prematurity and breastfeeding, using the following combination of keywords: pre-natal, antenatal visits, education, health education, pregnancy outcomes, birth weight, prematurity, breastfeeding and randomized clinical trial. Nine studies were included following quality evaluation. Actions prove to be more effective when extended to the postpartum period. Most of them occurred during home visits and had a positive impact on breastfeeding and birth weight. The establishment of groups of pregnant women contributed to lower prevalence of prematurity. Breastfeeding was found to be the outcome most sensitive to educational strategies. Educational practices during the prenatal period contributed to favorable obstetric outcomes as they minimized pregnant women concerns and anxiety during the pregnancy process, preparing them for childbirth and postpartum, and should be incorporated into health services’ work process.

[1]  D. Lawlor,et al.  The Association of Maternal Age with Birthweight and Gestational Age: A Cross-Cohort Comparison , 2014, Paediatric and perinatal epidemiology.

[2]  Marcos Augusto Bastos Dias,et al.  El cuidado prenatal en Brasil , 2014 .

[3]  Cristiano Siqueira Boccolini,et al.  Peso ao nascer e fatores associados ao período pré-natal:um estudo transversal em hospital maternidade de referência , 2014 .

[4]  Thaís de Paula Lima Mendes,et al.  Educação em saúde e educação na saúde: conceitos e implicações para a saúde coletiva , 2014 .

[5]  Tara E. Trudnak Outcomes of Latina women in centeringpregnancy group prenatal care compared with individual prenatal care. In reply. , 2014, Journal of midwifery & women's health.

[6]  M. Dietrich,et al.  Does Additional Prenatal Care in the Home Improve Birth Outcomes for Women with a Prior Preterm Delivery? A Randomized Clinical Trial , 2014, Maternal and Child Health Journal.

[7]  Maria Laura Couto de Oliveira,et al.  Iniciativa Unidad Básica Amiga de la Lactancia y su relación con la lactancia materna exclusiva , 2013 .

[8]  J. Lantos,et al.  Breastfeeding and Complementary Food: Randomized Trial of Community Doula Home Visiting , 2013, Pediatrics.

[9]  Suzinara Beatriz Soares de Lima,et al.  Enfermagem no pré-natal de baixo risco na estratégia Saúde da Família , 2013 .

[10]  M. Dietrich,et al.  Breastfeeding initiation in the context of a home intervention to promote better birth outcomes. , 2013, Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.

[11]  M. Batista Filho,et al.  [Development and application of a new index for assessment of prenatal care]. , 2013, Revista panamericana de salud publica = Pan American journal of public health.

[12]  A. Barros,et al.  Prognostic factors for low birthweight repetition in successive pregnancies: a cohort study , 2013, BMC Pregnancy and Childbirth.

[13]  J. A. Cesar,et al.  Perfil epidemiológico de gestantes e qualidade do pré-natal em unidade básica de saúde em Porto Alegre, Rio Grande do Sul, Brasil , 2013 .

[14]  T. Ahmed,et al.  Effects of Community-based Follow-up Care in Managing Severely Underweight Children , 2011, Journal of pediatric gastroenterology and nutrition.

[15]  L. Giovanella,et al.  [Longitudinality/continuity of care: identifying dimensions and variables to the evaluation of Primary Health Care in the context of the Brazilian public health system]. , 2011, Ciencia & saude coletiva.

[16]  K. Putman,et al.  Determinants of the number of antenatal visits in a metropolitan region , 2010, BMC public health.

[17]  M. B. Filho,et al.  Aspectos históricos, científicos, socioeconômicos e institucionais do aleitamento materno , 2010 .

[18]  J. Ioannidis,et al.  The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions : Explanation and Elaboration , 2009 .

[19]  J. Ioannidis,et al.  The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration , 2009, Annals of Internal Medicine [serial online].

[20]  J. Ickovics,et al.  Group Prenatal Care and Perinatal Outcomes: A Randomized Controlled Trial , 2007, Obstetrics and gynecology.

[21]  N. Vieira,et al.  Integralidade, formação de saúde, educação em saúde e as propostas do SUS: uma revisão conceitual , 2007 .

[22]  Neiva Francenely Cunha Vieira,et al.  [Educational action in prenatal care: a reflection on nursing consultation as an opportunity for health education]. , 2007, Ciencia & saude coletiva.

[23]  K. Bonuck,et al.  Randomized, Controlled Trial of a Prenatal and Postnatal Lactation Consultant Intervention on Duration and Intensity of Breastfeeding up to 12 Months , 2005, Pediatrics.

[24]  A. Lartey,et al.  Lactation counseling increases exclusive breast-feeding rates in Ghana. , 2005, The Journal of nutrition.

[25]  R. Pérez‐Escamilla,et al.  Effectiveness of breastfeeding peer counseling in a low-income, predominantly Latina population: a randomized controlled trial. , 2004, Archives of pediatrics & adolescent medicine.

[26]  Joann L. Robinson,et al.  Home visiting by paraprofessionals and by nurses: a randomized, controlled trial. , 2002, Pediatrics.

[27]  Dino Roberto Soares de Lorenzi,et al.  Perfil da Assistência Pré-Natal entre Usuárias do Sistema Único de Saúde em Caxias do Sul , 2002 .

[28]  F. D'Amico,et al.  Breast-feeding in a low-income population. Program to increase incidence and duration. , 1995, Archives of pediatrics & adolescent medicine.