产前护理在巴西胎儿和婴儿发育中的作用:叙事审查
Amanda Maieski da Silva1, Caroline Stadler1, Luiz Gustavo Gusson de Camargo2
1Department of Medicine, State University of the Midwest, Guarapuava 85040-167, PR, Brazil.
Healthcare (Basel, Switzerland)
|October 16, 2025
概括
巴西的足够的产前护理缺乏质量和连续性,尽管获得广泛. 这导致更高的婴儿死亡率,早产和低出生体重,突出了服务提供方面的关键差距.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健的质量 医疗保健的质量
背景情况:
- 巴西几乎可以普遍获得产前护理.
- 尽管获得了,负面的胎儿和婴儿结果仍然存在.
- 在产前护理服务提供方面的差距是一个重大问题.
研究的目的:
- 探索产前护理的充分性如何影响母亲,胎儿和儿童的健康.
- 确定巴西产前护理服务提供中经常出现的差距.
主要方法:
- 36项巴西研究 (2018-2024) 的叙述性综述.
- 在虚拟健康图书馆和PubMed.com进行的搜索.
- 数据由两个独立审稿人综合.
主要成果:
- 不充分的产前护理与增加婴儿/新生儿死亡率,早产,低出生体重和先天性梅毒有关.
- 护理质量,而不仅仅是访问数量,至关重要;大多数研究都满足了一些产前和分娩人性化计划的标准.
- 常见问题:迟到的启动,不完整的测试,碎片化的后续和不充分的伴侣STI治疗.
结论:
- 巴西持续存在的不良产前结果源于产前护理内容和连续性不佳,而不是缺乏机会.
- 加强护理需要标准化,多维的指标.
- 结合临床,教育和心理社会支持的综合战略至关重要.
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