title: Impact of educational strategies in low-risk prenatal care: systematic review of randomized clinical trials.
abstract: This study aimed to analyze the impact of educational strategies developed in low-risk prenatal care on obstetric outcomes from a systematic literature review. This review consulted databases PubMed, Medline, SciELO and Lilacs, analyzing randomized clinical trials with the following birth outcomes: birth weight, prematurity and breastfeeding, using the following combination of keywords: pre-natal, antenatal visits, education, health education, pregnancy outcomes, birth weight, prematurity, breastfeeding and randomized clinical trial. Nine studies were included following quality evaluation. Actions prove to be more effective when extended to the postpartum period. Most of them occurred during home visits and had a positive impact on breastfeeding and birth weight. The establishment of groups of pregnant women contributed to lower prevalence of prematurity. Breastfeeding was found to be the outcome most sensitive to educational strategies. Educational practices during the prenatal period contributed to favorable obstetric outcomes as they minimized pregnant women concerns and anxiety during the pregnancy process, preparing them for childbirth and postpartum, and should be incorporated into health services' work process.
authors.affiliation: Programa de Pós-Graduação em Nutrição, Universidade Federal de Pernambuco. Av. Professor Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil. estherp.silva@yahoo.com.br.
authors.forename: Esther Pereira da
authors.initials: EP
authors.lastname: Silva
authors.affiliation: Departamento de Nutrição, Universidade Federal da Paraíba. João Pessoa PB Brasil.
authors.forename: Roberto Teixeira de
authors.initials: RT
authors.lastname: Lima
authors.affiliation: Programa de Pós-Graduação em Nutrição, Universidade Federal de Pernambuco. Av. Professor Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil. estherp.silva@yahoo.com.br.
authors.forename: Mônica Maria
authors.initials: MM
authors.lastname: Osório
mesh_terms: D005260:Female; D006266:Health Education; D062489:Health Impact Assessment; D006801:Humans; D011247:Pregnancy; D011295:Prenatal Care; D016032:Randomized Controlled Trials as Topic; D018570:Risk Assessment