Routine Prenatal Care - 25/07/23

Doi : 10.1016/j.ogc.2023.03.002

Alex F. Peahl, MD, MSc ^a,^b,^⁎ , Mark Turrentine, MD ^c, Sindhu Srinivas, MD, MSCE ^d, Tekoa King, CNM, MPH ^e, Christopher M. Zahn, MD ^f
^a Department of Obstetrics and Gynecology, University of Michigan, 1500 East Medical Center Dr., Ann Arbor, MI 48109, USA
^b University of Michigan Institute for Healthcare Policy and Innovation, 2800 Plymouth Road, Ann Arbor, MI 48109, USA
^c Department of Obstetrics and Gynecology, Baylor College of Medicine, 6651 Main Street, Suite F1020, Houston, TX 77030, USA
^d Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA
^e University of California, San Francisco School of Nursing, 2 Koret Way, San Francisco, CA 94143, USA
^f American College of Obstetricians and Gynecologists, 409 12th Street Southwest, Washington, DC 20024, USA

^∗Corresponding author.

Résumé

The one-size-fits-all model of prenatal care has remained largely unchanged since 1930. New models of prenatal care delivery can improve its efficacy, equity, and experience through tailoring prenatal care to meet pregnant people’s medical and social needs. Key aspects of recently developed prenatal care models include visit schedules based on needed services, telemedicine, home measurement of routine pregnancy parameters, and interventions that address social and structural drivers of health. Several barriers that affect the individual, provider, health system, and policy levels must be addressed to facilitate implementation of new prenatal care delivery models.

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Keywords : Prenatal care, Telemedicine, Social determinants of health, Social drivers of health, Blood pressure monitoring, Prenatal visits, Antenatal care