How to read the guide HOW TO READ THE GUIDE 5 Content In each of the six clinical sections listed Recommendations for the management of Antiretroviral treatment of HIV infection in above there is a series of flow,treatment and The Guide includes routine and emergency care complications at secondary (referral) infants and children in resource-limited information charts which include: for women and newborns during pregnancy. health care level can be found in the following settings,towards universal access: guides for midwives and doctors: Recommendations for a public health labour and delivery,postpartum and post Guidance on routine care,including abortion,as well as key preventive measures approach Web-based public review, monitoring the well-being of the mother and/ Managing complications of pregnancy and 3-12 November 2005 MOH required to reduce the incidence of endemic and or baby. childbirth(WHO/RHR/00.7) other diseases like malaria,anaemia,HIV/AIDS http://www.who.int/hiv/pub/prev_care/en Early detection and management of and TB,which add to maternal and perinatal Managing newborn problems. WHO consultation on technical and complications. operational recommendations for scale-up morbidity and mortality. Preventive measures. Documents referred to in this Guide can be of laboratory services and monitoring HIV Advice and counselling. Most women and newborns using the services obtained from the Department of Making antiretroviral therapy in resource-limited Pregnancy Safer,Family and Community Health, described in the Guide are not ill and/or do not settings.http://www.who.int/hiv/pub/prev_ In addition to the clinical care outlined above, care/en ISBN 92 4 159368 7 have complications.They are able to wait in line World Health Organization,Geneva,Switzerland. other sections in the guide include: when they come for a scheduled visit.However, E-mail:mpspublications@who.int. Malaria and HIV Interactions and their the small proportion of women/newboms who Implications for Public Health Policy. Advice on HIV.prevention and treatment. are ill,have complications or are in labour,need http://www.who.int/hiv/pub/prev_care/en: Support for women with special needs. Other related WHO documents can be ISNB9241593350 urgent attention and care. Links with the community. downloaded from the following links: Interim WHO clinical staging of HIV/AIDS and Drugs,supplies,equipment,universal The clinical content is divided into six sections HIV/AIDS case definitions for surveillance precautions and laboratory tests which are as follows: Medical Eligibility Criteria 3rd edition: African Region.http://www.who.int/hiv/pub/ Examples of clinical records. http://www.who.int/reproductive-health/ prev_care/en Ref no::WHO/HIV/2005.02 Quick check(triage),emergency management Counselling and key messages for women and publications/mec/mec.pdf. HIV and Infant Feeding.Guidelines for families. Selected Practice Recommendations 2nd (called Rapid Assessment and Management decision-makers http://www.who.int/child- adolescent-health/publications/NUTRION/ or RAM)and referral,followed by a chapter on edition:http://www.who.int/reproductive- There is an important section at the beginning SB9241591226.htm emergency treatments for the woman. health/publications/spr/spr.pdf. of the Guide entitled Principles of good care Guidelines for the Management of Sexually ■Post-abortion care. HIV and Infant Feeding.A guide for health-care .This includes principles of good care Transmitted Infections:http://www.who. ■Antenatal care. managers and supervisors http://www.who for all women,including those with special ■Labour and delivery. int/reproductive-health/publications/ int/child-adolescent-health/publications/ needs.It explains the organization of each ■Postpartum care rhr_01_10_mngt_stis/guidelines_mngt_stis. NUTRIT0N/1S8N_92_4_159123_4.htm visit to a healthcare facility,which applies to ■Newborn care. pdf Integrated Management of Adolescent and overall care.The principles are not repeated Sexually Transmitted and other Reproductive adult illness for each visit. Tract Infections:A Guide to Essential Practice: http://www.who.int/3by5/publications/ http://www.who.int/reproductive-health/ documents/imai/en/index.html publications/rtis_gep/rtis_gep.pdfHow to read the guide HOW TO READ THE GUIDE Content The Guide includes routine and emergency care for women and newborns during pregnancy, labour and delivery, postpartum and post abortion, as well as key preventive measures required to reduce the incidence of endemic and other diseases like malaria, anaemia, HIV/AIDS and TB, which add to maternal and perinatal morbidity and mortality. Most women and newborns using the services described in the Guide are not ill and/or do not have complications. They are able to wait in line when they come for a scheduled visit. However, the small proportion of women/newborns who are ill, have complications or are in labour, need urgent attention and care. The clinical content is divided into six sections which are as follows: N Quick check (triage), emergency management (called Rapid Assessment and Management or RAM) and referral, followed by a chapter on emergency treatments for the woman. N Post-abortion care. N Antenatal care. N Labour and delivery. N Postpartum care. N Newborn care. In each of the six clinical sections listed above there is a series of flow, treatment and information charts which include: N Guidance on routine care, including monitoring the well-being of the mother and/ or baby. N Early detection and management of complications. N Preventive measures. N Advice and counselling. In addition to the clinical care outlined above, other sections in the guide include: N Advice on HIV, prevention and treatment. N Support for women with special needs. N Links with the community. N Drugs, supplies, equipment, universal precautions and laboratory tests. N Examples of clinical records. N Counselling and key messages for women and families. There is an important section at the beginning of the Guide entitled Principles of good care A1-A5 . This includes principles of good care for all women, including those with special needs. It explains the organization of each visit to a healthcare facility, which applies to overall care. The principles are not repeated for each visit. Recommendations for the management of complications at secondary (referral) health care level can be found in the following guides for midwives and doctors: N Managing complications of pregnancy and childbirth (WHO/RHR/00.7) N Managing newborn problems. Documents referred to in this Guide can be obtained from the Department of Making Pregnancy Safer, Family and Community Health, World Health Organization, Geneva, Switzerland. E-mail: mpspublications@who.int. Other related WHO documents can be downloaded from the following links: N Medical Eligibility Criteria 3rd edition: http://www.who.int/reproductive-health/ publications/mec/mec.pdf. N Selected Practice Recommendations 2nd edition: http://www.who.int/reproductive￾health/publications/spr/spr.pdf. N Guidelines for the Management of Sexually Transmitted Infections: http://www.who. int/reproductive-health/publications/ rhr_01_10_mngt_stis/guidelines_mngt_stis. pdf N Sexually Transmitted and other Reproductive Tract Infections: A Guide to Essential Practice: http://www.who.int/reproductive-health/ publications/rtis_gep/rtis_gep.pdf N Antiretroviral treatment of HIV infection in infants and children in resource-limited settings, towards universal access: Recommendations for a public health approach Web-based public review, 3–12 November 2005 http://www.who.int/hiv/pub/prev_care/en N WHO consultation on technical and operational recommendations for scale-up of laboratory services and monitoring HIV antiretroviral therapy in resource-limited settings. http://www.who.int/hiv/pub/prev_ care/en ISBN 92 4 159368 7 N Malaria and HIV Interactions and their Implications for Public Health Policy. http://www.who.int/hiv/pub/prev_care/en: ISNB 92 4 159335 0 N Interim WHO clinical staging of HIV/AIDS and HIV/AIDS case definitions for surveillance African Region. http://www.who.int/hiv/pub/ prev_care/en Ref no:: WHO/HIV/2005.02 N HIV and Infant Feeding. Guidelines for decision-makers http://www.who.int/child￾adolescent-health/publications/NUTRITION/ ISBN_92_4_159122_6.htm N HIV and Infant Feeding. A guide for health-care managers and supervisors http://www.who. int/child-adolescent-health/publications/ NUTRITION/ISBN_92_4_159123_4.htm N Integrated Management of Adolescent and adult illness http://www.who.int/3by5/publications/ documents/imai/en/index.html HOW TO READ THE GUIDE