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In high-prevalence settings,a provider-initiated testing and counselling (PITC) for HIV should be considered a routine component of the package of care for pregnancy women in all antenatal care ...
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
In low-prevalence settings, PITC can be considered for pregnant women in antenatal care settings as a key component of the effort to eliminate mother-to-child transmission of HIV, and to integrate HIV testing with syphilis, viral or other key tests, as relevant to the setting, and to strengthen the underlying maternal and child health systems. (Recommended) Remarks • This recommendation has been integrated from the 2015 WHO Consolidated guidelines on HIV testing services (the strength of the ...
ver más ... 2019Health-care providers should ask all pregnant women about their use of alcohol and other substances (past and present) as early as possible in the pregnancy and at every antenatal care visit.
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
Recommended Remarks • This strong recommendation based on low-quality evidence has been integrated from the 2014 WHO Guidelines for the identification and management of substance use and substance use disorders in pregnancy. The overarching principles of this guideline aimed to prioritize prevention, ensure access to prevention and treatment services, respect women’s autonomy, provide comprehensive care, and safeguard against discrimination and stigmatization. • The GDG responsible for ...
ver más ... 2019Health-care providers should ask all pregnant women about their tobacco use (past and present) and exposure to second-hand smoke as early as possible in pregnancy and at every antenatal care visit.
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Recommended) Remarks • This strong recommendation based on low-quality evidence has been integrated from the 2013 WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy. Related recommendations from this guideline include the following: –– Health-care providers should routinely offer advice and psychosocial interventions for tobacco cessation to all pregnant women who are either current tobacco users or recent tobacco quitters ...
ver más ... 2019Hyperglycaemia first detected at any time during pregnancy should be classified as either gestational diabetes mellitus (GDM) or diabetes mellitus in pregnancy
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Recommended) Remarks • This recommendation has been integrated from the 2013 WHO publication Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy (the strength of the recommendation and the quality of the evidence were not stated). • WHO currently does not have a recommendation on whether or how to screen for GDM, and screening strategies for GDM are considered a priority area for research, particularly in LMICs. • Diabetes mellitus in pregnancy differs ...
ver más ... 2019Clinical enquiry about the possibility of intimate partner violence (IPV) should be strongly considered at antenatal care visits when assessing conditions that may be caused or complicated by IPV in ...
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Context-specific recommendation) Remarks • This recommendation is consistent with the 2013 publication Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines (86). The evidence on clinical enquiry was indirect (strong recommendation) and the evidence on universal screening was judged as being of low to moderate quality (conditional recommendation). • “Universal screening” or “routine enquiry” (i.e. asking all women at all ...
ver más ... 2019