WHO recommendations on antenatal care for a positive pregnancy experience

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« To achieve the Every Woman Every Child vision and the Global Strategy for Women's, Children's and Adolescents' Health, we need innovative, evidence-based approaches to antenatal care. I welcome these guidelines, which aim to put women at the centre of care, enhancing their experience of pregnancy and ensuring that babies have the best possible start in life. » Ban Ki-moon, United Nations Secretary-General
Acknowledgements The Departments of Reproductive Health and Research (RHR), Nutrition for Health and Development (NHD), and Maternal, Newborn, Child and Adolescent Health (MCA) of the World Health Organization (<strong>WHO</strong>) gratefully acknowledge the contributions that many individuals and organizations have made to the development of this guideline. A. Metin Gülmezoglu, Matthews Mathai, Olufemi Oladapo, Juan Pablo Peña-Rosas and Özge Tunçalp were the members of the <strong>WHO</strong> Steering Group that managed the guideline development process. The members of the Guideline Development Group (GDG) included Mohammed Ariful Aram, Françoise Cluzeau, Luz Maria De-Regil, Aft Ghérissi, Gill Gyte, Rintaro Mori, James Neilson, Lynnette Neufeld, Lisa Noguchi, Nafissa Osman, Erika Ota, Tomas Pantoja, Bob Pattinson, Kathleen Rasmussen, Niveen Abu Rmeileh, Harshpal Singh Sachdev, Rusidah Selamat, Charlotte Warren and Charles Wisonge. James Neilson served as chair of the GDG. We would also like to thank the following <strong>WHO</strong> regional advisors for their contributions: Karima Gholbzouri, Gunta Lazdane, Bremen de Mucio, Mari Nagai, Leopold Ouedraogo, Neena Raina and Susan Serruya. We would also like to thank the following individuals for their contributions to the guideline process, including the scoping: Manzi Anatole, Rifat Atun, Himanshu Bhushan, Jacquelyn Caglia, Chompilas Chongsomchai, Morseda Chowdhury, Mengistu Hailemariam, Stephen Hodgins, Annie Kearns, Rajat Khosla, Ana Langer, PisakeLumbiganon, Taiwo Oyelade, Jeffrey Smith, Petra ten Hoope-Bender, James Tielsch and Rownak Khan. Special thanks to the authors of the Cochrane systematic reviews used in this guideline for their assistance and collaboration in preparing or updating them. Sonja Henderson, Frances Kellie and Nancy Medley coordinated the updating of the relevant Cochrane systematic reviews. Soo Downe and Kenny Finlayson performed the scoping and qualitative reviews on the views of women and providers with regard to antenatal care (ANC). For the evidence on interventions, Edguardo Abalos, Monica Chamillard and Virginia Dias reviewed and graded the scientific evidence. For the evidence on test accuracy, Khalid Khan and Ewelina Rogozinska reviewed and graded the scientific evidence. Theresa Lawrie reviewed the evidence grading, and drafted the evidence summaries. Simon Lewin and Claire Glenton contributed to the preparation of the evidence summaries on ANC delivery options and provided technical support on the DECIDE framework (Developing & Evaluating Communication strategies to support Informed Decisions & Practice based on Evidence). Emma Allanson coordinated the population of the DECIDE frameworks. Jenny Moberg reviewed and summarized the indirect evidence on ANC delivery. Ipek Gurol-Urganci, Charles O’Donovan and Inger Scheel reviewed data on the implementation of focused ANC (FANC) from country case studies to support the guideline <strong>recommendations</strong>. The members of the <strong>WHO</strong> Steering Group and Theresa Lawrie drafted the final guideline document. We thank the observers who represented various organizations during the guideline development process, including: France Donnay of the Bill & Melinda Gates Foundation; Rita Borg-Xuereb of the International Confederation of Midwives (ICM); Diogo Ayres-de-Campos and CN Purandare of the International Federation of Gynecology and Obstetrics (FIGO); Luc de Bernis of the United Nations Population Fund (UNFPA); and Roland Kupka of the United Nations Children’s Fund (UNICEF); and Deborah Armbruster and Karen Fogg of the United States Agency for International Development (USAID). We appreciate the feedback provided by a large number of international stakeholders during the scoping exercise that took place as part of the guideline development process. We also would like to thank the following individuals who contributed to this process and reviewed the guideline document: Andrea Bosman, Maurice Bucagu, Jahnavi Daru, Claudia Garcia-Moreno, Haileyesus Getahun, Rodolfo Gomez, Tracey Goodman, Tamar Kabakian, Avinash Kanchar, Philipp Lambach, Sarah de Masi, Frances McConville, Antonio Montresor, Justin Ortiz, Anayda Portela, Jeremy Pratt, Lisa Rogers, Nathalie Roos, Silvia Schwarte, Maria Pura Solon, João Paulo Souza, Petr Velebil, Teodora Wi, Ahmadu Yakubu, Yacouba Yaro and Gerardo Zamora. Acknowledgements v
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on screening, please refer to the 2
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are willing to be screened and test
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Values See “Women’s values” a
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Acceptability Qualitative evidence
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WHO headquarters (
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Dr Erika Ota Nutrition, evidence sy
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WHO recommendations on antenatal care for a positive pregnancy experience

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