WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
WHO Antenatal Care Guideline Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-anc/ and changes regularly. See the Directory of published versions
| Active as of 2021-06-11 |
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<td style="padding-left: 4px;"><a href="PlanDefinition-ANCDT23.html">ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis</a></td>
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<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">0.3.0</td>
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<b>value: </b> <span>ANC.DT.23</span>
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<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">ANCDT23</td>
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<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis</td>
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<th scope="row"><b>Status: </b></th>
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<th scope="row"><b>Experimental: </b></th>
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<th scope="row"><b>Type: </b></th>
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<b>system: </b> <span><a href="http://hl7.org/fhir/R4/codesystem-plan-definition-type.html">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>
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<b>code: </b> <span>eca-rule</span>
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<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2021-06-11 23:25:04-0600</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">World Health Organization (WHO)</td>
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<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;">If the woman's blood glucose test results are as follows, provide the necessary counselling and treatment</td>
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<td style="padding-left: 4px;">001</td>
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<th scope="row"><b>Libraries: </b></th>
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<tr><td><a href="Library-ANCDT23.html">ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis</a></td></tr>
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<th scope="row"><b>Actions: </b></th>
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<b> ANC.DT.23 Gestational diabetes mellitus (GDM) and diabetes mellitus (DM) during pregnancy diagnosis:</b> <br/>
<b>When:</b> <i>Named Event:</i> ANC.B10.4. Diagnosis and treatment<br/>
<b>Then:</b>
<table class="grid-dict">
<tr>
<td>
– The woman has gestational diabetes mellitus (GDM) if her fasting plasma glucose is 92–125 mg/dL
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>
<b>If:</b> <i>Applicability:</i> 92 mg/dL ≤ &quot;Fasting plasma glucose results&quot; &lt; 126 mg/dL <i>(Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling)</i><br/>
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<tr>
<td>
– The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – fasting glucose is 92–125 mg/dL
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>
<b>If:</b> <i>Applicability:</i> 92 mg/dL ≤ &quot;75 g OGTT – fasting glucose results&quot; &lt; 126 mg/dL <i>(Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 2)</i><br/>
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<td>
– The woman has gestational diabetes mellitus (GDM) if her 75g OGTT – 1 hour is 180–199 mg/dL
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>
<b>If:</b> <i>Applicability:</i> 180 mg/dL ≤ &quot;75 g OGTT – 1 hour results&quot; &lt; 200 mg/dL <i>(Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 3)</i><br/>
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<td>
– The woman has gestational diabetes mellitus (GDM) if her 75 g OGTT – 2 hours is 153–199 mg/dL
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>
<b>If:</b> <i>Applicability:</i> 153 mg/dL ≤ &quot;75 g OGTT – 2 hours results&quot; &lt; 200 mg/dL <i>(Should Conduct REQUIRED gestational diabetes mellitus (GDM) counselling 4)</i><br/>
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<tr>
<td>
– The woman has diabetes mellitus (DM) in pregnancy if her fasting plasma glucose is 126 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>
<b>If:</b> <i>Applicability:</i> &quot;Fasting plasma glucose results&quot; ≥ 126 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling)</i><br/>
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</tr>
<tr>
<td>
– The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – fasting glucose is 126 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>
<b>If:</b> <i>Applicability:</i> &quot;75 g OGTT – fasting glucose results&quot; ≥ 126 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling 2)</i><br/>
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<td>
– The woman has diabetes mellitus (DM) in pregnancy if her 75 g OGTT – 1 hour is 200 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>
<b>If:</b> <i>Applicability:</i> &quot;75 g OGTT – 1 hour results&quot; ≥ 200 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling 3)</i><br/>
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<tr>
<td>
– The woman has diabetes mellitus (DM) in pregnancy if her fasting 75 g OGTT – 2 hours is 200 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>
<b>If:</b> <i>Applicability:</i> &quot;75 g OGTT – 2 hours results&quot; ≥ 200 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling 4)</i><br/>
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<tr>
<td>
– The woman has diabetes mellitus (DM) in pregnancy if her random plasma glucose level is 200 mg/dL or higher
– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
&quot;Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy, according to WHO criteria&quot; (2)<br/>
<b>If:</b> <i>Applicability:</i> &quot;Random plasma glucose test results&quot; ≥ 200 mg/dL <i>(Should Conduct REQUIRED diabetes mellitus (DM) counselling 5)</i><br/>
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– Woman with hyperglycemia, reassert dietary intervention and refer to high-level care
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