WHO recommendations on antenatal care for a positive pregnancy experience
(Not recommended)
Remarks
• Pregnant women should be encouraged to receive adequate nutrition, which is best achieved through consumption of a healthy, balanced diet, and to refer to guidelines on healthy eating.
• The GDG agreed that there is insufficient evidence on the benefits and harms, if any, of routine vitamin B6 supplementation in pregnancy. However, research on the effects of routine vitamin B6 supplementation for pregnant women on maternal and perinatal outcomes is not ...
WHO recommendations on antenatal care for a positive pregnancy experience
(Not recommended)
Remarks
• There is some evidence of additional benefit of MMN supplements containing 13–15 different micronutrients (including iron and folic acid) over iron and folic acid supplements alone, but there is also some evidence of risk, and some important gaps in the evidence. Although the GDG agreed that overall there was insufficient evidence to warrant a recommendation, the group agreed that policymakers in populations with a high prevalence of nutritional deficiencies ...
WHO recommendations on antenatal care for a positive pregnancy experience
(Context-specific recommendation – research)
Remarks
• Many of the included studies were at risk of bias, which influenced the certainty of the review evidence on the effects of zinc supplementation.
• The low-certainty evidence that zinc supplementation may reduce preterm birth warrants further investigation, as do the other outcomes for which the evidence is very uncertain (e.g. perinatal mortality, neonatal sepsis), particularly in zinc-deficient populations with no food fortification ...
WHO recommendations on antenatal care for a positive pregnancy experience
(Context-specific recommendation)
Remarks
• This recommendation supersedes the previous WHO recommendation found in the 2011 Guideline: vitamin A supplementation in pregnant women.
• Vitamin A is not recommended to improve maternal and perinatal outcomes.
• Vitamin A deficiency is a severe public health problem if 5% or more of women in a population have a history of night blindness in their most recent pregnancy in the previous 3–5 years that ended in a live birth, or if 20% or more ...
WHO recommendations on antenatal care for a positive pregnancy experience
(Context-specific recommendation)
Remarks
• This recommendation is consistent with the 2011 WHO recommendations for prevention and treatment of pre-eclampsia and eclampsia (strong recommendation, moderate-quality evidence) and supersedes the WHO recommendation found in the 2013 Guideline: calcium supplementation in pregnant women.
• Dietary counselling of pregnant women should promote adequate calcium intake through locally available, calcium-rich foods.
• Dividing the dose of calcium ...