WHO recommendations on antenatal care for a positive pregnancy experience-going beyond survival.
01 May 2017-British Journal of Obstetrics and Gynaecology (John Wiley & Sons, Ltd)-Vol. 124, Iss: 6, pp 860-862
TL;DR: This poster presents a poster presented at the 2015 United Nations General Assembly of the United Nations Educational, Scientific and Cultural Organisation (UNESCO) entitled “On the Road to Sustainable Development: Foundations of Reproductive Health and Research, 2nd Ed.”
About: This article is published in British Journal of Obstetrics and Gynaecology.The article was published on 2017-05-01 and is currently open access. It has received 536 citations till now. The article focuses on the topics: MEDLINE & Pregnancy.
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Journal Article•
TL;DR: The aim of this bi-monthly column is to highlight Cochrane Systematic Reviews of relevance to pregnancy and childbirth and to stimulate discussion on the relevance and implications of the review for practice.
Abstract: The aim of this bi-monthly column is to highlight Cochrane Systematic Reviews of relevance to pregnancy and childbirth and to stimulate discussion on the relevance and implications of the review for practice. The Cochrane Collaboration is an international organisation that prepares and maintains high quality systematic reviews to help people make well-informed decisions about healthcare and health policy. A systematic review tries to search for, appraise and bring together existing research to answer a specific research quesiton. The Cochrane Database of Systematic Reviews (CDSR) is published monthly online. Residents in countries with a national licence to the Cochrane Libray, including the U.K. and Ireland, can access the Cochrane Library online, free of charge through www.thecochranelibrary.com.
669 citations
Journal Article•
TL;DR: The aim of this bi-monthly column is to highlight Cochrane Systematic Reviews of relevance to pregnancy and childbirth and to stimulate discussion on the relevance and implications of the review for practice.
Abstract: The aim of this bi-monthly column is to highlight Cochrane Systematic Reviews of relevance to pregnancy and childbirth and to stimulate discussion on the relevance and implications of the review for practice. The Cochrane Collaboration is an international organisation that prepares and maintains high quality systematic reviews to help people make well-informed decisions about healthcare and health policy. A systematic review tries to search for, appraise and bring together existing research to answer a specific research question. The Cochrane Database of Systematic Reviews (CDSR) is published monthly online. Residents in countries with a national licence to The Cochrane Library, including the UK and Ireland, can access the Cochrane Library online, free of charge, through www.thecochranelibrary.com.
396 citations
Journal Article•
356 citations
University of Toronto1, University of Texas at Austin2, New York Academy of Sciences3, Bill & Melinda Gates Foundation4, Food and Drug Administration5, University College Cork6, Tufts University7, Centers for Disease Control and Prevention8, Queen Mary University of London9, Global Alliance for Improved Nutrition10, Mayo Clinic11, University of Saskatchewan12
TL;DR: If a high prevalence of vitamin D deficiency is identified or the risk for vitamin D deficiencies is determined to be high based on proxy indicators, food fortification and/or targeted vitamin D supplementation policies can be implemented to reduce the burden ofitamin D deficiency–related conditions in vulnerable populations.
Abstract: Vitamin D is an essential nutrient for bone health and may influence the risks of respiratory illness, adverse pregnancy outcomes, and chronic diseases of adulthood. Because many countries have a relatively low supply of foods rich in vitamin D and inadequate exposure to natural ultraviolet B (UVB) radiation from sunlight, an important proportion of the global population is at risk of vitamin D deficiency. There is general agreement that the minimum serum/plasma 25-hydroxyvitamin D concentration (25(OH)D) that protects against vitamin D deficiency-related bone disease is approximately 30 nmol/L; therefore, this threshold is suitable to define vitamin D deficiency in population surveys. However, efforts to assess the vitamin D status of populations in low- and middle-income countries have been hampered by limited availability of population-representative 25(OH)D data, particularly among population subgroups most vulnerable to the skeletal and potential extraskeletal consequences of low vitamin D status, namely exclusively breastfed infants, children, adolescents, pregnant and lactating women, and the elderly. In the absence of 25(OH)D data, identification of communities that would benefit from public health interventions to improve vitamin D status may require proxy indicators of the population risk of vitamin D deficiency, such as the prevalence of rickets or metrics of usual UVB exposure. If a high prevalence of vitamin D deficiency is identified (>20% prevalence of 25(OH)D 1%), food fortification and/or targeted vitamin D supplementation policies can be implemented to reduce the burden of vitamin D deficiency-related conditions in vulnerable populations.
304 citations
TL;DR: The 2016 WHO guideline on routine antenatal care (ANC) recommends several health systems interventions to improve quality of care and increase use of services including midwife-led continuity of care throughout the antenatal, intrapartum, and postnatal periods.
Abstract: The 2016 WHO guideline on routine antenatal care (ANC) recommends several health systems interventions to improve quality of care and increase use of services including: Midwife-led continuity of care throughout the antenatal, intrapartum, and postnatal periods Task shifting components of ANC, including promotion of health-related behaviors and distribution of nutrition supplements Recruitment and retention of health workers in rural and remote areas Community mobilization to improve communication and support to pregnant women Women-held case notes A model with a minimum of 8 antenatal care contacts
183 citations
Cites background from "WHO recommendations on antenatal ca..."
...Furthermore, “WHO envisions a world where every pregnant woman and newborn receives quality care throughout pregnancy, childbirth and the postnatal period,”(4) underscoring that the provision of integrated high-quality antenatal care (ANC) services is a critical part of the global agenda of achieving equitable, people-centered universal health coverage.(5,6) In November 2016, WHO issued a new global guideline on routine ANC:WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience....
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References
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01 Jan 2011
12,469 citations
"WHO recommendations on antenatal ca..." refers methods in this paper
...Assessment of the quality of individual studies included in Cochrane reviews of intervention studies follows specific and explicit methods for assessing the risk of bias using six standard criteria outlined in the Cochrane handbook for systematic reviews of interventions (23)....
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01 Jan 2013
TL;DR: In this article, the authors present the first global systematic review of scientific data on the prevalence of two forms of violence against women: violence by an intimate partner (intimate partner violence) and sexual violence by someone other than a partner.
Abstract: This report presents the first global systematic review of scientific data on the prevalence of two forms of violence against women: violence by an intimate partner (intimate partner violence) and sexual violence by someone other than a partner (non-partner sexual violence). It shows for the first time global and regional estimates of the prevalence of these two forms of violence using data from around the world. Previous reporting on violence against women has not differentiated between partner- and nonpartner violence.
2,283 citations
"WHO recommendations on antenatal ca..." refers background in this paper
...Emotional abuse (being humiliated, insulted, intimidated and subjected to controlling behaviours such as not being permitted to see friends or family) also adversely impacts the health of individuals (85)....
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...n n Severe IPV in pregnancy (such as being beaten up, choked or burnt on purpose, being threatened with or having a weapon used against her, and sexual violence) (85) is more common among women who are in relationships that have also been severely abusive outside of pregnancy....
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...a history of STIs including HIV, unintended pregnancy, abortion and/or miscarriage), depression, substance use and other mental health problems (85)....
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...Notably, the prevalence among young women (under 20 years old) approaches 30%, suggesting that violence commonly starts early in women’s relationships (85)....
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...Worldwide, almost one third of all women who have been in a relationship have experienced physical and/or sexual violence by their intimate partner (85)....
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TL;DR: In this paper, the authors argue that despite the complexity of knowing what works in terms of reducing maternal mortality, only a few strategic choices need to be made to reduce maternal mortality.
1,611 citations
Book•
01 Jan 2006
TL;DR: Food fortification has the dual advantage of being able to deliver nutrients to large segments of the population without requiring radical changes in food consumption patterns.
Abstract: Food and Agricultural Organization of the United Nations PA N I S F I A T G u id e in e s o n fo o d fo r tific atio n w th m ic r o n u tr ie n ts Interest in micronutrient malnutrition has increased greatly over the last few years. One of the main reasons is the realization that micronutrient malnutrition contributes substantially to the global burden of disease. Furthermore, although micronutrient malnutrition is more frequent and severe in the developing world and among disadvantaged populations, it also represents a public health problem in some industrialized countries. Measures to correct micronutrient deficiencies aim at ensuring consumption of a balanced diet that is adequate in every nutrient. Unfortunately, this is far from being achieved everywhere since it requires universal access to adequate food and appropriate dietary habits. Food fortification has the dual advantage of being able to deliver nutrients to large segments of the population without requiring radical changes in food consumption patterns.
1,338 citations
"WHO recommendations on antenatal ca..." refers background in this paper
...n n Vitamin B6 deficiency alone is uncommon; it mostly occurs in combination with deficiencies of other B vitamins (70)....
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TL;DR: Based on MMR estimates for 2015, scenario-based projections are constructed to highlight the accelerations needed to accomplish the Sustainable Development Goal (SDG) global target of less than 70 maternal deaths per 100,000 live births globally by 2030.
1,284 citations