Maternal and Child Health Nursing 1

8/16/2019 Maternal and Child Health Nursing 1

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CHILD

HEALTH

NURSING



INTRODUCTION

Maternal and Child Health refer to philo-motherand child relationship to one another andconsideration of the entire family as well as the

culture and socio-economic environment asframewor of the patient!

It involves the care of the woman and family

throu"hout pre"nancy and child#irth and thehealth promotion and illness care for the childrenand families!



$O%& O' MCH

To ensure that every e(pectant and nursin"mother maintains "ood health) learns the art ofchild care) has normal delivery and #ears healthy

child!

That every child) wherever possi#le lives and"rows up in a family unit with love and security) in

healthy surroundin"s) receives ade*uatenourishment) health supervision and e+cientmedical attention) and is tau"ht the elements ofhealthy livin" ,Reyala) .../!



0romotion and maintenance of optimumhealth of the women and new#orn!



0HI&O1O0H2 O' MCN

Is community-centered

Is research-centered

Is #ased on nursin" theory 0rotects the ri"hts of all family mem#ers

Uses a hi"h de"ree of independentfunctionin"

0laces importance on promotion of health



Is #ased on the #elief that pre"nancies or

childhood illness are stressful #ecausethey are crises!

Is a challen"in" role for the nurse and is

a ma3or factor in promotin" hi"h levelwellness in families!

0re"nancy) la#or and delivery and thepuerperium are part of the continuum ofthe total life cycle!



0ersonal) cultural and reli"ious attitudesand #eliefs in4uence the meanin" ofpre"nancy for individuals and maeeach e(perience uni*ue!

Maternal-child nursin" is familycentered! The father of the child is as

important as the mother!



1TR%T6$IC THRU1T1 ,..7-.8./

&aunch and implement the 9asic 6mer"encyO#stetric Care strate"y in coordination with the

DOH! It entails the esta#lishments of facilities thatprovide emer"ency o#stetric care for every87)... population and which are locatedstrate"ically!

Improves the *uality of prenatal and postnatalcare!



Reduce women:s e(posure to health rissthrou"h the institutionali;ation ofresponsi#le parenthood and provision ofappropriate health care paca"e to allwomen of reproductive a"e especially thosewho are less than 8< years old and over =7years of a"e) women with low educationand >nancial resources) women withunmana"ed chronic illness and women whohad 3ust "iven #irth in the last 8< months!



&$Us and N$Os and other staeholders mustadvocate for health throu"h resource

"eneration and allocation for health services to#e provided for the mother and the un#orn!



M%T6RN%& N6ON%T%& %ND CHI&DH6%&TH %ND NUTRITION 1TR%T6$2

,MNCHN/

It applies speci>c policies and actions for localhealth systems to systematically addresshealth riss that lead to maternal andespecially neonatal deaths which comprise half

of the reported infant mortalities!



96MONC- 9%1IC 6M6R$6NC2O91T6TRIC1 %ND N6?9ORN C%R6

It refers to lifesavin" services for emer"encymaternal and new#orn conditions@complications#ein" provided #y a health facility or professional toinclude the followin" servicesA

%dministration of parenteral o(ytocic dru"s!

%dministration of dose of parenteral

anticonvulsants %dministration of parenteral anti#iotics

%dministration of maternal steroids for pretermla#or



0erformance of assisted va"inal deliveries

Removal of retained placental products Manual removal of retained placenta

It also includes neonatal interventions which include

at the minimumA New#orn resuscitation

0rovision of warmth

Referral

9lood transfusion



9eMONC facility shall consist of the coredistrict hospital!

'or "eo"raphicallyisolated@disadvanta"ed areas@ denselypopulated areas) the desi"nated 9eMONC

facilities are the followin"A Rural HealthUnit) 9aran"ay Health 1tation) &yin"-inClinics and 9irthin" Homes!

%ccessi#ility within 8 hour from residence

or referrin" facility within the I&HB ,Inter-local Health Bones/



1hall operate within hours with

si"nal o#stetric function!

1hall have access to communication

and transportation facilities to mo#ili;ereferrals!

1taE compositionA ,8/ Medical Doctor)

,8/ Re"istered Nurse) ,8/ Re"isteredMidwife!



C6MONC- COM0R6H6N1IF66M6R$6NC2 O91T6TRIC1 %NDN6?9ORN C%R6 '%CI&IT2

- Refers to lifesavin" services for emer"encymaternal and new#ornconditions@complications as in 9asic6mer"ency O#stetric and New#orn Careplus the provision of sur"ical delivery and

#lood #an services and other speciali;edo#stetric interventions!



6116NTI%& H6%&TH 16RFIC61%F%I&%9&6 IN TH6 H6%&TH C%R6

'%CI&ITI61

%! %ntenatal Re"istration@ 0renatal Care

O9G6CTIF6A to reach all pre"nant women) to "ivesu+cient care to ensure a healthy pre"nancy and

the #irth of a full term healthy #a#y!



Normal 0atients- followin" the initial

evaluation they will #e "iven healthyinstructions and counselin"! This willinclude advice for prompt prenatal caree(amination!

0atients with mild complications- athorou"h evaluation of the needs ofpatients with mild complications willdetermine the fre*uency of follow-up ofthese cases #y the rural health unit) cityhealth clinic or puericulture center



0atients with potentially seriouscomplications- these patients shall #e

referred to the most silled source ofmedical and hospital care! %s a >rstchoice they will #e referred if at allpossi#le for continuin" care orconsultation! 1econd choice will #e

followed carefully #y the rural healthunit) city health clinic or puericulturecenter!



%ll RHUs and 9H1 should have a masterlist ofpre"nant women in their respectivecatchment center!

The Home 9ased Mother:s Record ,H9MR/shall #e used when renderin" prenatal careas a "uide in in the identi>cation of risfactors) dan"er si"ns and to #e a#le to doappropriate measures!

There should #e atleast = prenatal visitsfollowin" the prescri#ed timin"A

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Maternal and Child Health Nursing 1