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MCH Mother and Child Health

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MCH Mother and Child Health CHP200: Community Health Program-l Mohamed M. B. Alnoor 'Reproductive health' is defined as: a state of complete physical, mental and ... – PowerPoint PPT presentation

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Title: MCH Mother and Child Health


1
MCH Mother and Child Health
CHP200 Community Health Program-l
Mohamed M. B. Alnoor
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SPECIFIC OBJECTIVES
By the end of this presentation the
student should be able to
  • Appreciate the General Goals and
  • Specific Objectives of MCH
  • Appreciate the importance of reproductive health
  • Be familiar with the Reproductive Health Policy

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  • Identify the different periods of maternal care,
    and recognize the important events in those
    periods

I. Before pregnancy
II. During pregnancy
III. During labour
IV. Post-Natal Care
V. Post lactation
  • Understand the common causes of Maternal
    Mortality
  • Understand the objectives and phases of child care
  • Understand the mortality in and around infancy

4
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MCH
OBJECTIVES OF MCH SERVICES
  • 1.Reduction in maternal, perinatal, infant and
    childhood Mortality Morbidity.
  • 2.Promotion of reproductive health.
  • 3.Promotion of physical and psychological
  • development of child and adolescent
    within the family.

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MCH
Importance of reproductive health
Evidences-
  • Females( 15 49) 19
  • Each year gt 200 million women become pregnant.
  • gt 50 million women experience acute pregnancy
    related complications.

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MCH
Importance of reproductive health
Evidences-
  • gt 50 million women experience acute pregnancy
    related complications
  • - Predictable
  • - Manageable

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  • Prevention
  • Diagnosis
  • Treatment
  • 15 million women develop long-term disabilities.
  • 585,000 die annually. (UNICEF)

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MCH
Importance of reproductive health
Evidences-
  • Poor women health and nutritional status.
  • Inappropriate management of labor is responsible
    for about 75 of 7.5 million annual perinatal
    deaths.
  • Reproductive Health
  • - most neglected health problems.
  • - interventions are available.
  • - policies are inappropriate.

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8
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MCH
Importance of reproductive health
Evidences-
  • Health of mothers greatly influences
  • the healthy development and well-being of their
    children.

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Childhood Diseases depend on
Environment
Genetics
(Very closely linked with mothers)
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MCH
Importance of reproductive health
Evidences-
Healthy mother
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Healthy daughter
KAP of mother is beneficial to their own health
and the health of their children.
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MCH
Reproductive Health Policy
(ICPD 1994)
  • Linking reproductive health policies to
  • girls education
  • status of women
  • overall poverty reduction.
  • Preventing unwanted pregnancies.

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11
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MCH
Reproductive Health Policy
(ICPD 1994)
  • Facilitating
  • safe pregnancy

by preventing managing pregnancy
complications.
  • safe delivery

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  • safe motherhood
  • Promoting positive health practices e.g.
  • early treatment of STDs
  • delayed marriages
  • birth spacing .

12
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MCH
PERIODS OF MATERNAL CARE
I. Before pregnancy
(gt 15 yrs.)
for physical and psychological preparation to
bear responsibility.
A) Nutrition
The nutritional status strongly influences
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Foetal growth
Birth weight (newborn)
Nutrition during infancy
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MCH
PERIODS OF MATERNAL CARE
I. Before pregnancy
B) Infections
  • Maternal Abs passive immunization

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  • Maternal immunization against rubella
  • protects the outcome of pregnancy.
  • Tuberculosis severely affects nutritional
  • status of mothers

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MCH
PERIODS OF MATERNAL CARE
(Antenatal Care)
II. During pregnancy
Aims-
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  • Promote, protect and maintain health.
  • Detect high risk.
  • Relieve fear and anxiety.
  • Health Education ( elements of
  • child care, nutrition, hygiene etc)

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MCH
PERIODS OF MATERNAL CARE
II. During pregnancy
A) Nutrition
- Well nourished preg. good birth wt.
- Anaemia during pregnancy
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- Common
- Affects newborn infant
- Preventable
16
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MCH
PERIODS OF MATERNAL CARE
II. During pregnancy
B) Infection
- Rubella
Congenital deformities
Abortion
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- Syphilis
Stillbirth
IUFD
- Malaria
IUFD
Low birth wt
- UTI
Amnionitis
IUFD
Placentitis
Low birth wt
17
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MCH
PERIODS OF MATERNAL CARE
II. During pregnancy
C) Chronic Diseases
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  • Stillbirth
  • Abortion
  • Low birth weight
  • High perinatal
  • mortality

D) Smoking
18
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MCH
PERIODS OF MATERNAL CARE
II. During pregnancy
  • E) Heavy work and stress in late pregnancy
  • leads to low birth wt
  • F) Psychological stress
  • Good ANTENATAL care can provide for all of this
    and more.

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19
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MCH
PERIODS OF MATERNAL CARE
(Intra-natal Care)
III. During labour
AIMS
  • Asepsis
  • Minimum injury to mother and newborn.

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  • Preparedness to deal with complications.

(prolonged labor ante partum hemorrhage
convulsions )
  • Care of baby at delivery.


20
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MCH
PERIODS OF MATERNAL CARE
III. During labour
a) Antenatal Care(Risk assessment)
b) Care during labour
- Infection
ophthalmia neonatorum
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tetanus neonatorum
- Bleeding
- Trauma
Mother
Newborn
- Asphyxia
21
IV. Post-Natal Care
MCH
PERIODS OF MATERNAL CARE
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Aims
  • Restoration of health.
  • Check adequacy of breast feeding.
  • Provide basic health education.
  • (Evaluate effect of antenatal Care)?!

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V. Post lactation spacing?
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MCH
THE RIGHTS OF WOMEN !
SAFE MOTHERHOOD
SD
EOC
ANC
FP
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BASIC MATERNITY CARE
PRIMARY HEALTH CARE
E Q U I T Y F O R W O M E N
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MCH
Maternal Mortality
  • Malnutrition
  • Anaemia
  • Infection

Pregnancy
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  • Bleeding
  • Infection

Labour
  • Bleeding
  • Infection

Postpartum
  • Lack of awareness
  • Lack of health services
  • Lack of utilization of health services

24
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MCH
Child Welfare
Infancy and Early Childhood

Rapid growth
Development
- Period of
Learning
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Infection
- Vulnerability
Malnutrition
Environmental hazards
- Infants 4 of population 25 of deaths -
1- 4 years 13 of pop 20 of deaths
25
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MCH
Child Welfare
Child Care Program
  • Objectives of child care
  • Safe entry to life
  • Reduction in perinatal and neonatal deaths
  • Reaching a healthy adulthood
  • Promotion, protection and maintenance of health
  • (Overcome genetic factor)?

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26
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MCH
Child Welfare
Child Care Program
1. Prenatal Care( Ideally before conception )
Parental guidance and discussion involving
Genetics Family history Feeding plans (Br.
F) Home preparation for baby care Answering
questions
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27
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MCH
Child Welfare
Child Care Program
1. Prenatal Care( Ideally before conception )
Parental guidance and discussion involving
Obstetric
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- Work of mothers -
Nutrition - Smoking
- Drugs
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MCH
Child Welfare
Child Care Program
2. Infant Care
- Early evaluation - Encourage breast
feeding - Face parents concern -
Developmental problems - Anxiety -
Sleep - Overfeeding - Active immunization -
Monitoring of growth and development
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29
(No Transcript)
30
Mortality in and around infancy
MCH
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I N F A N T
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N E O N A T E
FOETUS
  • PERINATAL
  • PERIOD

Birth
7 Days
28 Days
28th week of gestation
1 Year
31
Mortality in and around infancy
MCH
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Infant Mortality
Post-neonatal death
Neonatal death
Late neonatal death
Early neo-natal death
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Perinatal death
Still birth
Birth
7 Days
28 Days
28th week of gestation
1 Year
32
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MCH
Child Welfare
Child Care Program
3. Second year of life - Rapid development -
Increased parental concern 4. Pre-school years
(lt 5 years) - Accident prevention 5. School
years
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6. Adolescent Care - Rapid physical growth -
Marked emotional changes - Personality
development
33
THANK YOU
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