It has been established that by implementing timely and appropriate evidencebased practices, anc can save lives. Pregnant women are supported to access antenatal care, ideally by 10weeks 0days. Measuring the use of nice guidance antenatal care for. However, to achieve the lifesaving potential which anc promises for women and babies, at least four visits providing essential evidence based. Antenatal care for uncomplicated pregnancies clinical guideline published. National institute for health and care excellence nice 22 september 2010 this guideline covers antenatal care for all pregnant women with complex social factors particularly alcohol or drug misuse, recent migrant or asylum seeker status, difficulty reading or speaking. Dec 17, 2014 antenatal care 2 systematic supervision of a woman during pregnancy is called antenatal care. The pregnancy care guidelines cover a wide range of topics including routine physical examinations, screening tests and social and lifestyle advice for women with an uncomplicated pregnancy. Making decisions using nice guidelines explains how we use words to show the strength or. This guidance represents the views of nice and was arrived at after careful consideration of the. Pregnant women are cared for by a named midwife throughout their pregnancy. Pregnant teenagers should be offered the standard antenatal care package as recommended by the national institute for health and clinical excellence nice, antenatal care guideline, 2008 updated 2016. This recommendation is adapted from whos 2010 publication. Antenatal care nice clinical guideline 62 the advice in the nice guideline covers the routine care that all healthy women can expect to receive during their pregnancy.
Nice clinical guidelines are recommendations on the appropriate treatment and care of people with specific diseases and conditions within the nhs in england and wales. They are intended for all health professionals who contribute to antenatal care including midwives, obstetricians, general practitioners, practice nurses, maternal and child health nurses, aboriginal and torres strait islander. They are based on the best available evidence and aim to improve the quality of healthcare by changing the process of healthcare and improving peoples chances of getting as well as possible. Purpose and scope maternal obesity has become one of the most commonly occurring risk factors in obstetric practice. Everything nice has said on antenatal care for healthy women with uncomplicated pregnancies in an interactive flowchart. The pregnancy care guidelines are designed to support australian maternity services to provide highquality, evidencebased antenatal care to healthy pregnant women. July 2010 nice public health guidance 27 this guidance was developed using the nice public health intervention process. Nice produces guidance, standards and information on.
Antenatal care anc forms a very significant part of all maternal health care provision. Who guidelines are specific on the content of antenatal care visits, which should include blood pressure measurement urine testing for bacteriuria proteinuria blood testing to detect syphilis severe anemia weightheight measurement optional 24 international goals targets. These guidelines are revised regularly, a revised version was issued in 2008 4 with some adjustments in 2010 and a new revision was planned in 2014. Quality measure structure a evidence of local services that ensure antenatal care is readily and easily accessible. Gps should therefore be aware of the structure and purp. Informing women about antenatal care article pdf available in the practising midwife 8. Weight management before, during and after pregnancy. Weight management before, during and after pregnancy quick reference guide issue date. Weight management before, during and after pregnancy nhs. Nice antenatal care guideline nice guideline guidelines. Antenatal care for uncomplicated pregnancies cg62, feb 2019 free. Testing the effectiveness of reach pregnancy circles group. With 350 deaths per 100,000 deliveries who, 2010, ghana ranked 31st on the world maternal mortality index. Overall, midwifery style services can provide good care for low risk women having a second or.
The updated nice guideline methodology manual 2007633 requires that. Measuring the use of nice guidance niceimpact maternity. Early access to antenatal care introduction what happens during the early years, starting in the womb, has lifelong effects on a range of health and wellbeing outcomes including obesity, heart disease, mental health, educational attainment and economic status marmot, 2010. If you are under 20, you should be given the name and phone number of the midwife who will provide most of your care during your pregnancy.
Nice recommend that costeffectiveness is calculated as the cost per. In lowrisk women, this is usually provided by the community midwife and the gp. Nice has written information for the public on antenatal care for uncomplicated pregnancies. There should be continuity of care throughout the antenatal period a system of clear referral paths should be established so that pregnant women who require additional care are managed and treated by the appropriate specialist.
Although group antenatal care has been shown in some settings to be effective for. Most commentators recognize at least five different components of access, including physical availability of services, distance andor time to a facility, economic and other costs. Malaria in pregnancy frequently asked questions faq 1 march 2018. This guidance has been updated and replaced by nice guideline cg62.
Nice has recently published a quality standard for antenatal care 5 and a list of actions that is not recommended 6. Nice has recently published a quality standard for antenatal care 5 and a list of actions that is. Antenatal care nice sep 17, 2012 with risk factors such as obesity, smoking, diabetes, hypertension, substance misuse or domestic abuse. Components of antenatal care antenatal care is the systemic supervision of women during pregnancy to monitor the progress of foetal growth and to ascertain the wellbeing of the mother and the foetus. Introduction in 2016, the world health organization who published recommendations on antenatal care for a positive pregnancy experience who 2016, which outlines a new set of evidencebased global guidelines on.
Hypertension in pregnancy 2010 has a series of flowcharts that cover the management of chronic hypertension, gestational hypertension and preeclampsia. You should be given information about having your antenatal care together with other young women in places that are easy. The benefits of a planned pregnancy and general good health. Antenatal care anc coverage is a success story in africa,since over twothirds of pregnant women 69 percent have at least one anc contact. The aims of antenatal care are to optimise maternal and fetal health, to offer women maternal and fetal screening, to make medical or social interventions available to women where indicated, to improve.
Ppt antenatal care powerpoint presentation free to. Antenatal care for uncomplicated pregnancies overview. Review new diagnostic technologies for adoption in the nhs. Providing focused antenatal care study session providing focused antenatal care introduction. New guidelines on antenatal care for a positive pregnancy experience. Within the continuum of reproductive health care, antenatal care anc provides a platform for important health care functions, including health promotion, screening and diagnosis, and disease prevention. Includes covid19 rapid guidelines and clinical guidelines. Pregnant women are supported to access antenatal care, ideally by 10 weeks 0 days. This report considers how our evidencebased guidance might contribute to improvements in the safety and personalisation of maternity care. Review the evidence across broad health and social care topics. Organization of antenatal care katharine whitehouse, 2010. It provides therapeutic interventions and education to the pregnant women about planning for safe birth, emergencies during pregnancy and how to deal with them.
Who recommendations on antenatal care for a positive. The recommendations in this guideline represent the view of nice. Who recommendations on antenatal care for a positive pregnancy. The aim of health education during ante natal is to provide. The advice in the nice guideline covers the routine care that all healthy women can expect to receive during their pregnancy. Antenatal care national library of medicine pubmed health. Antenatal management of teenage pregnancy sciencedirect. This guideline covers the care that healthy women and their babies should be offered during pregnancy. Pregnant women have a complete record of the minimum set of antenatal. In part 1 of the antenatal care module, you have learned mainly about how the human reproductive system is structured anatomically and how it functions, the normal process and adaptation of pregnancy, the general assessment of the progress of pregnancy, and how to. Review clinical and cost effectiveness of new treatments. All pregnant women in the uk are entitled to antenatal care. The information on managing pregnant women at each antenatal appointment is largely based on expert opinion in the national institute of health and care excellence nice guideline antenatal care for uncomplicated pregnancies national collaborating centre for womens and childrens health, 2010a.
The norwegian directorate of health has not decided when the guidelines for antenatal care will be revised, and when the antenatal care record helsekort for gravide from 1984 will be revised. However,to achieve the full lifesaving potential that anc promises for women and babies, four visits providing essential evidence based interventions a package often. Who new guidelines on antenatal care for a positive. This guideline was produced by the national collaborating centre for womens and childrens health nccwch on behalf of the national institute of health and care excellence nice. Crucially, anc also provides the opportunity to communicate with and support women, families and communities at a. Obesity in pregnancy is usually defined as a body mass index bmi of 30 kgm 2 or more at the first antenatal consultation. Although there is little direct evidence, outcome data suggest that neonates born to mothers who do not receive antenatal care are 3 times. This update has also provided an opportunity to look at a number of aspects of antenatal care. Antenatal care is a key component of a healthy pregnancy. Since then a number of important pieces of evidence have become available, particularly concerning gestational diabetes, haemoglobinopathy and ultrasound, so that the update was initiated.
Clinical risk assessment antenatal v11 025 march 2015 2018 page 1 of 17. Pregnancy care guidelines australian government department. Nice support for commissioners and others using the quality. Nice has recently published a quality standard for antenatal.
Antenatal care for uncomplicated pregnancies nice pathways. The guideline has been developed with the following aims. Infant mortality rate in ghana is 50 per live births compared with 5 in high income countries world. See also schedule of appointments for further information on antenatal appointments. Nice public health guidance makes recommendations on the promotion of good health and the prevention of ill health. It has been established that by implementing timely. The pregnancy care guidelines were originally released in two modules known as the clinical practice guidelines antenatal care antenatal care guidelines. According to who 2012 a little over twothirds of pregnant women 69 percent have at least one anc contact. The nice quality standard for antenatal care was developed by a topic. Antenatal assessment of preeclampsia riskin hypertension in pregnancy nice quality standard 35. The guidance offers suggested management during the antenatal, intrapartum and postnatal periods for primary and secondary care. Your babys father can be involved in your antenatal care if this is what you want. Routine care for the healthy pregnant woman 2008 was used as a reference guideline. The principles outlined in this section apply to all aspects of the antenatal care guideline.
Management of women with obesity in pregnancy page 2 of 29 march 2010 1. Nice has also produced guidelines on diabetes in pregnancy, hypertension in pregnancy, multiple pregnancy and ectopic pregnancy and miscarriage. Education and information on pregnancy and pregnancy related issues. The recommendations about smoking in pregnancy in section 1. It aims to ensure that pregnant women are offered regular checkups, information and support. Updated nice guideline published on care and support that women should receive during pregnancy pdf 35. Antenatal care should be provided by a small group of healthcare professionals with whom the woman feels comfortable. However, as outlined, teenagers are a vulnerable group and therefore require additional antenatal care. The original antenatal care guideline was published by nice in 2003. This guideline was produced by the national collaborating centre for womens and childrens health nccwch on behalf of the national institute of health and care. Regular antenatal care helps to identify and treat complications and to promote healthy behaviours.