MATERNAL AND CHILD HEALTHCARE SERVICES.SEMINAR PPT

seminar about maternal and child health services

1. MCH SERVICES PREPARED BY ANJALY MOHAN FIRST YEAR MSc NURSING

2. Introduction Objectives of mch programme Strategies of mch programme Indicators of maternal and child health Organizational activities of mch services Recent trends in mch care Responsibilities of community health nurse in mch services Antenatal or prenatal care Postnatal or postpartum care Child health services Responsibilities of community health nurse in child health services. content

3. INTRODUCTION Maternal and child health care is the health services provided to mothers(women in their child bearing age ) and children. The targets for mch are all women in their reproductive age group of that is 15-49 years of age,children,school age population and adolescents. Throughout the world, especially in the developing countries ,there is an increasing concern and interest in mch services. The commitment towards mch care gains further strength after the world summit for children , 1991,which gave serious consideration and outlined major areas to be addressed in the provision of maternal and child health care services.

4. OBJECTIVES To reduce maternal morbidity and mortality due to pregnancy and child birth. To reduce morbidity and mortality due to unsafe abortion. To reduce perinatal and neonatal mortality and morbidity. To promote reproductive health awareness for young children. To increase knowledge of reproductive biology and promote responsible behavior of adolescents regarding contraception, safe sex and prevention of STD’s. To reduce the level of unwanted pregnancies in all women of reproductive age group. To reduce the incidence and prevalence of STD’S in order to reduce the transmission of HIV infection. To reduce the incidence of and prevalence in cervical cancer. To reduce the female genital mutilation and provide appropriate care for females who have already undergone genital mutilation. To reduce the domestic and sexual violence and ensure proper management of the victims.

5. STRATEGIES OF THE MCH PROGRAMME The health services at all levels, including the CHS shall carry out integrated services. Health education programs are to be included. The health services shall be continuously expanded. The skill and knowledge of the health personnel shall be constantly improved. Adequate emphasis is on mch should be ensured in the curricula of health workers. An adequate number of health workers for the various levels of shall be trained. Text books, manuals, other reference materials will be distributed to all health institutions. Knowledge shall be continuously up field through appropriate training and supervisory activities. Revision and improvement of the referral system. Co-ordinate with other organizations and institutions involved in activities related to mch services. Promote community participation. To engage the activities of agricultural extension workers. Manpower training and research.

6. INDICATORS OF MATERNAL AND CHILD HEALTH Maternal mortality rate. Infant mortality rate, Neo natal mortality rate. under five mortality rate. Child survival rate.

7. ORGANISATION ACTIVITIES OF MCH SRVICES MCH services are an important part of primary health care. Traditional activity areas of these services are; Complete health check up and care of the child and mother from conception to birth. Studying health problems of mothers and children. Providing health education to parents for taking care of children. Training to professionals and assistant workers.

8. RECENT TRENDS IN MCH CARE Mother and child health care services have become the foremost priority of primary health care in every country. This indicate transformation of thinking about mch care. A description of modern and latest nature of this care is given below; INTEGRATION OF CARE. RISK APPROACH MANPOAER CHANGES. PRIMARY HEALTH CARE. REPRODUCTIVE AND CHILD HEALTH.

9. RESPOSIBILITIES OF A COMMUNITY HEALTH NURSE IN MCH SERVICES. DIRECT CARE ANTENATAL CARE Contact; contacting every pregnant mother in the primary stage of pregnancy. History; taking history of general health and family environment, social condition, previous child births and present pregnancy. Antenatal examination; conducting general examination , physical examination, obstetric examination and laboratory investigations etc. Calculating the expected date of delivery and informing mothers. Conducting antenatal clinics. identifying high risk mothers. Providing counselling and health education. Helping mother and other family members in planning the delivery.

10. CONTD… 2.INTRANATAL CARE Encouraging institutional deliveries. Preparing the place for delivery. Arranging necessary equipment and their sterilization. G iving mental support to mother. Examining position of fetus, dilation of cervix, heart rate of fetus and observing the position of bladder and uterine contractions. Recording general condition of the pregnant of the pregnant mother, process of pains and time of membrane rupture. Ensuring safe delivery, examining umbilical cord and noting the abnormalities. If necessary referring the patient to a specialist.

11. Contd… 3.POSTNATAL CARE Observing the blood pressure, temperature and pulse of mother immediately after the delivery then during the following period. Collecting information about the general condition of the mother, food, sleep, pain and elimination. Observing the fundus, perineum, lochia, bladder etc. Observing breast and nipples. Encourage mother to start the breast feeding to newborn. Protecting the mother from the complications like puerperal sepsis breast inflammation, PPH,UTI etc.

12. CONTD… 4.NEONATAL CARE Observing the respiration of newborn immediately after birth and if necessary providing resuscitation. Taking care of the umbilical cord and tying it with proper technique. Assessing physical condition of the newborn by his Apgar score 9 or 10 is ideal score. Cleaning and taking care of the newborn child,skin,eyes. Maintaining normal body temperature of the newborn. Observing crying,sleeping,intestinal activity and feeding pattern of the new born.

13. FUNCTIONS RELATED TO MATERNAL CLINICS Home visits. The community health nurse should focus the mother on following points; Antenatal check ups and it’s importance. Anatomy and physiology of pregnancy. Diet during pregnancy. Plans of delivery. Neonatal care. Family planning.

14. MANAGERIAL FUNCTIONS Organizing and managing the nursing homes. Playing the role of liaison officer under referral system, for sending the mother to the hospital for safe delivery. Taking part in community activities. Explaining the importance of RCH services in community. Supervising the work of TBAS , midwives and female health worker and giving them appropriate suggestions. Organizing the maternal clinics and manage it. Co ordinate among the doctor , family and patients.

15. EDUCATIONAL FUNCTIONS Providing health education to TBA’S , mother’s and family either individual or in the group. Educating (using demonstrations ) , pregnant mothers and relatives about maternal nursing . Community health nurse should discuss the following topics with pregnant mothers. Importance of regular antenatal check up. Utility of rest, sleep,exercise,personal hygiene and proper diet. Importance of hospital delivery and delivery by trained workers. Utility of maternal clinics. Taking care of infant. Utility of maternal clinics. taking care of infant.

16. COMPONENTS OF MCH SERVICES Antenatal or prenatal care Purposes Protecting and promoting the health of pregnant mother. 2. providing maximum possible care to pregnant mother. Identifying high risk mothers and treating them. Ensuring safe delivery and birth of healthy child. Preparing the pregnant mother physically and mentally for the delivery. Reducing the maternal mortality and morbidity rate.

17. ACTIVITIES OF ANTENATAL CLINIC Collection of facts. Antenatal examination. Prenatal counselling. Immunization and health protection. Functions of community health nurse in antenatal clinics Selection of place for clinics. Fixing clinic days. Ensuring presence of specialists and helping them. Contacting pregnant mothers and motivating them for consultations and clinics. Preparing antenatal cards. Taking history and conducting general examinations. Maintaining the records and reports.

18. INTRA NATAL CARE AIMS T aking care of the mother and re establishing the optimum health as early as possible. Maximum possible care to mother during delivery. Minimum harm to mother and children. Prevention of complications like hemorrhage, mal presentations, cord prolapse etc.

19. POSTNATAL OR POST PARTAL CARE AIMS Taking care of the mother and re establishing the optimum health, as early as possible. Protecting the mother from the complications during the post natal period. Providing health education to mother and family. Providing family planning services.

20. CHILD HEALTH SERVICES OBJECTIVES Decreasing child mortality rate. Complete protection of child. Nutritious diet to children. Overall growth of children. Special efforts to preserve and promote health of children below 5 years of age. Increasing health level of children.

21. NURSES RESPOSIBILITIES IN CHILD HEALTH SERVICES Assessment of growth and development. Immediate care of newborn. Assessment of nutritional status. Prevention of common childhood accidents. Immunization. Educational functions. Other functions.

22. CONCLUSION MCH services are one of the most important programmes of the community. It's aims is to provide health care to special group in population , which is specially vulnerable to disease or health.it promotes reproductive health , reduce MMR,IMR.It has various schemes such as NRHM,CSSM,JSY,ASHA,TBA,IMNCI. These programmes are provide comprehensive care helps in promoting health status of mother and child.

23. BIBLIOGRAPHY Swarankar’s community health nursing ; 3 rd edition;N.R brothers ; page no;87-99. k.Park; preventive and social medicine ; 22 nd edition;2013;published by premnagar; page no;481,514. Rao sunder kasthuri ; an introduction to community health nursing;4 th edition;2015;B.I publications ; page no;446. www.google.com www.pubmed.com MCN The American journal of maternal and child health nursing ; august 2022;vol 47; issue number 4.