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Prenatal Care and Hypertensive Gestational Syndromes: A Systematic Review
Gláucya Raquel Souza da Fonsêca Dutra1, Laio da Costa Dutra2, Gabriela Karine Souza da Fonsêca3
1Department of The Post-Graduation Program In Health and Society, Universidade do Estado do Rio Grande do Norte, Mossoró, RN, Brazil.
Insights
Prenatal care is important for preventing gestational hypertension. While some studies show a positive link, others found no significant association, possibly due to healthcare settings and sample sizes.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Perinatal Medicine
Background:
- Gestational hypertension is a significant concern during pregnancy.
- The role of comprehensive prenatal care in mitigating this condition requires further elucidation.
Purpose of the Study:
- To systematically review the existing literature on the influence of prenatal care on the occurrence of gestational hypertension.
- To synthesize findings from studies published between 2012 and 2016.
Main Methods:
- A systematic review was conducted using major electronic databases (Web of Science, Scopus, PubMed, Cochrane, ClinicalTrials).
- Keywords included 'prenatal care,' 'medical assistance,' 'prenatal education,' and 'pregnancy-induced hypertension.'
- The PRISMA checklist guided the review process, with seven studies meeting the inclusion criteria.
Main Results:
- Five of the seven included studies indicated a positive relationship between prenatal care and reduced incidence of pregnancy-induced hypertension.
- Two studies found no significant association, suggesting potential confounding factors.
- Methodological quality scores were high, indicating a low risk of bias across the reviewed studies.
Conclusions:
- Prenatal care is a crucial measure for prevention and health promotion during pregnancy.
- Despite variations in study methodologies, the evidence underscores the importance of consistent prenatal care.
- Further research may be needed to clarify the impact of different healthcare service types and sample sizes.
Objective:
Evaluate the influence of prenatal care on the occurrence of gestational hypertension.
Methods:
The Web of Science, Scopus, Pubmed, Cochrane and ClinicalTrials electronic databases were searched for articles published between January 1st, 2012 and December 31st, 2016. No language restrictions were imposed. The following keywords were used: prenatal care, medical assistance, prenatal education, pregnancy-induced hypertension. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) checklist was employed. Two hundred and forty articles were identified during the initial search, but only seven met the inclusion criteria. This systematic review is registered with the international prospective register of systematic reviews (PROSPERO; #CRD42017064103).
Results:
The seven studies had a low risk of bias, with methodological quality scores ranging from six to eight points. Five studies found a positive relationship between prenatal care and pregnancy-induced hypertension, whereas two studies found no significant association between the two variables. The divergence among the studies may have been due to the type of healthcare service at which the study was conducted and the sample size.
Conclusion:
Although the studies analyzed differed with regard to methodological aspects, the findings demonstrate the importance of prenatal care during the gestational period as a prevention and health promotion measure.
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