Document Detail

Appropriate technology: antenatal care.
MedLine Citation:
PMID:  10075217     Owner:  NLM     Status:  MEDLINE    
Appropriate health technology should be effective, safe and feasible. The current antenatal care model originated from western countries. The absence of direct randomized, controlled trials precludes a straight forward evaluation of the impact of prenatal care on birth outcomes. Interventions of proven benefits in eliminating or alleviating adverse maternal outcomes include routine iron and folate supplementation in areas of high anemia prevalence, hemoglobin determination late in pregnancy, screening for asymptomatic bacteriuria by urine culture or dipstick, serologic screening and treatment of syphilis, obtaining a history of difficult labor in multipara or height in nullipara and external cephalic version at term. Interventions of proven benefits in eliminating or alleviating adverse newborn outcomes include routine measurement of fundal height, reduction of maternal physical strain, diagnosis and treatment of tuberculosis, malaria prophylaxis, adequate tetanus immunization, antenatal and perinatal Zidovudine in HIV-positive mothers and one vaginal examination during pregnancy. Only these interventions of proven benefits should be implemented.
P Lumbiganon
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  63 Suppl 1     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1999-05-06     Completed Date:  1999-05-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  S91-5     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Khon Kaen University, Thailand.
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MeSH Terms
Developing Countries
Infant Welfare*
Infant, Newborn
Pregnancy Complications / prevention & control
Pregnancy Outcome*
Prenatal Care / methods*,  trends
Randomized Controlled Trials as Topic
Reproductive Techniques / standards*
Technology Assessment, Biomedical

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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