WHO Recommendations for Third Trimester Prenatal Check-ups
According to the WHO 2016 antenatal care model, pregnant women should have a minimum of 8 contacts throughout pregnancy, with at least 2 contacts recommended during the third trimester.
However, I must note that the evidence provided does not contain the specific WHO guidelines being referenced in this question. The available evidence focuses primarily on US-based guidelines and research studies rather than WHO recommendations.
Context from Available Evidence
Based on the research evidence available:
Standard US prenatal care traditionally consists of 12-14 visits per pregnancy, though newer models suggest this may be more than necessary for low-risk pregnancies 1
Reduced-frequency models have been studied showing that 8 total prenatal appointments (with enhanced remote monitoring) can be as safe and effective as standard care, with higher patient satisfaction and lower stress levels 1
Third trimester monitoring is particularly important for detecting complications such as fetal growth restriction, preeclampsia, and other obstetric complications that may require intervention 2
Clinical Implications for This Patient
For this 7-month pregnant patient with limited prior care:
She requires catch-up assessment including screening for gestational diabetes (normally done at 24-28 weeks), group B Streptococcus testing (at 36-37 weeks), and evaluation for preeclampsia risk 2
More frequent visits may be warranted given her late entry to care and lack of second-trimester screening 3
Address barriers to care such as lack of accompaniment, which significantly impacts prenatal care adherence and outcomes 3
Based on the multiple-choice options provided and standard WHO 2016 guidelines (though not directly cited in the evidence), the answer would be (d) 8 times for total pregnancy contacts, with at least 2 of these occurring in the third trimester.