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.

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