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Group prenatal care: effectiveness and challenges to implementation.

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Group prenatal care offers maternal benefits and improves postpartum family planning. Implementation faces challenges in resources and participant engagement, but solutions exist for diverse health systems.

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Area of Science:

  • Maternal Health
  • Public Health
  • Healthcare Delivery Models

Background:

  • Group prenatal care (GPC) is an alternative to standard individual prenatal visits.
  • GPC has demonstrated maternal benefits and is utilized globally.
  • Evidence on GPC effectiveness and implementation challenges requires synthesis.

Purpose of the Study:

  • To review the effectiveness of group prenatal care.
  • To identify and discuss implementation challenges and solutions for GPC.
  • To provide insights applicable to various healthcare systems.

Main Methods:

  • A narrative literature review was conducted.
  • Databases searched include PubMed, EBSCO, Science Direct, Wiley Online, and Springer.
  • Literature was reviewed for the period 2002–2018, supplemented by Mexican implementation experience.

Main Results:

  • Group prenatal care may enhance prenatal knowledge and postpartum family planning service utilization.
  • GPC is implemented in over 22 countries.
  • Implementation hurdles exist on both supply (staffing, resources, organization) and demand (recruitment, retention, privacy) sides.

Conclusions:

  • Group prenatal care presents a viable model with potential benefits for maternal health and family planning.
  • Addressing supply- and demand-side challenges is crucial for successful GPC implementation.
  • Context-specific solutions can facilitate the adoption of GPC in diverse healthcare settings.