以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (6): 6-12.doi: 10.16460/j.issn1008-9969.2021.06.006

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Qualitative Studies on Pregnant Women's Experience of Group Antenatal Care: A Meta Synthesis

LI Yu-juan, LI Jun-yan, OUYANG Yan-qiong   

  1. Department of Nursing, School of Health Sciences, Wuhan University, Wuhan 430061, China
  • Received:2020-11-21 Online:2021-03-25 Published:2021-04-08

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Abstract: Objective To integrate authentic experience and opinions of pregnant women participating in Group Antenatal Care (GANC), and measure the feasibility and effectiveness of GANC from the perspective of pregnant women, and to provide reference for the promotion of GANC model. Methods We searched PubMed, Web of Science, PsycINFO, Cochrane Library, EMbase, Scopus, CINAHL, CNKI, Sino-med, VIP and WanFang data for eligible studies on pregnant women participating in GANC from database inception to November 8, 2020. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies, and meta-integration was conducted using the aggregative integration method. Results Twelve qualitative studies were included involving 39 results and 8 categories, then 3 integrated themes were extracted: establishing social supporting network and significant connections; empowering pregnant women and challenges in the promotion of GANC. Conclusion GANC provides reference for the optimization of pregnancy health care mode and the improvement of pregnancy health care quality in China. Practical health care conditions of different regions in China and systematic strategies at different levels of pregnant women, GANC organizers and policies are beneficial to the implementation effect of GANC.

Key words: group antenatal care, antenatal care, pregnant women, experience, qualitative study, Meta synthesis

CLC Number: 

  • R473.71
[1] Hunter LJ,Da Motta G, McCourt C, et al.Better Together: A Qualitative Exploration of Women's Perceptions And Experiences of Group Antenatal Care[J].Women Birth, 2019,32(4):336-345. DOI:10.1016/j.wombi.2018.09.001.
[2] Mazzoni SE, Carter EB.Group Prenatal Care[J].Am J Obstet Gynecol, 2017,216(6):552-556. DOI:10.1016/j.ajog.2017.02.006.
[3] 李林蔚,张彩虹,郭洪花.群组式护理模式在围产期保健的应用进展[J].护理学报, 2019,26(23):41-44. DOI:10.16460/j.issn1008-9969.2019.23.041.
[4] WHO.WHO Recommendations on Antenatal Care for A Positive Pregnancy Experience[EB/OL].(2016-11-07)[2021-01-20].http://www.who.int/en/.
[5] 胡雁.郝玉芳.循证护理学[M].2版.北京:人民卫生出版社, 2018:157-172.
[6] Mcneil DA, Vekved M, Dolan SM, et al.Getting More Than They Realized They Needed: A Qualitative Study of Women's Experience of Group Prenatal Care[J].BMC Pregnancy Childbirth, 2012,12:17. DOI:10.1186/1471-2393-12-17.
[7] Novick G, Sadler LS, Kennedy HP, et al.Women's Experience of Group Prenatal Care[J].Qual Health Res,2010,21(1):97-116. DOI:10.1177/1049732310378655.
[8] Sultana M, Ali N, Akram R, et al.Group Prenatal Care Experiences Among Pregnant Women in a Bangladeshi Community[J].Plos One,2019,14(6):e218169. DOI:10.1371/journal.pone.0218169.
[9] Musabyimana A, Lundeen T, Butrick E, et al.Before and After Implementation of Group Antenatal Care in Rwanda: A Qualitative Study of Women's Experiences[J].Reprod Health,2019,16(1):90. DOI:10.1186/s12978-019-0750-5.
[10] Risisky D, Asghar SM, Chaffee M, et al.Women's Perceptions Using the CenteringPregnancy Model of Group Prenatal Care[J].J Perinat Educ, 2013,22(3):136-144. DOI:10.1891/1058-1243.22.3.136.
[11] Heberlein EC, Picklesimer AH, Billings DL, et al.Qualitative Comparison of Women's Perspectives on the Functions and Benefits of Group and Individual Prenatal Care[J].J Midwifery Womens Health, 2016,61(2):224-234. DOI:10.1111/jmwh.12379.
[12] Kweekel L, Gerrits T, Rijnders M, et al.The Role of Trust in CenteringPregnancy: Building Interpersonal Trust Relationships in Group-based Prenatal Care in the Netherlands[J].Birth, 2017,44(1):41-47. DOI:10.1111/birt.12260.
[13] Kennedy HP, Farrell T, Paden R, et al.“I Wasn't Alone”-A Study of Group Prenatal Care in the Military[J].J Midwifery Womens Health, 2009,54(3):176-183. DOI:10.1016/j.jmwh.2008.11.004.
[14] Herrman JW, Rogers S, Ehrenthal DB.Women's Perceptions of CenteringPregnancy: A Focus Group Study[J].MCN Am J Matern Child Nurs, 2012,37(1):19-26. DOI:10.1097/NMC.0b013e3182385204.
[15] 陈丹丹,李益民,周临,等.初产妇对助产士主导的家庭群组式孕期保健服务的体验[J].护理学杂志, 2018,33(12): 32-34. DOI:10.3870/j.issn.1001-4152.2018.12.032.
[16] 周临,张晶,陈丹丹,等.以家庭为中心的群组式孕期保健模式的应用及效果研究[J].中华护理杂志, 2019,54(3): 401-405. DOI:10.3761/j.issn.0254-1769.2019.03.015.
[17] Sharma J, O'Connor M, Rima Jolivet R.Group Antenatal Care Models in Low-and Middle-income Countries:A Systematic Evidence Synthesis[J].Reprod Health, 2018,15(1):38. DOI:10.1186/s12978-018-0476-9.
[18] Abraham C.Rethinking the Traditional Prenatal Care Model[J].Obstet Gynecol, 2020,135(5):1024-1026. DOI:10.1097/AOG.0000000000003789.
[19] Pekkala J, Cross Barnet C, Kirkegaard M, et al.Key Considerations for Implementing Group Prenatal Care: Lessons from 60 Practices[J].J MidwiferyWomens Health, 2020,65(2):208-215. DOI:10.1111/jmwh.13047.
[20] 潘旋,张晶,周临,等.杭州市孕产妇孕期保健质量及影响因素分析[J].预防医学,2018,30(4):352-355. DOI:10.19485/j.cnki.issn2096-5087.2018.04.008.
[21] 袁雨,漆洪波.结合中国实践谈WHO 2016年孕期保健指南[J].中国实用妇科与产科杂志, 2017,33(6):567-571. DOI:10.19538/j.fk2017060105.
[22] 韦俭俭,赵红,李颖.美国小组产前保健模式应用及效果研究进展[J].中国护理管理, 2017,17(1):141-143. DOI:10.3969/j.issn.1672-1756.2017.01.035.
[23] Peahl AF, Gourevitch RA, Luo EM, et al.Right-sizing Prenatal Care to Meet Patients' Needs and Improve Maternity Care Value[J].Obstet Gynecol, 2020,135(5):1027-1037. DOI:10.1097/AOG.0000000000003820.
[24] Strickland C, Merrell S, Kirk JK.Centering Pregnancy: Meeting the Quadruple Aim in Prenatal Care[J].N C Med J, 2016, 77(6):394-397. DOI:10.18043/ncm.77.6.394.
[25] 李小梅,梁燕梅,伍丽燕.基于集中群组化的产前保健服务模式的研究[J].护理学报, 2019,26(11):37-40. DOI:10.16460/j.issn1008-9969.2019.11.037.
[26] 王义会,王惠琳,李颖.集中群组孕期保健模式的临床效果评价[J].中国妇幼保健, 2020,35(9):1603-1606. DOI:10.19829/j.zgfybj.issn.1001-4411.2020.09.011.
[27] Kania-Richmond A, Hetherington E, Mcneil D, et al.The Impact of Introducing Centering Pregnancy in a Community Health Setting:A Qualitative Study of Experiences and Perspectives of Health Center Clinical and Support Staff[J].Matern Child Health J,2017,21(6):1327-1335. DOI:10.1007/s10995-016-2236-1.
[28] Harsha Bangura A, Nirola I, Thapa P, et al.Measuring Fidelity, Feasibility, Costs: An Implementation Evaluation Of A Cluster-controlled Trial of Group Antenatal Care in Rural Nepal[J].Reprod Health, 2020, 17(1):5. DOI:10.1186/s12978-019-0840-4.
[29] Adaji SE, Jimoh A, Bawa U, et al.Women's Experience with Group Prenatal Care in a Rural Community in Northern Nigeria[J].Int J Gynecol Obstet, 2019,145(2):164-169. DOI:10.1002/ijgo.12788.
[30] Huang Y, Shallcross D, Pi L, et al.Ethnicity and Maternal and Child Health Outcomes and Service Coverage in Western China: A Systematic Review and Meta-analysis[J].Lancet Global Health, 2018, 6(1):E39-E56. DOI:10.1016/S2214-109X(17)30445-X.
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