WHO recommendations on antenatal care for a positive pregnancy experience

WHO recommendations on antenatal care for a positive pregnancy experience

November 2016

Within the continuum of reproductive health care, antenatal care (ANC) provides a platform for important healthcare functions, including health promotion, screening and diagnosis, and disease prevention. It has been established that, by implementing timely and appropriate evidence-based practices, ANC can save lives.

Endorsed, by the UN Secretary-General, this is a comprehensive WHO guideline on routine ANC for pregnant women and adolescent girls. It aims to complement existing WHO guidelines on the management of specific pregnancy-related complications. The guidance aims to capture the complex nature of the issues surrounding ANC health care practices and delivery, and to prioritize person-centred health and well-being, not only the prevention of death and morbidity, in accordance with a human rights-based approach.

"To achieve the Every Woman Every Child vision and the Global Strategy for Women's Children's and Adolescents' Health, we need innovative, evidence-based approaches to antenatal care. I welcome these guidelines, which aim to put women at the centre of care, enhancing their experience of pregnancy and ensuring that babies have the best possible start in life." Ban Ki-moon, UN Secretary-General

 

Recommendations

 

Nutritional interventions 

Dietary interventions

WHO recommendation on healthy eating and keeping physically active during pregnancy

Published: November 2016

WHO recommendation on nutrition education on increasing daily energy and protein intake during pregnancy

Published: November 2016

WHO recommendation on balanced energy and protein dietary supplementation during pregnancy

Published: November 2016

WHO recommendation on high-protein supplementation during pregnancy

Published: November  2016

Supplements

WHO recommendation on daily oral iron and folic acid supplementation during pregnancy

Published: November  2016

WHO recommendation on intermittent oral iron and folic acid supplementation during pregnancy

Published: November  2016

WHO recommendation on daily calcium supplementation during pregnancy

Published: November  2016

WHO recommendation on vitamin A supplementation during pregnancy

Published: November  2016

WHO recommendation on zinc supplementation during pregnancy

Published: November  2016

WHO recommendation on multiple micronutrient supplements during pregnancy

Published: November  2016

WHO recommendation on vitamin B6 (pyridoxine) supplementation during pregnancy

Published: November  2016

WHO recommendation against vitamin E and C supplementation during pregnancy

Published: November  2016

WHO recommendation on vitamin D supplementation during pregnancy

Published: November  2016

WHO recommendation on restricting caffeine intake during pregnancy

Published: November  2016

 

Maternal and fetal assessment 

WHO recommendation on the method for anaemia diagnosis in pregnancy

Published: November  2016

WHO recommendation on the recommended method for diagnosing asymptomatic bacteriuria in pregnancy

Published: November  2016

WHO recommendation on clinical enquiry about the possibility of intimate partner violence during pregnancy

Published: November  2016

WHO recommendation on diagnosis of gestational diabetes mellitus

Published: November  2016

WHO recommendation on tobacco use during pregnancy

Published: November  2016

WHO recommendation on substance use during pregnancy

Published: November  2016

WHO recommendation on human immunodeficiency virus (HIV) and syphilis testing during pregnancy

Published: November  2016

WHO recommendation on systematic screening for active tuberculosis during pregnancy

Published: November  2016

WHO recommendation on daily fetal movement counting

Published: November  2016

WHO recommendation on symphysis-fundal height measurement during pregnancy

Published: November  2016

WHO recommendation on routine antenatal cardiotocography

Published: November  2016

WHO recommendation on ultrasound scan in pregnancy

Published: November  2016

WHO recommendation on routine Doppler ultrasound examination in pregnancy

Published: November  2016

 

Preventive measures

WHO recommendation on antibiotics for asymptomatic bacteriuria during pregnancy

Published: November  2016

WHO recommendation on antibiotic prophylaxis to prevent recurrent urinary tract infections during pregnancy

Published: November  2016

WHO recommendation on antenatal anti-D immunoglobulin administration

Published: November  2016

WHO recommendation on preventive anthelminthic treatment during pregnancy

Published: November  2016

WHO recommendation on tetanus toxoid vaccination during pregnancy

Published: November  2016

WHO recommendation on  malaria intermittent preventive treatment in pregnancy

Published: November  2016

WHO recommendation on pre-exposure prophylaxis for HIV prevention during pregnancy

Published: November  2016

 

Interventions for common physiological symptoms

WHO recommendation on nausea and vomiting relief in pregnancy

Published: November  2016

WHO recommendation on diet and lifestyle to prevent and relieve heartburn in pregnancy

Published: November  2016

WHO recommendation on tratment of leg cramps in pregnancy

Published: November  2016

WHO recommendation on low back and pelvic pain prevention during pregnancy

Published: November  2016

WHO recommendation on constipation during pregnancy

Published: November  2016

WHO recommendation on varicose veins and oedema management during pregnancy

Published: November  2016

 

Health systems interventions to improve the utilization and quality of antenatal care

WHO recommendation on woman-held case notes during pregnancy

Published: November  2016

WHO recommendation on midwife-led continuity of care during pregnancy

Published: November  2016

WHO recommendation on group antenatal care

Published: November  2016

WHO recommendations on community-based interventions to improve communication and support: Facilitated participatory learning and action cycles with women`s groups during pregnancy

Published: November  2016

WHO recommendations on community-based interventions to improve communication and support: Community mobilization and antenatal home visits

Published: November  2016

WHO recommendation on task shifting components of antenatal care delivery

Published: November  2016

WHO recommendation on recruitment and retention of staff in rural and remote areas

Published: November  2016

WHO recommendation on antenatal care contact schedules

Published: November  2016

 

Highlights and Key Messages from the World Health Organization’s 2016 Global Recommendations for Routine Antenatal Care

Published: January 2018