In India, more than 4 visits for antenatal care is observed in 51% pregnancies and neonatal mortality accounts for around 38% of the under-five mortality (WHO). Proper detection and management of maternal diseases and early detection of malformations is possible with early visits in pregnancy. Nowadays some even come for preconceptional counseling. What would be optimum and effective in developing countries? Any further suggestions?
There should be an improvement in the antenatal care visit. In addition, there should be a psychological counselling and education on the mental involvement in antenatal depression.
preconceptional counseling is very important in addition to the improvement of the antenatal care.
No doubt preconceptional counselling, wherever possible, can be an important addition to the services and will be helpful in improving the antenatal care and decreasing neonatal mortality. Also needed is the improvement in the quality and reach of antenatal services. The number of antenatal visits should be increased and the target should be to do at least 8 antenatal checkups. The quality of each ANC also need to be closely monitored and it shouldn't be just completing the numbers.
Is very possible that improvement in antenatal care visits can decrease stillbirths and neonatal mortality. During the visit the expected mother will be provide with adequate and relevant information on how to care for the pregnancy
Sarit Sharma Yes, with more pregnancies occurring at later ages and availability of better technologies for monitoring, more no. of antenatal visits with appropriate monitoring can be beneficial especially in the high risk pregnancies.
Yes, as it improved the health care and prevent or manage complications.
scaling up of midwifery care has been shown to reduce preterm births by 24% (Sandall Cochrane, 2013)
Preterm or low birth weight babies are likely to have higher morbidity and mortality. Proper antenatal care and monitoring should help reduce these problems and improve outcomes. In addition preconceptional counselng would help in appropriate evaluation and planning of the pregnancies. Well said Beth Shorter and Sahar Al.Hiali
ان الزيارات المنتظمة للطبيب من قبل المرأة الحامل يجعل الطبيب في حالة متابعة مستمرة لتطور الطفل سواء كان ايجابيا او سلبيا ، مما يجعل لديه القدرة على منع الخطر
Thanks everyone for active involvement in discussion and suggestions.
Prenatal and neonatal mortalities can be reduced by providing individualized pre conception and antenatal care to all women of reproductive age. In addition active management of labour is necessary for better outcomes.
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