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Table 13 Possible delivery strategies for interventions with some or clear evidence of impact on stillbirths

From: Delivering interventions to reduce the global burden of stillbirths: improving service supply and community demand

 

Mass media (including social marketing strategies, health days, etc)

Facilitated community and advocacy groups

TBAs

Trained CHWs (outreach workers)

Community-based professional midwives

Other cadres of facility-based health workers

Medical/nursing staff in first-level facilities

Multiple micronutrient supplementation

 

+

+

✓

✓

✓

✓

Balanced protein-energy supplementation

 

+

+

✓

✓

✓

✓

Anti-malarials in pregnancy

+

+

 

✓

✓

✓

✓

Insecticide-treated bed nets in pregnancy

+

✓

✓

✓

✓

✓

 

Heparin in pregnancy for clotting disorders and antiphospholipid syndrome

      

✓

Anti-helminthic treatment in pregnancy

   

✓

✓

✓

✓

Syphilis screening and treatment in pregnancy

   

+

✓

 

✓

Management of intrahepatic cholestasis in pregnancy

      

✓

Fetal movement counting (in high-risk pregnancy)

  

+

+

✓

✓

✓

Doppler monitoring (in high-risk pregnancy)

      

✓

Intrapartum cardiotocography (with access to Caesarean section)

      

✓

Amniotic fluid volume assessment in pregnancy

      

✓

Emergency obstetric care packages, including Caesarean section

 

+

+

+

+

✓

✓

Elective induction of labour in post-term pregnancies

  

+

 

+

 

✓

Planned Caesarean section for term breech presentation*

    

+

 

✓

Perinatal audit

 

✓

  

✓

 

✓

  1. ✓ Provision of intervention
  2. + Promotion of intervention
  3. * Only advised in areas with ability to perform safe caesarean section