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.34 Birth preparedness counselling

Official URL: http://fhir.org/guides/who/anc-cds/PlanDefinition/ANCDT34 Version: 0.3.0
Active as of 2021-06-11 Computable Name: ANCDT34
Other Identifiers: ANC.DT.34 (use: official, )

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

General counselling to be provided/reviewed at every contact

Id: ANCDT34
Url: ANC.DT.34 Birth preparedness counselling
Version: 0.3.0
Identifier:

value: ANC.DT.34

Name: ANCDT34
Title: ANC.DT.34 Birth preparedness counselling
Status: active
Experimental: false
Type:

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

code: eca-rule

Date: 2021-06-11 23:49:11-0600
Publisher: World Health Organization (WHO)
Description: General counselling to be provided/reviewed at every contact
Use Context:
codevaluedisplay
task ANC.B10. Counselling, in-facility management & treatment
Jurisdiction: 001
Libraries:
ANC.DT.34 Birth preparedness counselling
Actions:
ANC.DT.34 Birth preparedness counselling:
When: Named Event: ANC.B10. Counselling, in-facility management & treatment
Then:
Encourage delivery at a health-care facility. Risk factors necessitating a facility birth: – Age 17 or under – Primigravida – Parity 6 or higher – Prior caesarian section – Previous pregnancy complications: heavy bleeding, forceps or vacuum delivery, convulsions, or 3rd or 4th degree tear – Vaginal bleeding – Multiple fetuses – Abnormal fetal presentation – HIV positive – Wants IUD or tubal ligation following delivery
If: Applicability: (((((((((((((((Age" ≤ 17 years) OR ("Fetal presentation" = "Transverse fetal presentation")) OR ("Fetal presentation" = "Other fetal presentation (specify)")) OR (Number of caesarian sections" > 0)) OR ("Number of fetuses" > 1)) OR ("Family planning method provided" = "Copper-bearing intrauterine device (Cu-IUD)")) OR ("Family planning method provided" = "Levonorgestrel intrauterine device (LNG-IUD)")) OR ("Family planning method provided" = "Female sterilization")) OR ("Past pregnancy complications" = "Convulsions")) OR ("Past pregnancy complications" = "Heavy bleeding (during or after delivery)")) OR ("Past pregnancy complications" = "Forceps or vacuum delivery")) OR ("Past pregnancy complications" = "3rd or 4th degree tear")) OR ("Current physiological symptoms" = "Vaginal bleeding")) OR ("Number of pregnancies (gravida)" = 1)) OR ("Parity" > 5)) OR ("HIV status" = "HIV positive") (Should Conduct counselling on birth preparedness and complications readiness)
Then:
Conduct counselling on birth preparedness and complications readiness:
Recommend woman to plan to give birth at a health-care facility:
Explain why delivery needs to be with a skilled birth attendant, preferably at a facility according to woman's preference
If: Applicability: "Planned birth place" = "Home" (Should Conduct counselling on birth preparedness and complications readiness 2)
Then:
Conduct counselling on birth preparedness and complications readiness:
Explain why delivery needs to be with a skilled birth attendant, preferably at a facility according to woman's preference: