Optimal outcomes and women's positive pregnancy experience: a comparison between the World Health Organization guideline and recommendations in European national antenatal care guidelines

Autor: Mariarosaria Di Tommaso, Dolores Ruiz-Berdún, Sandra Morano, Soo Downe, Katrien Beeckman, Maria Healy, Laura Iannuzzi, Ramon Escuriet Peiró, Patricia Gillen, Anna E Seijmonsbergen-Schermers, Lucia Branchini, Jette Aaroe Clausen
Přispěvatelé: Midwifery Science, Amsterdam Reproduction & Development (AR&D), APH - Quality of Care, Public Health Sciences, Hematology, Organisation, policy and social inequalities in health care, UZB Other
Rok vydání: 2018
Předmět:
Zdroj: Minerva Ginecologica, 70(6), 650-662. Edizioni Minerva Medica S.p.A.
Iannuzzi, L, Branchini, L, Clausen, J A, Ruiz-Berdún, D, Gillen, P, Healy, M, Beeckman, K, Seijmonsbergen-Schermers, A, Escuriet Peiró, R, Morano, S, Di Tommaso, M & Downe, S 2018, ' Optimal outcomes and women's positive pregnancy experience : a comparison between the World Health Organization guideline and recommendations in European national antenatal care guidelines ', Minerva Ginecologica, vol. 70, no. 6, pp. 650-662 . https://doi.org/10.23736/S0026-4784.18.04301-0
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Iannuzzi, L, Branchini, L, Clausen, J A, Ruiz-Berdun, D, Gillen, P, Healy, M, Beeckman, K, Siejmonsbergen-Schermers, A, Escuriet Peiro, R, Morano, S, DI Tommaso, M & Downe, S 2018, ' Optimal outcomes and women’s positive pregnancy experience: a comparison between the World Health Organization guideline and recommendations in European national antenatal care guidelines ', Minerva Ginecologica, vol. 70, no. 6, pp. 650-662 . https://doi.org/10.23736/S0026-4784.18.04301-0
ISSN: 1827-1650
0026-4784
Popis: BACKGROUND: The publication of the World Health Organization (WHO) recommendations on antenatal care in 2016 introduced the perspective of women as a necessary component of clinical guidelines in maternity care. WHO highlights the crucial role played by evidence-based recommendations in promoting and supporting normal birth processes and a positive experience of pregnancy. This paper aims to explore and critically appraise recommendations of national antenatal care guidelines across European countries in comparison with the WHO guideline.METHODS: We collected guidelines from country partners of the EU CO ST Action IS1405. Components of the documents structure and main recommendations within and between them were compared and contrasted with the WHO guideline on antenatal care with a particular interest in exploring whether and how women’s experience was included in the recommendations.RESULTS: Eight out of eleven countries had a single national guideline on antenatal care while three countries did not. National guidelines mostly focused on care of healthy women with a straightforward pregnancy. The level of concordance between the national and the WHO recommendations varied along a continuum from almost total concordance to almost total dissonance. Women’s views and experiences were accounted for in some guidelines, but mostly not placed at the same level of importance as clinical items.CONCLUSIONS: Findings outline convergences and divergences with the WHO recommendations. They highlight the need for considering women’s views more in the development of evidence-based recommendations and in practice for positive impacts on perinatal health at a global level, and on the experiences of each family.(Cite this article as: Iannuzzi L, Branchini L, Clausen JA, Ruiz-Berdún D, Gillen P, Healy M, et al. Optimal outcomes and women’s positive pregnancy experience: a comparison between the World Health Organization guideline and recommendations in European national antenatal care guidelines.
Databáze: OpenAIRE