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Table 4 Content comparison between the WHO PCPNC guidelines and the national clinical practice guidelines for maternal care (not including ANC cards)

From: 'How to know what you need to do': a cross-country comparison of maternal health guidelines in Burkina Faso, Ghana and Tanzania

Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide to Essential Practice (WHO 2006) Guideline sections analysed: Burkina Faso
'Protocoles de Santé de la Reproduction-Santé de la femme et du nouveau-né de moins de sept (7) jours'(November 2009)
Ghana
'National Safe Motherhood Service Protocol'(December 2008)
Tanzania
'Focused Antenatal care, malaria and syphilis in pregnancy (FANC)' (July 2002)
'Emergency Obstetric Job Aide (OJA)' (June 2005)
Chapter B 9-17:
Emergency Treatments for the woman
Difference compared to WHO guidelines:
No section on ABC (Airway, Breathing, Circulation). Malaria and infections in pregnancy not mentioned.
Difference compared to WHO guidelines: Nothing specific on malaria. Difference compared to WHO guidelines: No section on ABC.
Chapter B 19-21:
Bleeding in early pregnancy and post-abortion care
Contains all points in WHO guidelines Contains all points in WHO guidelines Difference compared to WHO guidelines: Bleeding only mentioned after week 28 of pregnancy
Chapter C: Antenatal care Difference compared to WHO guidelines: Checking for anaemia and syphilis are only 'desired' examinations. No information on how to counsel women choosing home births without skilled attendants. Difference compared to WHO guidelines:
No emphasis on rapid assessment to exclude emergencies.
Contains all points in WHO guidelines
Chapter Labour and Delivery D: Difference compared to WHO guidelines:
No clear information on how to respond to problems immediately postpartum. Recommended return visits on 6th to 8th day of delivery (WHO 2nd to 3rd day).
Difference compared to WHO guidelines: Nothing about preterm delivery, severe anaemia on admission or how to respond to the following problems immediately postpartum: temperature > 38 degrees, pallor, stillborn baby. Difference compared to WHO guidelines:
OJA covers all WHO points, but does not describe labour in different stages
E: Postpartum care Contains all points in WHO guidelines Difference compared to WHO guidelines: HIV, breathing difficulties, postpartum depression not mentioned. Contains all points in WHO guidelines