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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Counselling, in-facility management &amp; treatment<br/>\n \n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n Encourage delivery at a health-care facility.\n\nRisk factors necessitating a facility birth:\n– Age 17 or under\n– Primigravida\n– Parity 6 or higher\n– Prior caesarian section\n– Previous pregnancy complications: heavy bleeding, forceps or vacuum delivery, convulsions, or 3rd or 4th degree tear\n– Vaginal bleeding\n– Multiple fetuses\n– Abnormal fetal presentation\n– HIV positive\n– Wants IUD or tubal ligation following delivery<br/>\n \n <b>If:</b> <i>Applicability:</i> (((((((((((((((Age&quot; ≤ 17 years)\n OR (&quot;Fetal presentation&quot; = &quot;Transverse fetal presentation&quot;))\n OR (&quot;Fetal presentation&quot; = &quot;Other fetal presentation (specify)&quot;))\n OR (Number of caesarian sections&quot; &gt; 0))\n OR (&quot;Number of fetuses&quot; &gt; 1))\n OR (&quot;Family planning method provided&quot; = &quot;Copper-bearing intrauterine device (Cu-IUD)&quot;))\n OR (&quot;Family planning method provided&quot; = &quot;Levonorgestrel intrauterine device (LNG-IUD)&quot;))\n OR (&quot;Family planning method provided&quot; = &quot;Female sterilization&quot;))\n OR (&quot;Past pregnancy complications&quot; = &quot;Convulsions&quot;))\n OR (&quot;Past pregnancy complications&quot; = &quot;Heavy bleeding (during or after delivery)&quot;))\n OR (&quot;Past pregnancy complications&quot; = &quot;Forceps or vacuum delivery&quot;))\n OR (&quot;Past pregnancy complications&quot; = &quot;3rd or 4th degree tear&quot;))\n OR (&quot;Current physiological symptoms&quot; = &quot;Vaginal bleeding&quot;))\n OR (&quot;Number of pregnancies (gravida)&quot; = 1))\n OR (&quot;Parity&quot; &gt; 5))\n OR (&quot;HIV status&quot; = &quot;HIV positive&quot;) <i>(Should Conduct counselling on birth preparedness and complications readiness)</i><br/>\n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n <b> Conduct counselling on birth preparedness and complications readiness:</b> <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n <b> Recommend woman to plan to give birth at a health-care facility:</b> <br/>\n \n \n \n \n \n </td>\n </tr>\n \n </table>\n \n </td>\n </tr>\n \n <tr>\n <td>\n Explain why delivery needs to be with a skilled birth attendant, preferably at a facility according to woman's preference<br/>\n \n <b>If:</b> <i>Applicability:</i> &quot;Planned birth place&quot; = &quot;Home&quot; <i>(Should Conduct counselling on birth preparedness and complications readiness 2)</i><br/>\n \n <b>Then:</b>\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n <b> Conduct counselling on birth preparedness and complications readiness:</b> <br/>\n \n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n <b> Explain why delivery needs to be with a skilled birth attendant, preferably at a facility according to woman's preference:</b> <br/>\n \n \n \n \n \n </td>\n </tr>\n \n </table>\n \n </td>\n </tr>\n \n </table>\n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>"
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