World Health Organization : Year 1996 ; World Health Organization, Family and Reproductive Health, Maternal and Newborn Health-Safe Motherhood, No. 96.8: Maternal and Newborn Health Safe Motherhood and Natacare

By T. Turmen, Dr.

Book Id: WPLBN0000134930
Format Type: PDF eBook
File Size: 2.0 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1996 ; World Health Organization, Family and Reproductive Health, Maternal and Newborn Health-Safe Motherhood, No. 96.8: Maternal and Newborn Health Safe Motherhood and Natacare
Author:	T. Turmen, Dr.
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Dr, T. T. (n.d.). World Health Organization : Year 1996 ; World Health Organization, Family and Reproductive Health, Maternal and Newborn Health-Safe Motherhood, No. 96.8. Retrieved from http://www.gutenberg.cc/

Description
Medical Reference Publication

Excerpt
INTRODUCTION A Technical Working Group on Antenatal Care was convened in Geneva, 31 October- 4 November 1994, by the World Health Organization. The original objectives of the Technical Working Group were: 1. To review current antenatal care practices and make recommendations for the identification of high-risk pregnancies and their management, taking into account the timing of the pregnancy, resources available, and skills of the health worker; 2. To draw up recommendations on antenatal care and specifically outline the tasks and procedures health workers are expected to perform at different levels of the health care system; 3. To review the basic equipment, procedures, and supplies used in antenatal care from the point of view of cost, maintenance, scientific validity, and skills required to employ them appropriately; 4. To examine how to optimize antenam1 care in terms of clinical tasks and procedures in relationship to the timing of the visits, distance to referral centres, and frequency of attendance.

Table of Contents
TABLE OF CONTENTS INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 PROCEEDINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 RECOMMENDATIONS FOR THE DEVELOPMENT OF GUIDELINES ON ANTENATALCARE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1 . NORMALPREGNANC. Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1.1 Action to be taken at community level and at health facilities . . . . . . 4 1.1.1 Health promotion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1.1.2 Care provision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 1.2 Action to be taken at health facilities . . . . . . . . . . . . . . . . . . . . . . . 6 1.2.1 Frequency and timing of visits . . . . . . . . . . . . . . . . . . . . . . 6 1.2.2 Content of visits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 2 . IDENnFICATlON AND MANAGEMENT OF RISK FACTORS AND COMPLICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 2.1 Risk factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 2.1.1 Poor obstetric history . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 2.1.2 Short stature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 2.1.3 Maternal age V5 years . . . . . . . . . . . . . . . . . . . . . . . . . . 15 2.1.4 Parity .n ullipariry or grand multipariry . . . . . . . . . . . . . . . 16 2.1.5 Size-date discrepancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 2.1.6 Unwanted pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 2.1.7 Extreme social disruptionldeprivation . . . . . . . . . . . . . . . . 18 2.1.8 Multiple gestation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 2.1.9 Abnormal lielpresentation . . . . . . . . . . . . . . . . . . . . . . . . . 20 2.2 Pregnancy complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 2.2.1 Anaemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 2.2.2 Hypertensive disorders of pregnancy . . . . . . . . . . . . . . . . . 21 2.2.3 Acute. o. r recurrent UTI . . . . . . . . . . . . . . . . . . . . . . . . . . 21 2.2.4 Syphilis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 2.2.5 Vaginal bleeding in pregnancy . . . . . . . . . . . . . . . . . . . . . 21 2.2.6 Preterm labour . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 2.2.7 Gonorrhoea and chlamydia vaginal infection . . . . . . . . . . . 22 2.2.8 HXVIAIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 2.2.9 Malaria in pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 2.2.10 Intestinal parasites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 2.2.1 1 Medical conditions in pregnancy . . . . . . . . . . . . . . . . . . . . 24 POLICY ISSUES.......................................................................25 RESEARCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 CONCLUSIONS AND FINAL RECOMMENDATIONS . . . . . . . . . . . . . . . . . . . . . . . 26 APPENDIX 1 . LIST OF PARTICIPANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28