Role of primary health care in reducing maternal mortality: Integrative review
Keywords:
Maternal mortality, Primary health care, Health strategiesAbstract
Maternal mortality is a global health problem that involves the death of women during pregnancy, childbirth or postpartum. Primary health care plays a crucial role in reducing this index, being responsible for ensuring adequate care. The study aimed to analyze the role of primary care in reducing maternal mortality. Through an integrative review, carried out in the BDENF, LILACS, MEDLINE, SciElo and Web of Science databases, the descriptors used were "maternal mortality" AND "primary care", combined with the Boolean operator "AND", resulting in 11 articles. The studies highlighted the diversity of approaches and geographical contexts, interventions included home visits, health education, routine consultations, monitoring the health of pregnant women and teamwork. These actions aim to identify women at risk early, raise awareness about the importance of prenatal care and provide specialized care when necessary.
Downloads
References
ALMEIDA, C. P. F. et al. Assistência ao pré-natal no rio grande do norte: acesso e qualidade do cuidado na atenção básica. Rev. Ciênc. Plu, v. 7, n. 3, p. 61-80, 26 ago. 2021.
BENEDET, D. C. F. et al. Strengthening nurses in prenatal care through reflection-action. Rev. Gaúcha Enferm, v. 42, p. 1-8, 2021.
BONIFÁCIO, L. P.; MARQUES, J. M. A.; VIEIRA, E. M. Assessment of the knowledge of Brazilian Community Health Workers regarding prenatal care. Prim Health Care Res Dev, v. 20, n. 21, p. 1-7, 2018.
BRANDT, A. J. et al. Maternal health training priorities for nursing and allied health workers in Colombia, Honduras, and Nicaragua. Rev Panam Salud Publica, v. 43, p. 1-10, 2019.
BRANDT, A. J. et al. Maternal health training priorities for nursing and allied professions in Haiti. Rev Panam Salud Publica, v. 44, p. 1-8, 2020.
EKAWATI, F. M. et al. The elephant in the room: an exploratory study of hypertensive disorders of pregnancy (HDP) management in Indonesian primary care settings. BMC Fam Pract, v. 21, n. 1, p. 1-11, 2020.
FIGUEIREDO, K. M. S. et al. Actions of primary health care professionals to reduce maternal mortality in the Brazilian Northeast. Int J Equity Health, v. 17, n. 1, p. 1-8, 2018.
LEAL, M. C. et al. Prenatal care in the Brazilian public health services. Rev Saude Publica [online]. v. 54, n. 8 p. 1-12, 2020.
MAHMOUD, Z. et al. Clinical characteristics and treatment patterns of pregnant women with hypertension in primary care in the Federal Capital Territory of Nigeria: cross-sectional results from the hypertension treatment in Nigeria Program. BMC Pregnancy and Childbirth, v. 23, n. 1, p. 1-6, 2023.
MARTINS, A. C. S.; SILVA, L. S. Epidemiological profile of maternal mortality. Rev Bras Enferm [online]. v. 71, p. 677-683, 2018.
MENDES, L. M. C. et al. Condições potencialmente ameaçadoras à vida no ciclo gravídico-puerperal. Ciênc. cuid. saúde, v. 21, e57258, 2022.
.
MWANGI, A. et al. A system approach to improving maternal and child health care delivery in Kenyan communities and primary care facilities: baseline survey on maternal health. Afr Health Sci, v. 19, n. 2, p. 1841-1848, 2019.
OKEREKE, E. et al. Reducing maternal and newborn mortality in Nigeria—a qualitative study of stakeholders’ perceptions about the performance of community health workers and the introduction of community midwifery at primary healthcare level. Hum Resour Health, v. 17, n. 1, p. 1-9, 2019.
OMS. Organização Mundial da Saúde. 10a revisão da classificação estatística internacional de doenças e problemas relacionados com a saúde (CID-10). Brasília, DF, 1993.
ONU. Organização das Nações Unidas. Transformando nosso mundo: a Agenda 2030 para o Desenvolvimento Sustentável. 2023. Disponível em: https://nacoesunidas.org/pos2015/agenda2030/. Acesso em: 16 jul. 2023.
OXFORD CENTRE FOR EVIDENCE-BASED MEDICINE. Levels of evidence [Internet]. Março 2009. Disponível em: https://www.cebm.ox.ac.uk/resources/levels-of-evidence/oxford-centrentre-for-evidence-based-medicine-levels-of-evidence-march-2009, Acesso em 10 de mar. 2023.
SANHUEZA, A. et al. Desigualdades relacionadas con el ODS 3 en la salud de las mujeres, los niños y los adolescentes: línea de base para el monitoreo de los ODS en América Latina y el Caribe por medio de encuestas transversales nacionales. Rev Panam Salud Publica, v. 46, p. 1-12, 2022.
SALOMON, A. et al. Detecting and managing hypertensive disorders in pregnancy: a cross-sectional analysis of the quality of antenatal care in Nigeria. BMC Health Serv Res, v. 19, n. 1, 2019.
SOUZA, M. T.; SILVA, M. D.; CARVALHO, R. Integrative review: what is it? How to do it?. Einstein, v. 8, n. 1, p. 102-106, 2010.
SOUZA, D. R. S. et al. Associação da adesão das regiões do brasil à rede cegonha com a mortalidade materna e outros indicadores de saúde. Rev. Ciênc. Plu., v. 8, n. 2, p. 1-16, 20 fev. 2022.
TINTORI, J. A. et al. Epidemiologia da morte materna e o desafio da qualificação da assistência. Acta Paul Enferm, v. 35, eAPE00251, 2022.
WYNNE, S. J. et al. The timing and quality of antenatal care received by women attending a primary care centre in Iquitos, Peru: a facility exit survey. PLOS ONE, v. 15, n. 3, p. e0229852, 2020.
WHO. World Healthy Organization. Maternal Mortality - Levels and Trends 2000 to 2017. Geneva: World Health Organization; 2019. 104p. Disponível em: https://www.who.int/publications-detail-redirect/9789241516488 . Acesso em 10 de mar. 2023.
WHO. World Healthy Organization. Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division. Geneva: World Health Organization; 2023. 86p. Disponível em: https://www.who.int/publications/i/item/9789240068759 . Acesso em: 10 de jul. 2023.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Rayssa do Nascimento Sousa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Português (Brasil)
English
Español (España)