WHO recommendations on antenatal care for a positive pregnancy experience—going beyond survival

WHO recommendations on antenatal care for a positive pregnancy experience—going beyond survival

9 March 2017 | Ö Tunçalp, JP Pena-Rosas, T Lawrie, M Bucagu, OT Oladapo, A Portela, A Metin Gülmezoglu
The World Health Organization (WHO) has released comprehensive recommendations on antenatal care (ANC) aimed at improving the pregnancy experience beyond just preventing death and illness. These recommendations emphasize person-centered care, focusing on maintaining physical and sociocultural normality, ensuring a healthy pregnancy, effective labor and birth, and positive motherhood. The guidelines highlight the importance of increasing the number of ANC contacts, with a minimum of eight visits during pregnancy, to enhance maternal and fetal health outcomes. The new model, known as focused ANC (FANC) or basic ANC (BANC), encourages more frequent contact between pregnant women and healthcare providers, emphasizing quality care, support, and timely information. The guidelines include recommendations on antenatal nutrition, maternal and fetal assessments, prevention of common symptoms, and integration of health systems interventions to improve ANC utilization and quality. Additionally, the guidelines incorporate recommendations on malaria, tuberculosis, and HIV for pregnant women, as well as early ultrasound scans for accurate gestational age determination and identification of multiple pregnancies and fetal anomalies. The guidelines also emphasize the importance of nutrition, counseling on healthy eating and physical activity, and the routine use of iron and folic acid supplements. They include health systems interventions such as midwife-led continuity of care, community-based support, and task-shifting to improve ANC delivery. The WHO aims to strengthen health systems by integrating maternal, immunization, antimalarial, tuberculosis, and HIV interventions through the ANC platform. The new recommendations allow flexibility for countries to adapt the ANC model based on their specific needs and contexts. The WHO envisions that every pregnant woman and newborn will receive good quality care throughout pregnancy, childbirth, and the postnatal period. The guidelines aim to create momentum for countries to re-design their health systems to provide respectful, individualized, and person-centered care. The WHO will continue to work with countries and partners to develop tools for country adaptation and implementation, ensuring quality improvement processes to make a lasting impact on maternal and newborn outcomes.The World Health Organization (WHO) has released comprehensive recommendations on antenatal care (ANC) aimed at improving the pregnancy experience beyond just preventing death and illness. These recommendations emphasize person-centered care, focusing on maintaining physical and sociocultural normality, ensuring a healthy pregnancy, effective labor and birth, and positive motherhood. The guidelines highlight the importance of increasing the number of ANC contacts, with a minimum of eight visits during pregnancy, to enhance maternal and fetal health outcomes. The new model, known as focused ANC (FANC) or basic ANC (BANC), encourages more frequent contact between pregnant women and healthcare providers, emphasizing quality care, support, and timely information. The guidelines include recommendations on antenatal nutrition, maternal and fetal assessments, prevention of common symptoms, and integration of health systems interventions to improve ANC utilization and quality. Additionally, the guidelines incorporate recommendations on malaria, tuberculosis, and HIV for pregnant women, as well as early ultrasound scans for accurate gestational age determination and identification of multiple pregnancies and fetal anomalies. The guidelines also emphasize the importance of nutrition, counseling on healthy eating and physical activity, and the routine use of iron and folic acid supplements. They include health systems interventions such as midwife-led continuity of care, community-based support, and task-shifting to improve ANC delivery. The WHO aims to strengthen health systems by integrating maternal, immunization, antimalarial, tuberculosis, and HIV interventions through the ANC platform. The new recommendations allow flexibility for countries to adapt the ANC model based on their specific needs and contexts. The WHO envisions that every pregnant woman and newborn will receive good quality care throughout pregnancy, childbirth, and the postnatal period. The guidelines aim to create momentum for countries to re-design their health systems to provide respectful, individualized, and person-centered care. The WHO will continue to work with countries and partners to develop tools for country adaptation and implementation, ensuring quality improvement processes to make a lasting impact on maternal and newborn outcomes.
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