These aspects are evident in people of black race/skin color from all over the world. People of African descent, in addition to having limited access to health services, quality, and safe housing, also suffer from various discrimination, especially regarding class, race, and gender. The Brazilian Ministry of Health recommends that prenatal care should start in the first trimester of pregnancy, as it makes it possible to reach the appropriate number of consultations, at least 6 overall, as well as to carry out the recommended procedures that define its suitability such as blood screening tests and fetal monitoring. Prenatal care is the period before birth and it is composed of clinical and educational procedures with the goal of monitoring the evolution of the pregnancy. The beginning of prenatal care should occur in the first trimester, as it stratifies pregnancy risk, achieving the appropriate number of consultations, and the performance of the recommended procedures and adequacy definers, avoiding unfavorable obstetric and neonatal outcomes, which may contribute to the reduction of maternal morbidity and mortality. Systematic Review Registration:, PROSPERO CRD42020159968.Īccess to prenatal care is considered one of the main prognostic indicators for a healthy birth, contributing to a delivery with less impact on maternal health. Results: Black women had the lowest prevalence of access to prenatal services in the first trimester, with prevalence ranging from 8.1% to 74.81%, while among white women it varied from 44.9 to 94.0% 60.7% of black women started prenatal care in the first trimester, while 72.9% of white women did so.Ĭonclusion: Black women compared to other racial groups had lower prevalence of access to prenatal care, with less chance of access in the first trimester, and it can be inferred that the issue of race/skin color is an important determinant in obtaining obstetric care. The extracted data were tabulatesd and analyzed qualitatively and quantitatively through meta-analysis. The quality of the studies and the risk of bias were analyzed using the Joanna Briggs Critical Appraisal Checklist for Analytical Cross-Sectional Studies instrument. Methods: Searches were carried out at PUBMED, LILACS, Web of Science, Scopus, CINAHL, and in the grey literature. Objective: To analyze the prevalence of access to prenatal care in the first trimester of pregnancy among black women compared to other races/ethnicities through a systematic review and meta-analysis.
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