Resumo
Objetivo: Analisar as condições sensíveis à assistência pré-natal associadas a desfechos maternos e perinatais desfavoráveis, identificando evidências sobre intervenções eficazes na redução da morbimortalidade e na detecção precoce de fatores de risco gestacionais. Métodos: Revisão integrativa da literatura realizada nas bases Medical Literature Analysis and Retrieval System Online via PubMed, Literatura Latino-Americana e do Caribe em Ciências da Saúde via Biblioteca Virtual em Saúde e Scientific Electronic Library Online. Foram incluídos estudos publicados entre 2015 e 2025, em qualquer idioma, sobre o impacto da assistência pré-natal nos desfechos gestacionais. Resultados: Foram incluídos oito estudos, desenvolvidos em diferentes países e com delineamentos variados. A análise permitiu a organização de três categorias temáticas: desfechos maternos e perinatais, modelos de cuidado pré-natal e educação em saúde no pré-natal. Os achados evidenciaram associação entre assistência pré-natal inadequada e maior ocorrência de pré-eclâmpsia, prematuridade, baixo peso ao nascer e mortalidade neonatal. Também foram observados efeitos positivos do pré-natal em grupo e de intervenções educativas sobre desfechos obstétricos e emocionais. Considerações finais: Os achados indicam que a assistência pré-natal qualificada é fundamental para a prevenção de desfechos adversos, reforçando a necessidade de estratégias de cuidado ampliado e fortalecimento das políticas públicas.
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