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MATERNAL AND CHILD HEALTH

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Support comprehensive care. MATERNAL AND CHILD HEALTH BUREAU - OBJECTIVES ... INFANT CARE. FAMILY ADJUSTMENT. BREAST FEEDING. SAFETY. NEWBORNS. PHYSICAL EXAMINATION ... – PowerPoint PPT presentation

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Title: MATERNAL AND CHILD HEALTH


1
MATERNAL AND CHILD HEALTH
  • Jay H. Mayefsky, MD, MPH

2
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3
GOALS
  • HEALTHY MOTHERS AND CHILDREN

4
MCH
  • MEDICAL SERVICES
  • ENVIRONMENTAL ISSUES
  • PSYCHOSOCIAL STRESSES
  • INCOME

5
FACTORS FOR EMERGENCE
  • HIGH INFANT MORTALITY RATE
  • HIGH MATERNAL MORTALITY RATE
  • REFORM MOVEMENT
  • CHILD LABOR CONCERNS
  • INCREASED GOVERNMENT INVOLVEMENT

6
FACTORS FOR EMERGENCE
  • THE SHEPPARD-TOWNER ACT (1921-9)
  • THE SOCIAL SECURITY ACT (1935)

7
MATERNAL AND CHILD HEALTH BUREAU
  • VisionA future America in which the right to
    grow to one's full potential is universally
    assured through attention to the comprehensive
    physical, psychological and social needs of the
    maternal and child health population. We strive
    for a society where children are wanted and born
    with optimal health, receive quality care and are
    nurtured lovingly and sensitively as they mature
    into healthy, productive adults. MCHB seeks a
    nation where there is equal access for all to
    quality health care in a supportive, culturally
    competent, family and community setting.

8
MATERNAL AND CHILD HEALTH BUREAU - OBJECTIVES
  • Woman and infants
  • Eliminate barriers and health disparities
  • Child health and safety
  • Reduce illness and injury
  • Promote health care and healthy environments
  • Children with special health care needs
  • Support coordinated care systems
  • Adolescents
  • Support comprehensive care

9
MATERNAL AND CHILD HEALTH BUREAU - OBJECTIVES
  • Health Promotion and Disease Prevention
  • Genetics
  • Newborn screening and increase knowledge
  • ACCOMPLISHED BY
  • Funding care and research
  • Training
  • Resource centers
  • Guidelines and tips

10
MATERNAL SERVICES GOALS
  • HEALTHY WOMEN PRE AND POST PARTUM
  • BIRTH OF HEALTHY BABIES WITH NO COMPLICATIONS FOR
    MOTHERS
  • BONDING

11
MATERNAL HEALTH SERVICES
  • AGE OF FIRST SEXUAL ACTIVITY THROUGH OLD AGE

12
PAP SMEARS
  • START WITHIN 3 YEARS OF ONSET OF VAGINAL
    INTERCOURSE
  • NO LATER THAN 21
  • lt30 - YEARLY
  • gt30 EVERY THREE YEARS AFTER 2-3 NORMALS
  • IN HIGH RISK YEARLY
  • WOMEN gt70 WITH 3 NORMALS AND NO ABNORMALS IN 10
    YEARS MAY STOP

13
PELVIC EXAMINATION
  • HEALTH ASSESSMENT
  • EDUCATION

14
BREAST EXAMINATION
  • HEALTH ASSESSMENT
  • EDUCATION

15
DISEASE PREVENTION
  • ABSTINENCE
  • SAFER SEX

16
IMMUNIZATIONS
  • RUBELLA
  • VARICELLA
  • HEPATITIS B

17
PREGNANCY PLANNING
  • ALL PREGNANCIES SHOULD BE PLANNED TO REDUCE
    MEDICAL AND PSYCHOSOCIAL RISK FACTORS

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BIRTH CONTROL
  • CONDOMS PLUS ANOTHER METHOD

20
FOLIC ACID FOR REDUCTION OF NEURAL TUBE DEFECTS
  • ALL WOMAN OF CHILDBEARING AGE WHO ARE CAPABLE OF
    BECOMING PREGNANT
  • 0.4mg OF FOLIC ACID DAILY

21
PRENATAL CARE
  • START EARLY IN PREGNANCY
  • SCREEN FOR MATERNAL RISK FACTORS
  • EVALUATE MATERNAL PHYSICAL AND PSYCHOLOGICAL
    HEALTH
  • EVALUATE RISK FOR DOMESTIC VIOLENCE

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PRENATAL CARE
  • MONITOR GROWTH AND DEVELOPMENT OF FETUS
  • PRENATAL DIAGNOSIS
  • TRIPLE SCREEN
  • ULTRASOUND
  • AMNIOCENTESIS
  • CHORIONIC VILLUS SAMPLING

24
PRENATAL CARE
  • EDUCATION
  • PREGNANCY
  • CHILDBIRTH
  • BREAST FEEDING
  • PARENTING

25
POSTPARTUM CARE
  • POST PARTUM PHYSICAL EXAMINATION
  • ASSESSMENT OF MOTHERING
  • SCREEN FOR POSTPARTUM DEPRESSION

26
WELL WOMEN
  • GENERAL STATE OF HEALTH
  • CANCER SCREENING
  • MENSTRUAL CYCLE ISSUES
  • FOLATE
  • PREVENTION OF OSTEOPOROSIS

27
MAMMOGRAMS
  • LOW RISK
  • BASELINE AT AGE 40
  • REPEAT EVERY 2-3 YEARS
  • YEARLY AFTER AGE 50
  • HIGH RISK
  • BASELINE AT AGE OF CANCER IN RELATIVE
  • YEARLY

28
MENOPAUSAL WOMEN
  • MENOPAUSE SYMPTOMS
  • OSTEOPOROSIS PREVENTION AND TREATMENT
  • CONTINUED CANCER SCREENING

29
CHILDRENS HEALTH SERVICES
30
CHILDRENS HEALTH SERVICES - GOALS
  • REDUCE PREMATURITY AND CONGENITAL ABNORMALITIES
  • PREVENT MAJOR CAUSES OF DEATH AND DISEASE
  • PROVIDE SPECIALIZED TREATMENT
  • ENSURE ACCESS TO CARE
  • PREPARE CHILDREN TO BE HEALTHY ADULTS

31
PRENATAL
  • ESTABLISH RAPPORT
  • ASSESS RISK FACTORS
  • GENETIC COUNSELING
  • INFANT CARE
  • FAMILY ADJUSTMENT
  • BREAST FEEDING
  • SAFETY

32
NEWBORNS
  • PHYSICAL EXAMINATION
  • ANTICIPATORY GUIDANCE
  • IMMUNIZATION
  • BACK TO SLEEP

33
NEWBORNS SCREENING TESTS
  • PKU
  • Congenital hypothyroidism
  • Congenital adrenal hyperplasia (CAH)
  • Biotinidase deficiency
  • Maple syrup urine disease
  • Galactosemia
  • Homocystinuria
  • Sickle cell anemia
  • Medium chain acyl-CoA dehydrogenase deficiency
    (MCAD)
  • Hearing loss

34
INFANTS AND CHILDREN
  • THE NEW MORBIDITY

35
INFANTS AND CHILDREN
  • ANTICIPATORY GUIDANCE
  • PHYSICAL EXAMINATION
  • SCREENING TESTS
  • IMMUNIZATIONS

36
SCREENING TESTS
  • HEARING
  • VISION
  • DEVELOPMENT
  • CBC
  • LEAD
  • PPD
  • URINALYSIS
  • CHOLESTEROL

37
ROUTINE IMMUNIZATIONS
  • HEPATITIS B
  • DIPHTHERIA
  • TETANUS
  • PERTUSSIS
  • POLIO
  • H. INFLUENZAE B
  • MEASLES
  • MUMPS
  • RUBELLA
  • VARICELLA
  • PNEUMOCOCCUS
  • (HEPATITIS A)
  • (INFLUENZA)

38
Recommended Childhood and Adolescent Immunization
Schedule United States, January June 2004
Range of Recommended Ages
Preadolescent Assessment
Catch-up Immunization
Age
Birth
1 mo
2 mo
4 mo
4-6 y
18 mo
24 mo
11-12 y
6 mo
12 mo
15 mo
Vaccine
HepB 1
only if mother HBsAg ( - )
HepB series
Hepatitis B1
HepB 2
HepB 3
Diphtheria, Tetanus, Pertussis2
DTaP
DTaP
DTaP
DTaP
Td
DTaP
Td
Haemophilus influenzae Type b3
Hib
Hib
Hib3
Hib
Inactivated Poliovirus
IPV
IPV
IPV
IPV
Measles, Mumps, Rubella4
MMR 1
MMR 2
MMR 2
Varicella5
Varicella
Varicella
Pneumococcal6
PCV
PCV
PCV
PCV
PCV
PPV
Vaccines below this line are for selected
populations
Hepatitis A7
Hepatitis A series
Influenza8
Influenza (yearly)
39
ADOLESCENTS
  • ANTICIPATORY GUIDANCE
  • PHYSICAL EXAM
  • SCREENING TESTS
  • IMMUNIZATIONS
  • ADOLESCENT ISSUES
  • PUBERTY / SEX
  • SUBSTANCE ABUSE
  • RISK TAKING
  • PEER PRESSURE
  • FUTURE PLANS

40
OTHER CHILDRENS PROGRAMS
  • HEAD START
  • FACILITY REGULATIONS
  • PROGRAM FOR CHILDREN WITH SPECIAL HEALTH CARE
    NEEDS
  • WELFARE
  • WIC
  • CHILD ABUSE SERVICES
  • PL94-142
  • PL99-457

41
HOW WELL ARE WE DOING?
42
WHATS MISSING?
  • FATHERS

43
HOW WELL ARE WE DOING?
  • 11 MILLION CHILDREN LIVE BELOW THE POVERTY LEVEL
  • INCOME lt17,603/YEAR FOR A FAMILY OF 4
  • Improvement but still 71 higher than adults

44
HOW WELL ARE WE DOING?
  • 56 OF CHILDREN LIVING IN POVERTY ARE IN
    HOUSEHOLDS HEADED BY A SINGLE FEMALE
  • 64 OF ALL MOTHERS OF PRESCHOOL CHILDREN ARE IN
    THE LABOR FORCE
  • 11.6 OF CHILDREN HAVE NO HEALTH INSURANCE

45
HOW WELL ARE WE DOING?
  • In 2000, 879,000 children were victims of abuse
    or neglect (12/1000 children)
  • 79 of perpetrators were the parents

46
HOW WELL ARE WE DOING?
  • 3 OF HEALTH EXPENDITURES ARE ALLOCATED FOR
    PREVENTION

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HOW WELL ARE WE DOING?
  • HIGH SCHOOL STUDENTS
  • NEVER WORE SEAT BELTS 19
  • NEVER WORE BIKE HELMETS 88
  • RIDDEN WITH ALCOHOL DRINKER 37
  • DRIVEN AFTER DRINKING 17
  • CARRIED A WEAPON 18
  • SMOKED 37
  • CONSIDERED SUICIDE 20
  • ATTEMPTED SUICIDE 8

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HOW WELL ARE WE DOING?
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HOW WELL ARE WE DOING?
  • 20 COUNTRIES HAVE LOWER MATERNAL MORTALITY RATES
    THAN THE UNITED STATES

60
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