WHO recommendations on antenatal care for a positive pregnancy experience

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<strong>WHO</strong> <strong>recommendations</strong> on antenatal care for a positive pregnancy experience Tomas Pantoja Family Physician Department of Family Medicine Faculty of Medicine Pontificia Universidad Católica de Chile Santiago, Chile Robert Pattinson Professor University of Pretoria Medical Research Council Unit for Maternal and Infant Health Care Strategies Arcadia, South Africa Kathleen Rasmussen Professor Division of Nutritional Sciences Cornell University Ithaca, NY, USA Niveen Abu Rmeileh Director Institute of Community and Public Health Birzeit University West Bank and Gaza Strip Harshpal Singh Sachdev Professor Sitaram Bhartia Institute of Science and Research New Delhi, India Rusidah Selamat Deputy Director (Operations) Nutrition Division Ministry of Health Malaysia Putrajaya, Malaysia Charlotte Warren Senior Associate Population Council Washington, DC, USA Charles Wisonge Professor of Clinical Epidemiology & Deputy Director Centre for Evidence-based Health Care Faculty of Medicine and Health Sciences Stellenbosch University Cape Town, South Africa Observers Debbie Armbruster Senior Maternal Health Advisor Maternal and Child Health Division Bureau for Global Health United States Agency for International Development (USAID) Washington, DC, USA Diogo Ayres-De-Campos Associate Professor Department of Obstetrics and Gynaecology Faculty of Medicine University of Porto Porto, Portugal Rita Borg-Xuereb International Confederation of Midwives Head of Department of Midwifery Faculty of Health Sciences University of Malta Msida, Malta Luc de Bernis Senior Maternal Health Adviser United Nations Population Fund (UNFPA) Geneva, Switzerland France Donnay Senior Program Officer Bill & Melinda Gates Foundation Seattle, WA, USA Karen Fogg Maternal and Child Health Division Bureau for Global Health USAID Washington, DC, USA Roland Kupka Senior Adviser, Micronutrients Nutrition Section United Nations Children’s Fund (UNICEF) New York, NY, USA Chittaranjan Narahari Purandare President International Federation of Gynecology and Obstetrics (FIGO) Mumbai, India 138
Technical Working Group Edgardo Abalos Vice Director Centro Rosarino de Estudios Perinatales (CREP) Rosario, Argentina Monica Chamillard Obstetrician and Gynecologist CREP Rosario, Argentina Virginia Diaz Obstetrician and Gynecologist CREP Rosario, Argentina Soo Downe Professor in Midwifery Studies University of Central Lancashire Preston, Lancashire, United Kingdom Kenneth Finlayson Senior Research Assistant Midwifery Studies University of Central Lancashire Preston, Lancashire, United Kingdom Claire Glenton Senior Researcher Global Health Unit, Norwegian Public Health Institute Oslo, Norway Ipek Gurol-Urganci Lecturer in Health Services Research London School of Hygiene & Tropical Medicine London, United Kingdom Khalid S. Khan Professor of Women’s Health and Clinical Epidemiology The Blizard Institute London, United Kingdom Theresa Lawrie Consultant Evidence-based Medicine Consultancy Bath, United Kingdom Simon Lewin Senior Researcher Global Health Unit, Norwegian Public Health Institute Oslo, Norway Ewelina Rogozinska Project Coordinator Women’s Health Research Unit Queen Mary University of London Barts and The London School of Medicine and Dentistry London, United Kingdom Inger Scheel Senior Researcher Global Health Unit, Norwegian Public Health Institute Oslo, Norway <strong>WHO</strong> regional offices Regional Office for Africa Leopold Ouedraogo Regional Advisor Research and Programme Development in Reproductive Health Health Promotion Cluster Regional Office for the Americas/Pan American Health Organization (PAHO) Susan Serruya Director Latin American Center for Perinatology, Women and Reproductive Health (CLAP/WR) Regional Office for Europe Gunta Lazdane Programme Manager Sexual and Reproductive Health Division Noncommunicable Diseases and Promoting Health through the Life-course Regional Office for the Western Pacific Mari Nagai Technical Officer Reproductive and Maternal Health Reproductive, Maternal, Newborn, Child and Adolescent Health Unit Regional Office for the Eastern Mediterranean Karima Gholbzouri Medical Officer Women’s Reproductive Health Regional Office for South-East Asia Neena Raina Coordinator Maternal, Child and Adolescent Health Annex 1: External experts and <strong>WHO</strong> staff 139
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WHO recomm
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WHO Library Catalo
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« To achieve the Every Woman Every
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Funding was provided for this guide
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WHO recomm
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Evaluation (GRADE) and Confidence i
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Zinc supplements Multiple micronutr
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Ultrasound scan Doppler ultrasound
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Task shifting components of antenat
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expect from ANC is to have a “pos
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2. Methods WHO <st
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a list of ANC outcomes was prioriti
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content experts among the GDG membe
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• nFeasibility: Feasibility is in
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are indicated by a footnote in the
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A. Nutritional interventions <stron
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A.1.2: Nutrition education on energ
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A.1.3: Energy and protein dietary s
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A.1.4: High-protein supplements REC
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Summary of evidence and considerati
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Equity Effective interventions to i
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A.7: Vitamin B6 (pyridoxine) supple
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only a quarter of the planned sampl
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A.10: Restricting caffeine intake R
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B. Maternal and fetal assessment B.
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to produce results than urine dipst
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B.1.4: Gestational diabetes mellitu
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B.1.6: Substance use RECOMMENDATION
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on screening, please refer to the 2
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Women’s values A scoping review o
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B.2.2: Symphysis-fundal height (SFH
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B.2.4: Ultrasound scan RECOMMENDATI
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are willing to be screened and test
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Women’s values A scoping review o
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C.4: Preventive anthelminthic treat
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C.5: Tetanus toxoid vaccination REC
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C.6: Intermittent preventive treatm
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D. Interventions for common physiol
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Values See “Women’s values” a
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D.4: Interventions for low back and
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Acceptability Qualitative evidence
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Additional considerations • nComp
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WHO recommendations on antenatal care for a positive pregnancy experience

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