Table 13

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

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


✓ Provision of intervention

+ Promotion of intervention

* Only advised in areas with ability to perform safe caesarean section

Bhutta et al. BMC Pregnancy and Childbirth 2009 9(Suppl 1):S7   doi:10.1186/1471-2393-9-S1-S7

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