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According to the maternity guidelines, three ultrasonography examinations should be routinely conducted during the course of pregnancy.
Stakeholder participation could be widened, such that professionals from different backgrounds as well as service users should contribute to the development of maternity guidelines and reviews of incidents.
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The number of ultrasounds was classified into (1) 0-2, (2) 3-4 (according to the German maternity guideline considered as standard for low risk pregnancies), (3) > 4. The timing of first ultrasound in gestational weeks was grouped into (1) 0-8, (2) 9-12, (3) 13-16 and (4) > 16 weeks.
Data were triangulated to the framework and to the national health system maternity care guidelines.
Cross-sectional survey of maternity unit guidelines for RFM.
Maternity unit guidelines performed well for clarity and presentation but had low scores for stakeholder involvement, rigour of development and applicability.
In contrast to national evidence based guidance the quality of maternity unit guidelines for RFM is variable and frequently of low quality.
(Acad 1) Within this network of South Africa researchers, the concept of evidence based medicine had been diffused extensively: "No, it [the clinical maternity care guidelines] was purely evidence based.
The failure to translate evidence-based guidance into local maternity unit guidelines represents a missed opportunity to address variation in care and to potentially reduce stillbirths in this high-risk group.
This resulted in the new national maternity care guidelines being informed by evidence from randomised controlled trials and recommending explicitly the use of magnesium sulphate for the management of eclampsia.
Therefore, internationally research and oral health care and maternity care guidelines have begun to recognise the role of antenatal care providers in promoting the oral health of pregnant women [ 26, 28, 29].
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