WHO recommendations on intrapartum care for a positive childbirth experience

WHO recommendations on intrapartum care for a positive childbirth experience

February 2018

This up-to-date, comprehensive and consolidated guideline on essential intrapartum care brings together new and existing WHO recommendations that, when delivered as a package, will ensure good-quality and evidence-based care irrespective of the setting or level of health care. The recommendations presented in this guideline are neither country nor region specific and acknowledge the variations that exist globally as to the level of available health services within and between countries.

 

Recommendations

 

Care throughout labour and birth

WHO recommendation on respectful maternity care  during labour and childbirth

Published: February 2018

WHO recommendation on effective communication between maternity care providers and women in labour

Published: February 2018

WHO recommendation on companionship during labour and childbirth

Published: February 2018

WHO recommendation on continuity of care for a positive childbirth experience

Published: February 2018

 

First stage of labour

WHO recommendation on definitions of the latent and active first stages of labour

Published: February 2018

WHO recommendation on duration of the first stage of labour

Published: February 2018

WHO recommendation on progress of the first stage of labour: diagnostic test accuracy of a 1–cm/hour cervical dilatation rate threshold

Published: February 2018

WHO recommendation on progress of the first stage of labour: application of slow-yet-normal cervical dilatation patterns for labour management

Published: February 2018

WHO recommendation on labour ward admission policy

Published: February 2018

WHO recommendation on clinical pelvimetry on admission

Published: February 2018

WHO recommendation on routine assessment of fetal well-being on labour admission

Published: February 2018

WHO recommendation on perineal/pubic shaving at birth

Published: February 2018

WHO recommendation on administration of enema on admission

Published: February 2018

WHO recommendation on digital vaginal examination

Published: February 2018

WHO recommendation on continuous cardiotocography during labour

Published: February 2018

WHO recommendation on intermittent fetal heart rate auscultation during labour

Published: February 2018

WHO recommendation on epidural analgesia for pain relief

Published: February 2018

WHO recommendation on opioid analgesia for pain relief

Published: February 2018

WHO recommendation on relaxation techniques for pain management

Published: February 2018

WHO recommendation on manual techniques for pain management

Published: February 2018

WHO recommendation on pain relief for preventing labour delay

Published: February 2018

WHO recommendation on oral fluid and food intake during labour

Published: February 2018

WHO recommendation on maternal mobility and position during labour 

Published: February 2018

WHO recommendation on vaginal cleansing during labour

Published: February 2018

WHO recommendation on active management of labour

Published: February 2018

WHO recommendation on routine amniotomy for prevention of delay in labour 

Published: February 2018

WHO recommendation on early amniotomy and oxytocin for prevention of delay in labour 

Published: February 2018

WHO recommendation on oxytocin for prevention of delay in labour in women with epidural analgesia

Published: February 2018

WHO recommendation on antispasmodic agents for prevention of delay in labour 

Published: February 2018

WHO recommendation on intravenous fluids for preventing labour delay

Published: February 2018

 

Second stage of labour

WHO recommendation on definition and duration of the second stage of labour

Published: February 2018

WHO recommendation on birth position (for women without epidural analgesia)

Published: February 2018

WHO recommendation on birth position (for women with epidural analgesia)

Published: February 2018

WHO recommendation on method of pushing

Published: February 2018

WHO recommendation on method of pushing (for women with epidural analgesia)

Published: February 2018

WHO recommendation on techniques for preventing perineal trauma

Published: February 2018

WHO recommendation on episiotomy policy

Published: February 2018

WHO recommendation on fundal pressure to facilitate childbirth

Published: February 2018

 

Third stage of labour

WHO recommendation on prophylactic uterotonics for the prevention of postpartum haemorrhage

Published: February 2018

WHO recommendation on delayed umbilical cord clamping

Published: February 2018

WHO recommendation on controlled cord traction

Published: February 2018

WHO recommendation on uterine massage for prevention of postpartum haemorrhage

Published: February 2018

 

Care of the newborn

WHO recommendation on newborn routine nasal or oral suction

Published: February 2018

WHO recommendation on skin-to-skin contact during the first hour after birth

Published: February 2018

WHO recommendation on breastfeeding as soon as possible after birth

Published: February 2018

WHO recommendation on haemorrhagic disease prophylaxis using vitamin K

Published: February 2018

WHO recommendation on bathing and other immediate postnatal care of the newborn

Published: February 2018

 

Care of the woman after birth

WHO recommendation on uterine tonus assessment 

Published: February 2018

WHO recommendation on antibiotics for uncomplicated vaginal birth

Published: February 2018

WHO recommendation on routine antibiotic prophylaxis for episiotomy

Published: February 2018

WHO recommendation on routine postpartum maternal assessment

Published: February 2018

WHO recommendation on postnatal discharge following uncomplicated vaginal birth

Published: February 2018