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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
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BMC Pregnancy and Childbirth

ISSN: 1471-2393

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