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/costateixeira/smart-anc/ and changes regularly. See the Directory of published versions
ANC.DT.27 Pre-eclampsia risk counselling: When:Named Event: ANC.B6. Collect woman's profile & history Then:
The woman is at risk of developing pre-eclampsia – provide counselling If:Applicability: ((((((("Number of fetuses" ≥ 2 )
OR ("Past pregnancy complications" = "Pre-eclampsia"))
OR ("Past pregnancy complications" = "Eclampsia"))
OR ("Past pregnancy complications" = "Convulsions"))
OR ("Existing chronic health conditions" = "Autoimmune disease"))
OR ("Existing chronic health conditions" = "Diabetes"))
OR ("Existing chronic health conditions" = "Hypertension"))
OR ("Existing chronic health conditions" = "Kidney disease") (Should Provide counselling on pre-eclampsia risk)
The woman is at risk of developing pre-eclampsia: provide counselling; prescribe aspirin 75 mg daily until delivery (starting at 12 weeks gestation) for pre-eclampsia risk If:Applicability: (((((((("Number of fetuses" ≥ 2 )
AND ("Gestational age" ≥ 12 weeks))
OR (("Past pregnancy complications" = "Pre-eclampsia")
AND ("Gestational age" ≥ 12 weeks)))
OR (("Past pregnancy complications" = "Eclampsia")
AND ("Gestational age" ≥ 12 weeks)))
OR (("Past pregnancy complications" = "Convulsions")
AND ("Gestational age" ≥ 12 weeks)))
OR (("Existing chronic health conditions" = "Autoimmune disease")
AND ("Gestational age" ≥ 12 weeks)))
OR (("Existing chronic health conditions" = "Diabetes")
AND ("Gestational age" ≥ 12 weeks)))
OR (("Existing chronic health conditions" = "Hypertension")
AND ("Gestational age" ≥ 12 weeks)))
OR (("Existing chronic health conditions" = "Kidney disease")
AND ("Gestational age" ≥ 12 weeks)) (Should Provide counselling on pre-eclampsia risk 2) Then:
Provide counselling on pre-eclampsia risk:
"Amount of daily aspirin prescribed until delivery" = 75 mg:
The woman is at risk of developing pre-eclampsia: provide counselling; prescribe aspirin 75 mg daily until delivery (starting at 12 weeks gestation) and ensure that she continues to take her daily calcium supplement of 1.5–2 g until delivery for pre-eclampsia risk If:Applicability: (((((((("Number of fetuses" ≥ 2)
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE))
OR (("Past pregnancy complications" = "Pre-eclampsia")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)))
OR (("Past pregnancy complications" = "Eclampsia")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)))
OR (("Past pregnancy complications" = "Convulsions")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)))
OR (("Existing chronic health conditions" = "Autoimmune disease")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)))
OR (("Existing chronic health conditions" = "Diabetes")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)))
OR (("Existing chronic health conditions" = "Hypertension")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)))
OR (("Existing chronic health conditions" = "Kidney disease")
AND ("Gestational age" ≥ 12 weeks)
AND ("Population with low dietary calcium intake" = TRUE)) (Should Provide counselling on pre-eclampsia risk 3) Then:
Provide counselling on pre-eclampsia risk:
"Amount of daily aspirin prescribed until delivery" = 75 mg:
1.5 g ≤ "Amount of calcium supplements provided" ≤ 2 g:
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