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Antenatal care policy in high-income countries with a universal health system: A scoping review

2022Journal article Open access
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dc.contributor.authorGoncalves, Andreia Soares
dc.contributor.authorFerreira, Isabel Maria
dc.contributor.authorPestana-Santos, Márcia
dc.contributor.authorMcCourt, Christine
dc.contributor.authorPrata, Ana Paula
dc.date.accessioned2022-10-31T15:18:29Z
dc.date.available2022-10-31T15:18:29Z
dc.date.issued2022
dc.description.abstractThe availability, effectiveness, and access to antenatal care are directly linked with good maternal and neonatal outcomes, making antenatal care an important determinant in health. But to be effective, care must always be appropriate, not excessive, not insufficient. Perinatal outcomes vary within and between countries, raising questions about practices, the use of best evidence in clinical decisions and the existence of clear and updated guidance. Through a scoping review methodology, this study aimed to map the available antenatal care policies for lowrisk pregnant women in high-income countries with a universal health system, financed by the government through tax payments. Following searches on the main databases and grey literature, the authors identified and analysed ten antenatal care policies using a previously piloted datachart: Australia, Denmark, Finland, Iceland, Italy, Norway, Portugal, Spain, Sweden and the United Kingdom. Some policies were over 10 years old, some recommendations did not present a rationale or context, others were outdated, or were simply different approaches in the absence of strong evidence. Whilst some recommendations were ubiquitous, others differed either in the recommendation provided, the timing, or the frequency. Similarly, we found wide variation in the methods/strategy used to support the recommendations provided. These results confirm that best evidence is not always assimilated into policies and clinical guidance. Further research crossing these differences with perinatal outcomes and evaluation of cost could be valuable to optimise guidance on antenatal care. Similarly, some aspects of care need further rigorous studies to obtain evidence of higher quality to inform recommendations.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSoares Goncalves, A., Maria Ferreira, I., Pestana-Santos, M., McCourt, C., & Paula Prata, A. (2022). Antenatal care policy in high-income countries with a universal health system: A scoping review. Sexual & Reproductive Healthcare, 32, 100717pt_PT
dc.identifier.doi10.1101/2021.09.03.21263024pt_PT
dc.identifier.issn1877-5756
dc.identifier.urihttp://hdl.handle.net/10400.26/42142
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relationalterado para: “Antenatal care: policy, economy, barriers and facilitators of a midwife-led care model for Portugal” Antenatal Care for Low Risk Women: Is Portugal in the right Track
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S1877575622000234?via%3Dihubpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectHigh-income countriespt_PT
dc.subjectHealth policypt_PT
dc.subjectPregnancypt_PT
dc.subjectAntenatal carept_PT
dc.titleAntenatal care policy in high-income countries with a universal health system: A scoping reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitlealterado para: “Antenatal care: policy, economy, barriers and facilitators of a midwife-led care model for Portugal” Antenatal Care for Low Risk Women: Is Portugal in the right Track
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//SFRH%2FBD%2F136129%2F2018/PT
oaire.citation.startPage100717pt_PT
oaire.citation.titleSexual & Reproductive Healthcarept_PT
oaire.citation.volume32pt_PT
person.familyNamePrata
person.givenNameAna Paula
person.identifier.ciencia-id8B13-14CE-A6F3
person.identifier.orcid0000-0001-7552-9716
person.identifier.ridT-4597-2017
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication03a10676-39b0-4aec-aaf9-2a6c5556ed64
relation.isAuthorOfPublication.latestForDiscovery03a10676-39b0-4aec-aaf9-2a6c5556ed64
relation.isProjectOfPublication9a041001-5aea-44be-9047-1a7aada0db83
relation.isProjectOfPublication.latestForDiscovery9a041001-5aea-44be-9047-1a7aada0db83

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