![]() HCPs base their practice decisions on current evidence, acknowledging the gaps in research and the limitations of evidence-based practice.Shared decision-making requires an active and committed role on the part of the HCP, as well as individualized care matched to the circumstances and needs of the woman and her family. Shared decision-making should be the norm during pregnancy care, irrespective of the risks that may be associated with the pregnancy. They must be fully informed and have open and transparent communication with their HCP. Women and families make informed decisions about their care.All care should be based on the unique needs of each woman and her family. HCPs recognize that pregnancy is a state of health and a normal physiological event-as well as a profound event in the life of a woman and her family.Footnote 7 Community- or population-based approaches to prenatal care are required to achieve equitable access to health care services.Ĭonsistent with the principles of family-centred care during pregnancy: Women with less than a high school education or who were living in low income circumstances were also more likely to delay starting care. Footnote 6 The Canadian Maternity Experiences Survey (MES) found that younger women (15-19 years old) were more likely to start prenatal care later than older women. Immigrant and refugee women may face barriers related to culture, language, and finances. Women - including many Indigenous women and their families, as well as those women and their families living in rural or remote areas of the country - may not always have access to health care providers (HCPs) who are trained in the provision of prenatal care. Not everyone in Canada has equal access to prenatal care. Although there is a tendency to equate regular prenatal care with good outcomes, those accessing prenatal care tend to be more financially secure and often have a strong social support system. Footnote 1, Footnote 2, Footnote 3, Footnote 4 Prenatal care influences the health of women and newborns in complex, multifactorial ways. Women who receive early and regular prenatal care generally have better outcomes. Toronto, Ontario Reviewer Carley Nicholson, RD, MPH Ottawa, Ontario Nan Okun, MD, FRCSC, MHSc Lois Hole Hospital for Women Cross-Provincial Chair in Perinatal Mental Health Toronto, Ontario Dawn Kingston, RN, MSc, PhD ![]() Sherwood Park, Alberta Lisa Keenan-Lindsay, RN, BScN, MN, PNC(C) Kalamazoo, Michigan USA Louise Hanvey, RN, BScN, MHA Western Michigan University Homer Stryker M.D. Vancouver, British Columbia Sherri Di Lallo, RN, MN Toronto, Ontario Wee-Shian Chan, MD, MSc, FRCPC, FACP Motherisk Program, Division of Clinical Pharmacology and Toxicology Vancouver, British Columbia Contributing Authors Anne Biringer, MD, CCFP, FCFPĪda and Slaight Family Director of Family Medicine Maternity CareĪssociate Professor Family and Community Medicine Regional Program Medical Director - Maternity Vancouver Coastal Health Credentialing Officer Appendix C: Nutrients of Importance during PregnancyĮxpand All Collapse All Lead Author Brenda Wagner, MD, FRCS(C), CCPE.Appendix B: Laboratory Screening and Testing.10.9 Women who have Experienced Female Genital Cutting.10.8 Women with Complications of Pregnancy.10.7 Women with Underlying Medical Conditions.10.5 Women with Problematic Substance Use in Pregnancy.9.2 Trial of Labour and Vaginal Birth After Caesarean.8.5 When to go to the Hospital/Birth Centre or Call the HCP.7.3 Screening for Group B Streptococcus.6.3 Trial of Labour After a Caesarean Birth.4.9 Prenatal Nutrition, Food Safety and Nutritional Supplements.4.8 Signs and Symptoms of Concern, and Preterm Labour.4.4 Screening, Laboratory or Other Investigations.1.1 Involvement of Partners and Other Support Persons.The NSW Health Aboriginal Maternal Infant Health Service provides culturally safe antenatal and postnatal care by a midwife and Aboriginal health worker. You can access this service while you're pregnant and after your baby is born. you can ask any questions you have about your pregnancy or the birth.potential risks can be identified, prevented or reduced.your medical care team can monitor the health of you and your baby.It’s your decision whether you take any screening or diagnostic tests.Īntenatal care is the check-ups and tests you'll need during your pregnancy. It's important to attend antenatal appointments even if you’re feeling well, so that: Diagnostic testing can be invasive and carries a small risk of complications. If a screening test shows a higher than normal risk, you'll be offered diagnostic testing to properly diagnose the condition. Screening tests will show if your baby is at risk of a health condition.
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