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Antenatal Care Bundle for Preventing Stillbirths: Proposed Intervention by Stillbirth Society of India
Manju Puri1, Tamkin Khan2, Asna Ashraf3
1Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India.
Insights
The Antenatal Care Bundle offers evidence-based interventions to reduce stillbirths, complementing WHO guidelines. These standard care practices focus on risk assessment and monitoring for optimal pregnancy outcomes, especially in low-resource areas.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Public Health Interventions
Background:
- Stillbirth remains a significant global health challenge.
- Existing antenatal care guidelines may require adaptation for diverse settings.
- The Stillbirth Society of India developed a comprehensive approach to improve care.
Purpose of the Study:
- To present an evidence-based Antenatal Care Bundle to reduce stillbirths.
- To provide standardized interventions complementing WHO recommendations.
- To address critical areas like risk assessment and fetal monitoring.
Main Methods:
- Development of interventions through expert consensus and discussion.
- Grading of recommendations based on NICE guidelines for evidence levels.
- Focus on applicability in low-resource settings.
Main Results:
- The bundle includes interventions for risk assessment, maternal-fetal monitoring, and fetal growth restriction management.
- Recommendations are evidence-based and consensus-driven.
- Designed for adoption by all practitioners for standardized care.
Conclusions:
- The Antenatal Care Bundle offers a standardized, evidence-based approach to improve antenatal care.
- Implementation can lead to optimal pregnancy outcomes and reduced stillbirth rates.
- The bundle is particularly relevant for enhancing care in resource-limited environments.
Abstract:
Antenatal Care Bundle" presents evidence-based antenatal care interventions aimed at reducing stillbirths, developed by the Stillbirth Society of India. The interventions are designed to complement WHO recommendations, focusing on risk assessment, maternal and fetal monitoring, and management of fetal growth restriction, particularly in low-resource settings. They are intended to be adopted by all the practitioners to provide standard care to every pregnant woman for optimal outcomes. Each section of this bundle has undergone extensive discussion followed by consensus. The recommendations have been graded according to the level of evidence-based as recommended by NICE guidelines.
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