WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build International flag

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

PlanDefinition: ANC.DT.15 Behaviour counselling required

Official URL: http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT15 Version: 0.3.0
Active as of 2021-06-11 Computable Name: ANCDT15
Other Identifiers: ANC.DT.15 (use: official, )

Usage:Workflow Task: Counselling, in-facility management & treatment

Depending on the woman's behaviours reported during the first contact and the woman's reported persistent behaviours, additional counselling may or may not be required

Id: ANCDT15
Url: ANC.DT.15 Behaviour counselling required
Version: 0.3.0
Identifier:

value: ANC.DT.15

Name: ANCDT15
Title: ANC.DT.15 Behaviour counselling required
Status: active
Experimental: false
Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: eca-rule

Date: 2021-06-11 23:21:39-0600
Publisher: World Health Organization (WHO)
Description: Depending on the woman's behaviours reported during the first contact and the woman's reported persistent behaviours, additional counselling may or may not be required
Use Context:
codevaluedisplay
task ANC.B10. Counselling, in-facility management & treatment
Jurisdiction: 001
Libraries:
ANC.DT.15 Behaviour counselling required
Actions:
ANC.DT.15 Behaviour counselling required:
When: Named Event: ANC.B10. Counselling, in-facility management & treatment
Then:
Lowering daily caffeine intake during pregnancy is recommended to reduce the risk of pregnancy loss and low-birth-weight neonates. This includes any product, beverage or food containing caffeine (e.g. brewed coffee, tea, cola-type soft drinks, caffeinated energy drinks, chocolate, caffeine tablets); caffeine-containing teas (black tea and green tea) and soft drinks (colas and iced tea) usually contain less than 50 mg per 250 ml serving
If: Applicability: (((((((((("Daily caffeine intake" = "More than 2 cups of coffee (brewed, filter, instant or espresso)") OR ("Daily caffeine intake" = "More than 4 cups of tea")) OR ("Daily caffeine intake" = "More than 12 bars (50g) of chocolate")) OR ("Daily caffeine intake" = "More than one can of soda or energy drink")) OR ("Daily caffeine intake" = "None of the above daily caffeine intake")) OR (IF "Daily caffeine intake" = "More than 2 cups of coffee (brewed, filter, instant, or espresso)" ON MORE THAN ONE CONTACT)) OR (IF "Daily caffeine intake" = "More than 4 cups of tea" ON MORE THAN ONE CONTACT)) OR (IF "Daily caffeine intake" = "More than 12 bars (50 g) of chocolate" ON MORE THAN ONE CONTACT)) OR (IF "Daily caffeine intake" = "More than one can of soda or energy drink" ON MORE THAN ONE CONTACT)) OR (IF "Daily caffeine intake" = "None of the above daily caffeine intake" ON MORE THAN ONE CONTACT)) OR ("Persistant behaviours" = "High caffeine intake") (Should Conduct counselling on caffeine reduction)
Health-care providers should routinely offer advice and psychosocial interventions for tobacco cessation to all pregnant women who are either current tobacco users or recent tobacco quitters
If: Applicability: (((("Tobacco use" = TRUE) OR (IF "Tobacco use" = TRUE ON MORE THAN ONE CONTACT)) OR ("Recently quit tobacco products" = TRUE)) OR (IF "Recently quit tobacco products" = TRUE ON MORE THAN ONE CONTACT)) OR ("Persistant behaviours" = "Current tobacco use or recently quit") (Should Conduct counselling on tobacco cessation)
Provide pregnant women, their partners and other household members with advice and information about the risks of second-hand smoke (SHS) exposure from all forms of smoked tobacco, as well as strategies to reduce SHS in the home
If: Applicability: (("Exposure to second"hand smoke" = TRUE) OR (IF "Exposure to second-hand smoke" = TRUE ON MORE THAN ONE CONTACT)) OR ("Persistent behaviours" = "Exposure to second-hand smoke in the home") (Should Conduct counselling on second-hand smoke)
Advise to use condoms to prevent Zika, HIV and other STIs; if necessary, reassure it is OK to continue to have sex during pregnancy
If: Applicability: (((("Contraceptive use of male condoms" = FALSE) OR ("Contraceptive use of female condoms" = FALSE)) OR (IF "Contraceptive use of male condoms" = FALSE ON MORE THAN ONE CONTACT)) OR (IF "Contraceptive use of female condoms" = FALSE ON MORE THAN ONE CONTACT)) OR ("Persistent behaviours" = "No condom use during sex") (Should Conduct counselling on condom use)
Health-care providers should at the earliest opportunity advise pregnant women dependent on alcohol or drugs to cease their alcohol or drug use and offer, or refer them to, detoxification services under medical supervision, where necessary and applicable
If: Applicability: ((((("Current alcohol and/or other substance use" = "Alcohol") OR (IF "Current alcohol and/or other substance use" = "Alcohol" ON MORE THAN ONE CONTACT)) OR ("Persistent behaviours" = "Alcohol use")) OR ("Current alcohol and/or other substance use" = "Marijuana" AND/OR "Cocaine" AND/OR "Crack" AND/OR "Injectable drugs" AND/OR "Other substance use (specify)")) OR (IF "Current alcohol and/or other substance use" = "Marijuana" AND/OR "Cocaine" AND/OR "Crack" AND/OR "Injectable drugs" AND/OR "Other substance use (specify)" ON MORE THAN ONE CONTACT)) OR ("Persistent behaviours" = "Substance use") (Should Conduct counselling on alcohol/substance use)