Community

medicine

Mother child health

Presented by;

CARE
Usama Abbas
Contents
• Introduction • Intranatal care

• Aims and objectives • Postnatal care

• Components • Infant care

• Antenatal care • Contact Info

MCHC INTRODUCT
ION
Mother-child health care refers to the provision of healthcare
services and support specifically tailored to meet the needs of both
mothers and their children. This comprehensive approach addresses
the health and well-being of women during pregnancy, childbirth,
and the postpartum period, as well as the health and development of
infants and children.
Key components;
 Components

Antenatal care Intranatal care Postnatal care Infant care

Antenatal care
Objectives;
It means care of mother during pregnancy.  To promote , protect ,and maintain health of mother during

pregnancy.
 To detect high risk causes and give them special attention.
 To foresee complications and prevent them.
 To reduce anxiety associated with delivery.
 To reduce maternal and fatal mortality and morbidity.

Aims;  To sensitize mother to the need for family planning.

The aim of antenatal care is to achieve  To teach the mother elements of child health care ,nutrition,

healthy mother and healthy baby at the end personal hygiene and environmental sanitation.

of pregnancy.
  Antenatal care clinic
 Home visits
Compone  Laboratory and diagnostic
nts facilities
 Mental preparation and family
planning
 Making referrals
 Aims and objectives MCHC

Aims Objective
s
 Making available the best possible
Improve the health of mother and child .
care for women during pregnancy ,
 To reduce maternal mortality and morbidity.
Labor and puerperium.
 To reduce birth rate.
 Best possible care to children while
 To reduce infant mortality and morbidity.
they are growing and are vulnerable.
 To decrease prenatal deaths.
 To reduce the death rate.
 To ensure birth registration.
 Women education, family income.
 Antenatal care clinic
 Careful and complete obstetric history
 Medical examination

 Consultation
 Health education classes

Routine visits Home visits

 First visit as soon as possible.  Health education
 After every four weeks till 28 weeks.  To observe home environment ( nutrition,
 After every two weeks till 37 weeks. sanitation ,personal hygiene).
 Once a week till she delivers.  Follow up advice.

Minimum Routine at 1 visit st

 1 visits
visit – before 12 week to confirm pregnancy.
st th  Conform pregnancy.
 2nd visit- at 24th weeks for baseline health profile.  Know the baseline health status.
 3rd visit at 32-34 weeks to find out position and  Complete general physical
presenting part. Last visit at 36th weeks to decide examination.
where to deliver the baby.
Laboratory & diagnostic facilities
 Anemia
 It means HB level is less than 11gm/d . Majority of women suffer from anemia during
pregnancy.
 Rh factor
 It is an essential aspect to detect antibody. In order to prevent Rh sensitization all women
at risk(Rh negative women with Rh positive) I/M administration of 200 -300 μg of Rh Ig
(immunoglobin) at 28-36 weeks. Second dose is given after delivery. The baby is Rh
positive.
 Toxemia of pregnancy
The presence of albumin in urine and an increased BP indicates toxemia of pregnancy.
 Mental preparation and family
planning.
Mental preparation is very important. Mother must be informed about all aspects of
pregnancy and delivery. During pregnancy, mother is more receptive to advice on
family planning then at other times she must be informed about problems of large
sized family. She is motivated to limit her family to 2 or 3 children.
 Making referrals
MCHC
This is an important component for high risk people complicated cases should be
refers to specialist where adequate facilities are provided.
Intranatal care
Intranatal services
It means care of mother during child birth  Domiciliary midwifery care

and also of child. Childbirth is a normal  Institutional care

physiological but complications may arise.  Home helps

 Maternity homes
 Transport facilities for midwives
 Ambulance services
Aims;
 Blood transfusion services
 Clean delivery through aseptic measures . It is
 Laboratory facilities
achieved by ;
 Consultations and referrals
 Clean delivery surface.
 Clean hands.
 Clean cutting and care of the cord.
 Delivery with minimum injury to infant and

mother.
Domiciliary care
 The care provided at home is called MCHC

domiciliary care

advantages disadvantag
 • Domiciliary care is less expensive esmedical care at home.
 Less
 • No tension of going to hospital Mother  Less rest for women , she may resume her duties
delivers in familiar surroundings earlier.
Sy support  Her diet may be neglected.
 • It is convenient and psychologically  Not fully safe.
satisfactory •
 Mother can keep an eye upon her children
and home affairs •
 Chances of cross infection are rare •
 No chance of mixing of children
Institutional care
 The care provided in an institution ( hospitals) MCHC

advantages disadvantag
 Aseptic measures esexpensive
 More
 Better medical services  Psychological tension of going hospital
 Safe for high risk cases  Chances of cross infection
 Diet and health are properly looked after.  Chances of mixing of children
 Emergency conditions and complications
are managed.
Rooming In and its
advantages;
Rooming in is the keeping the baby’s crib by the side
of mother’s bed is called rooming in.
Advantages are given below;
• This gives mental satisfaction to mother.
• She can easily breast feed her child.
• She has no fear of misplacement of her child.
• Child gets familiar with mother .
Postnatal care
services;
It means care of mother after delivery. It is  Home visiting program by health visitors

also called post partial care after birth  Day 1-3 twice a day
 Daily for 7 days
 Last visit at the end of 6 weeks
 Welfare centers for supply of milk
 Providing consultations and health educations
objectives;
 Postnatal clinic for mothers
 To prevent postnatal complications.
 Hospitals bed for complicated cases
 To provide family planning services.
 Family planning services
 To check adequacy of breastfeeding .
 Referrals and follow up
 To provide basic health education to mother.
Care of new born
Care of an infant is also very important. The immediate care of newborn comprises following;
• Resuscitation;
It becomes necessary if natural breathing fails to establish within a minute.in such cases,
resuscitation may require suction, application of oxygen mask and incubation.
• Care of cord;
Umbilical cord should be cut and tied when it has stopped pulsating because in this way baby
derives about 10 ml extra blood from mother.
• Care of skin;
Clean the skin with a sterile cloth. Child is given bath by soap and warm water.
• Examination of abnormalities;
Cyanosis of lips and skin imperforate anus, and difficulty in breathing, congenital heart anomalies
must be examined after birth.
• Birth weight;
Normal birth weight within 1 hr. of birth is 2.5 kg.
• Others
Home visiting ,breastfeeding, immunization, monitoring of growth and development.
Thanks

+92320-3091729

[email protected]

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