Recommend

 

The following tasks were accepted as within the competency of this health worker category and no assessment of the evidence was therefore conducted:

1.1 - 1.13 Promotion of maternal, newborn and reproductive health interventions

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

2.1 Oxytocin administration to prevent PPH - standard syringe

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

2.2 Oxytocin administration to treat PPH - standard syringe

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

2.3 Oxytocin administration to prevent PPH - CPAD

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

2.4 Oxytocin administration to treat PPH - CPAD

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

2.5 Misoprostol administration to prevent PPH

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

2.6 Misoprostol administration to treat PPH

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

3.1 - 3.3 - 3.4 and 3.5 Oral supplement distribution to pregnant women

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

3.2 Low dose aspirin distribution to pregnant women at high risk of pre-eclampsia/ eclampsia

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

4.1 Diagnosis and initial treatment of pPROM using injectable antibiotics

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

5.1 Continuous support for women during labour, in the presence of a skilled birth attendant

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

6.1 Puerperal sepsis management with intramuscular antibiotics – standard syringe

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

6.2 Puerperal sepsis management with oral antibiotics

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

6.3 Puerperal sepsis management with intramuscular antibiotics – CPAD

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

7.1 Initiation of kangaroo mother care for low birth weight infants

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

7.2 Maintenance of kangaroo mother care for low birth weight infants

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

8.1 Injectable antibiotics for neonatal sepsis - standard syringe

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

8.2 Antibiotics for neonatal sepsis - CPAD

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

9.1 Neonatal resuscitation

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.1 Administration of intravenous fluid for resuscitation for PPH

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.2 Internal bimanual uterine compression for PPH

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.3 Suturing of minor perineal/genital lacerations

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.4 Antihypertensives for severe high blood pressure in pregnancy

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.5 Corticosteroids to pregnant women in preterm labour to improve neonatal outcomes

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.6 Maternal intrapartum care

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.7 Vacuum extraction during childbirth

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.8 Loading dose of magnesium sulphate to prevent eclampsia

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.9 Maintenance dose of magnesium sulphate to prevent eclampsia

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.10 Loading dose of magnesium sulphate to treat eclampsia

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.11 Maintenance dose of magnesium sulphate to treat eclampsia

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.12 Magnesium sulphate to women in preterm labour as a neuroprotective for the fetus

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.13 Caesarean section

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

11.14 Manual removal of the placenta

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

12.2 Initiation and maintenance of injectable contraceptives - standard syringe

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

12.3 Insertion and removal of intrauterine devices

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

12.4 Insertion and removal of contraceptive implants

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

12.5 Tubal ligation

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

12.6 Vasectomy

This task was accepted as within the competency of this health worker category. No assessment of the evidence was therefore conducted.

Recommend with monitoring & evaluation

10.1 External cephalic version for breech presentation at term

NSD | 10.1

Should NON-SPECIALIST DOCTORS perform external cephalic version (ECV) for breech presentation at term?

Recommendation

We suggest considering the use of non-specialist doctors to perform ECV for breech presentation at term with targeted monitoring and evaluation.

.

Justification

The available evidence suggests that the use of non-specialist doctors to perform ECV has important benefits, and is likely to be acceptable and feasible.

Problem: Poor access to ECV

.

Option: Non-specialist doctors performing ECV

.

Comparison: Care delivered by other cadres or no care

.

Setting: Community/primary health care settings in LMICs with poor access to health professionals

Consider in context of rigorous research

-- N/A

Recommend against

-- N/A

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