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One ultrasound scan before 24 weeks of gestation (early ultrasound) is recommended for pregnant women to estimate gestational age, improve detection of fetal anomalies and multiple pregnancies, ...
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Recommended) Remarks • The benefits of an early ultrasound scan are not improved upon and cannot be replicated with a late ultrasound scan where there has not been an early ultrasound scan. Therefore, an ultrasound scan after 24 weeks of gestation (late ultrasound) is not recommended for pregnant women who have had an early ultrasound scan. However, stakeholders should consider offering a late ultrasound scan to pregnant women who have not had an early ultrasound scan, for the purposes of ...
ver más ... 2019Routine antenatal cardiotocography is not recommended for pregnant women to improve maternal and perinatal outcomes.
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Not recommended) Remarks • CTG is the continuous recording of the fetal heart rate and uterine contractions obtained via an ultrasound transducer placed on the mother’s abdomen. • There is currently no evidence on effects or other considerations that supports the use of antenatal (prelabour) CTG as part of routine ANC. • A lack of evidence of benefits associated with CTG in high-risk pregnancies suggests that the evaluation of antenatal CTG in healthy pregnant women is not a research ...
ver más ... 2019Replacing abdominal palpation with symphysis-fundal height (SFH) measurement for the assessment of fetal growth is not recommended to improve perinatal outcomes. A change from what is usually ...
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
Context-specific recommendation Remarks • SFH measurement is routinely practiced in many ANC settings. Due to a lack of clear evidence of accuracy or superiority of either SFH measurement or clinical palpation to assess fetal growth, the GDG does not recommend a change of practice. • The GDG agreed that there is a lack of evidence on SFH, rather than a lack of effectiveness, particularly in LMIC settings. • Apart from false reassurance, which might occur with both SFH measurement and ...
ver más ... 2019Daily fetal movement counting, such as with “count-to-ten” kick charts, is only recommended in the context of rigorous research.
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Context-specific recommendation – research) Remarks • Fetal movement counting is when a pregnant woman counts and records her baby’s movements in order to monitor the baby’s health. Various methods have been described, with further monitoring variously indicated depending on the method used, for example, if fewer than six distinct movements are felt within 2 hours or fewer than 10 distinct movements are felt within 12 hours (the Cardiff “count to ten” method). • While daily ...
ver más ... 2019In settings where the tuberculosis (TB) prevalence in the general population is 100/100 000 population or higher, systematic screening for active TB should be considered for pregnant women as part of ...
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
Context-specific recommendation Remarks • This recommendation has been adapted and integrated from the 2013 WHO publication Systematic screening for active tuberculosis: principles and recommendations, where it was considered a conditiona recommendation based on very low-quality evidence. • Systematic screening is defined as the systematic identification of people with suspected active TB in a predetermined target group, using tests, examinations or other procedures that can be applied ...
ver más ... 2019