Optimal outcomes and womens posititive childbirth exsperience: a comparision between the World Health Organization guideline and recommendation in European antenatal care guidelines

Laura Ianuzzi, Lucia Branchini, Jette Aaroe Clausen, Dolores Ruiz-Berdun, Patricia Gillen, Maria Healey, Katrine beeckman, Anna Seijmonsbergen-schermers, Ramon ESCURIET PEIRO, Sandra Morano, Mariarosaria DI TOMMASO, Soo Downe

    Publikation: Bidrag til tidsskriftTidsskriftsartikelForskningpeer review


    BAC KGRO UND: 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.
    TidsskriftMinerva Ginecologica
    Udgave nummer6
    Sider (fra-til)650-662
    Antal sider2
    StatusUdgivet - dec. 2018