safe motherhood.pptx community. medicine

This lecture on Safe Motherhood aims to educate healthcare professionals, medical students, and public health workers on strategies to ensure maternal and neonatal well-being during pregnancy, childbirth, and the postpartum period.

1. SAFE MOTHERHOOD Dr. Amber

2. What is motherhood?

3. Initiative of safe motherhood It is an initiative of the UN launched in 1987 with the goal of ensuring that women go through pregnancy and child birth safely, and give birth to healthy children. Reduction of maternal and child deaths

4. Family Planning Access to a range of contraception methods Education and counseling on family planning options Support for informed decision-making about family size Promotion of healthy timing and spacing of pregnancies

5. COMPONENTS OF ANTENATAL CARE Risk assessment (DM, HTN) Treatment for medical conditions or risk reduction Education of mother (breastfeeding, infant nutrition, self care)

6. ANTENATAL VISITS WHO ANC MODEL FIRST TRIMESTER FIRST CONTACT: UPTO 12 WEEKS SECOND TRIMESTER CONTACT 2: 20 WEEKS CONTACT 3: 26 WEEKS THIRD TRIMESTER CONTACT 4: 30 WEEKS CONTACT 5: 34 WEEKS CONTACT 6: 36 WEEKS CONTACT 7: 38 WEEKS CONTACT 8: 40 WEEKS

7. FIRST ANTENATAL VISIT Health history : LMP, menstrual and obstetric history Physical examination: height, weight Lab examination: CBC , urine R/E, blood grouping

8. SUBSEQUENT VISITS INVESTIGATIONS TREATMENT ANTENATAL GENETIC SCREENING

9. INVESTIGATIONS GPE PELVIC EXAMINATION FETAL HEART SOUND URINE ANALYSIS ABDOMINAL ULTRASOUND REFERRAL IF REQUIRED

10. TREATMENT IRON FOLIC ACID TT AT 28 TH AND 32 WEEKS EDUCATION REFERRAL

11. ANTENATAL GENETIC SCREENING DOWN SYNDROME HAEMOGLOBINOPATHIESS

12. Antenatal care

13. HEALTH EDUCATION FOR MOTHERS HEALTHY BALANCED DIET DANGER SIGNS OF PREGNANCY TT IMMUNIZATION STIS Rh INCOMPATIBILITY PERSONAL HYGIENE REGULAR EXERCISE

14. Clean and safe delivery Access to skilled birth attendants, such as midwives or doctors Clean and hygienic birthing environments Emergency obstetric care available in case of complications

15. INTRANATAL CARE 3 Cs CLEAN HANDS OF THE BIRTH ATTENDANT CLEAN SURFACE FOR DELIVERY CLEAN CUTTING OF CORD

16. OBJECTIVES OF INTRANATAL CARE CONDUCT ALL THE NORMAL AND ASSISTED DELIVERIES WITH ABSOULTE SEPSIS BE PREPARED FOR ANY IMPENDING COMPLICATIONS LIKE OBSTRUCTED LABOR,APH, AND MALPRESENTATIONS AND PROLONGED LABOR. EQUIP THE FACILITY WITH EMERGENCY OBSTETRIC AND NEONATAL CARE (EMONC) PRIVIDE GOOD CARE TO THE CORD AND EYES OF THE BABY

17. Essential obstetric care Timely management of obstetric complications, including hemorrhage, infections, and eclampsia Access to blood transfusions when needed Availability of surgical interventions (e.g., cesarean sections) when required Skilled care during childbirth to reduce the risk of complications

18. Three delay model

19. Basic maternity care 1.Antenatal Care: Early and regular prenatal check-ups Monitoring of the mother's health and the development of the fetus Assessment of potential risk factors and complications Education and counseling on healthy pregnancy behaviors Screening for and management of gestational conditions and disease

20. 2.Intrapartum Care (During Labor and Delivery): Access to skilled birth attendants, such as midwives or obstetricians Continuous monitoring of the mother and baby during labor Pain management options (e.g., epidural, analgesics) Support for natural childbirth if desired Emergency obstetric care available in case of complications

21. 3.Postpartum Care: Follow-up care for the mother and newborn after delivery Monitoring for postpartum complications (e.g., hemorrhage, infections) Promotion of breastfeeding and infant care Family planning counseling and services to support birth spacing Mental health support for postpartum depression or anxiety

22. 4.Newborn Care: Immediate care for the newborn after birth, including temperature regulation Neonatal resuscitation if needed Early initiation of breastfeeding Immunization and preventive care for the newborn Monitoring of the baby's growth and development

23. 5.Health Education and Promotion: Educating mothers and families about safe motherhood practices Encouraging prenatal classes to prepare for childbirth and parenting Promoting healthy lifestyle choices, including nutrition and exercise Raising awareness about the importance of early and regular healthcare visits

24. 5.Access to Essential Supplies and Equipment : Availability of clean and safe birthing facilities Adequate medical supplies and equipment for safe delivery Access to medications and interventions to manage complications Availability of blood transfusions and emergency surgical facilities if needed

25. Primary health care fundamental approach to healthcare that aims to provide comprehensive, accessible, and community-based services to ensure the well-being of pregnant women and mothers.

26. 1. Accessible and Equitable Services: Geographically accessible healthcare facilities and services Affordable and culturally sensitive care to reach underserved populations Elimination of barriers to accessing care, such as financial, transportation, and language barriers

27. 2. Skilled Healthcare Providers: Trained community health workers and midwives for maternal care Adequate staffing and training of healthcare professionals Continual education and skill development for healthcare providers

28. 3. Health Promotion and Education: Community-based health education on safe motherhood practices Promotion of prenatal care, healthy nutrition, and lifestyle choices Awareness campaigns on family planning and birth spacing

29. 4. Preventive Services: Immunization and preventive care for pregnant women and newborns Screening for and management of gestational conditions and diseases Counseling and support for women to maintain a healthy lifestyle

30. 5.Antenatal care 6.Intrapartum care 7.Postpartum care

31. 8. Integration with Other Healthcare Services: Collaboration with other health programs, such as HIV/AIDS prevention and treatment Integration with nutrition and child health services for holistic care Coordination with referral systems for complex cases and emergencies

32. Equity for women Equity for women in safe motherhood refers to ensuring that all women, regardless of their social, economic, cultural, or geographic backgrounds, have equal access to high-quality maternal healthcare services and experience equitable health outcomes during pregnancy, childbirth, and the postpartum period

33. 1.Equal Access to Healthcare Services: All women should have equal access to essential maternal healthcare services, including antenatal care, skilled birth attendance, emergency obstetric care, and postpartum care. Geographic, financial, and cultural barriers should be minimized to ensure that women can access healthcare facilities and providers without discrimination or hindrance

34. 2.Cultural Competence: Healthcare providers should be culturally sensitive and respectful of women's beliefs, values, and traditions during pregnancy and childbirth. Women should receive care that aligns with their cultural preferences and practices, where possible

35. 3.Economic Accessibility: Maternal healthcare services should be affordable, and financial barriers should not prevent women from seeking care. Policies and programs should aim to reduce or eliminate out-of-pocket expenses related to maternal healthcare.

36. 4.Elimination of Discrimination: Discrimination based on factors such as race, ethnicity, religion, socioeconomic status, age, or disability should be actively addressed and eliminated within the healthcare system. Women should not be subjected to discriminatory practices that affect their access to quality care

37. Achieving equity in maternal health is essential for reducing maternal mortality, improving maternal and child health, and advancing overall gender equality and social justice