Source | who.fhir.anc-cds#current:WHO Antenatal Care Guideline Implementation Guide (v4.0.1) |
resourceType | Questionnaire |
id | ANCB10 |
canonical | http://fhir.org/guides/who/anc-cds/Questionnaire/ANCB10 |
version | 0.3.0 |
status | active |
publisher | World Health Organization (WHO) |
name | ANCB10 |
title | ANC.B10 Counselling & treatment |
date | 2023-07-17T07:31:01+00:00 |
experimental | false |
description | Based on the previous steps, health worker provides counselling for potential risk, behaviours and diagnoses, as well as preventive services and any treatment that can be provided at the facility, including through admission to a different part of the facility. |
jurisdictions | uv |
Usages | (none) |
Counselling conducted on caffeine reduction
Reason counselling on caffeine reduction was not done
Counselling conducted on tobacco cessation
Reason counselling on tobacco cessation was not conducted
Counselling conducted on second-hand smoke
Reason counselling on second-hand smoke was not conducted
Counselling conducted on condom use
Reason counselling on condom use was not conducted
Counselling conducted on alcohol / substance use
Reason counselling on alcohol / substance use was not conducted
Counselling conducted on non-pharma measures to relieve nausea and vomiting
Reason counselling on non-pharma measures to relieve nausea and vomiting was not conducted
Counselling conducted on pharmacological treatments for nausea and vomiting
Reason counselling on pharmacological treatments for nausea and vomiting was not conducted
Counselling conducted on diet and lifestyle changes to prevent and relieve heartburn
Reason counselling on diet and lifestyle changes to prevent and relieve heartburn was not conducted
Counselling conducted on antacid preparations to relieve heartburn
Reason counselling on antacid preparations to relieve heartburn was not conducted
Counselling on non-pharmacological treatment for the relief of leg cramps
Reason counselling on non-pharmacological treatment for the relief of leg cramps was not conducted
Counselling conducted on use of magnesium and calcium to relieve leg cramps
Reason counselling on use of magnesium and calcium to relieve leg cramps was not conducted
Counselling conducted on dietary modifications to relieve constipation
Reason counselling on dietary modifications to relieve constipation was not conducted
Counselling conducted on use of wheat bran or other fibre supplements to relieve constipation
Reason counselling on use of wheat bran or other fibre supplements to relieve constipation was not conducted
Counselling conducted on regular exercise, physiotherapy, support belts and acupuncture to relieve low back and pelvic pain
Reason counselling on regular exercise, physiotherapy, support belts and acupuncture to relieve low back and pelvic pain was not conducted
Counselling conducted on non-pharmacological options for varicose veins and oedema
Reason counselling on non-pharmacological options for varicose veins and oedema was not conducted
Counselling conducted on healthy eating and keeping physically active
Reason counselling on healthy eating and keeping physically active was not conducted
Counselling conducted on increasing daily energy and protein intake
Reason counselling on increasing daily energy and protein intake was not conducted
Counselling conducted on balanced energy and protein dietary supplementation
Reason counselling on balanced energy and protein dietary supplementation was not conducted
Hypertension
Severe hypertension
Pre-eclampsia
Severe pre-eclampsia
Counselling conducted on hypertension
Counselling conducted on HIV positive
Counselling conducted on hepatitis B positive
Counselling conducted on hepatitis C positive
Syphilis counselling and treatment
Syphilis counselling, treatment and further testing
Seven-day antibiotic regimen for asymptomatic bacteriuria (ASB) provided
Reason seven-day antibiotic regimen for asymptomatic bacteriuria (ASB) not provided
Counselling conducted on TB screening positive
Counselling conducted on gestational diabetes mellitus (GDM)
Counselling conducted on diabetes mellitus (DM)
Counselling conducted on anaemia
Amount of iron prescribed
Type of iron supplement dosage provided
Amount of daily dose of folic acid prescribed
Reason iron and folic acid not prescribed
Amount of vitamin A supplementation provided
Type of vitamin A supplement dosage provided
Vitamin A supplementation not provided
Amount of daily calcium supplements provided
Reason calcium not prescribed
Risk of pre-eclampsia
Pre-eclampsia risk counselling provided
Amount of daily aspirin prescribed until delivery
Reason aspirin not prescribed
Risk of gestational diabetes mellitus (GDM)
Gestational diabetes mellitus (GDM) risk counselling conducted
Counselling conducted on HIV risk
PrEP for HIV prevention provided
Reason PrEP for HIV prevention was not provided
Amount of oral PrEP provided
Counselling conducted on seeking care when danger signs occur
Counsel to immediately go to the hospital if severe danger signs are present
Counselling on ANC contact schedule conducted
Counselling conducted on birth preparedness and complications readiness
Planned birth place
Counselling conducted on Rh factor negative
Counselling conducted on intrapartum antibiotic to prevent early neonatal Group B Streptococcus (GBS) infection
Counselling on postpartum family planning conducted
Family planning method selected
Counselling conducted on breastfeeding
Tetanus toxoid (TT) 1 immunization provided
Date tetanus toxoid 1 immunization was received
Tetanus toxoid (TT) 2 immunization provided
Date tetanus toxoid 2 immunization was received
Tetanus toxoid (TT) 3 immunization provided
Date tetanus toxoid 3 immunization was received
Tetanus toxoid (TT) 4 immunization provided
Date tetanus toxoid 4 immunization was received
Tetanus toxoid (TT) 5 immunization provided
Date tetanus toxoid 5 immunization was received
Reason tetanus toxoid (TT) vaccination not provided
Counselling conducted on Hep B negative
Hepatitis B-1 immunization provided
Date hepatitis B-1 immunization was received
Hepatitis B-2 immunization provided
Date hepatitis B-2 immunization was received
Hepatitis B-3 immunization provided
Date hepatitis B-3 immunization was received
No doses of hepatitis B
Reason Hep B vaccination not provided
Flu immunization provided
Date flu immunization was received
Reason flu vaccine not provided
IPV first-line support provided
Reason IPV first line support not done
What additional type of care provided
Safety assessement
Has the physical violence happened more often or gotten worse over the past 6 months
Has he ever used a weapon or threatened you with a weapon
Has he ever tried to strangle you
Has he ever beaten you when you were pregnant
Is he violently and constantly jealous of you
Do you believe he could kill you
Referrals made as part of first-line support and care
Was client referred
Preventive antihelminthic treatment provided
Reason no preventative treatment provided
Counselling conducted on malaria prevention
Reason counselling on malaria prevention was not conducted
IPTp-SP dose 1 provided
IPTp-SP dose 1 date
IPTp-SP dose 2 provided
IPTp-SP dose 2 date
IPTp-SP dose 3 provided
IPTp-SP dose 3 date
Reason malaria prophylaxis not provided
Produced 08 Sep 2023