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8/16/2019 Maternal and Child Health Nursing 1
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CHILD
HEALTH
NURSING
8/16/2019 Maternal and Child Health Nursing 1
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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!
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$O%& O' MCH
To ensure that every e(pectant and nursin"mother maintains "ood health) learns the art ofchild care) has normal delivery and #ears healthy
child!
That every child) wherever possi#le lives and"rows up in a family unit with love and security) in
healthy surroundin"s) receives ade*uatenourishment) health supervision and e+cientmedical attention) and is tau"ht the elements ofhealthy livin" ,Reyala) .../!
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0romotion and maintenance of optimumhealth of the women and new#orn!
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0HI&O1O0H2 O' MCN
Is community-centered
Is research-centered
Is #ased on nursin" theory 0rotects the ri"hts of all family mem#ers
Uses a hi"h de"ree of independentfunctionin"
0laces importance on promotion of health
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Is #ased on the #elief that pre"nancies or
childhood illness are stressful #ecausethey are crises!
Is a challen"in" role for the nurse and is
a ma3or factor in promotin" hi"h levelwellness in families!
0re"nancy) la#or and delivery and thepuerperium are part of the continuum ofthe total life cycle!
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0ersonal) cultural and reli"ious attitudesand #eliefs in4uence the meanin" ofpre"nancy for individuals and maeeach e(perience uni*ue!
Maternal-child nursin" is familycentered! The father of the child is as
important as the mother!
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1TR%T6$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!
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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!
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&$Us and N$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!
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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!
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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
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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
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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/
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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!
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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!
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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!
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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
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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!
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%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