Goals of Maternal and Child Health Services

Subject: Community Health Nursing II

Overview

Pregnancy care or examinations during the antenatal period offer the chance to assess women in detail, inform women and their families about the danger signs of pregnancy, delivery, and the postpartum period, which focuses on birth spacing and family planning, and provide information about the significance of skilled birth attendance during delivery.

Goals of Maternal and Child Health Services

Antenatal Care

Pregnancy care or examinations during the antenatal period offer the chance to assess women in detail, inform women and their families about the danger signs of pregnancy, delivery, and the postpartum period, which focuses on birth spacing and family planning, and provide information about the significance of skilled birth attendance during delivery.

Assessment Care Consists of

  •  A careful history and physical examination ( general and obstetrical ).
  •  Advice to the pregnancy women.

Objectives of Antenatal Examination Care

  • To determine the women's social, economic, and educational standing.
  • The high-risk cases for screening.
  • To guarantee a healthy, typical baby that is alive.
  • To assess the health of the pregnant mothers and the fetus.
  • To take proper measures after early detection of pregnancy problems like hypertension and anemia.
  • To identify and treat illnesses that many women have, such as. TB, anemia, etc. by taking a thorough history and conducting lab tests.

Components of Antenatal Care

  • Care before conception.
  • Promoting maternal health maintenance in the neighborhood.
  • Pregnancy is discovered early.
  • Initial prenatal assessment and health instruction.
  • Focused prenatal visits.
  • Evaluation of referral: identify complications, intervene as necessary, and refer.
  • Detection and treatment of a related illness
  • Keeping records.
  • Plan for birth, problems, and emergency readiness.

Services for Maternal and Child Health

  • Pregnancy care.
  • After-birth care.
  • Important newborn and infant care.
  • Deworming and vitamin A prevention program.
  • Immunization.
  • Nutrition RTI/STI Safe abortion Family planning ( CAC, PAC ).
    • Complete abortion care (CAC) and post-abortion care (PAC).
      • ARI is managed well.
      • Only breast milk and weaning foods.
      • Addressing anemia.

Importance of MCH

  • Mothers typically supply the majority of the family's medical care.
  • Her knowledge and actions on wellness and disease prevention affect her family's and her children's health.
  • Mothers who are unwell, anemic, or always pregnant will be exhausted and unable to perform their maternal duties to the best of their ability.
  • Bring in labor to grow the crops.
  • The work of a mother never ends. Her nutritional needs are frequently bigger than her husband's. In the majority of societies, it is customary for the men to eat first and take the meat chunks. Whatever is left over is given to the mother and children. In order to meet the nutritional demands of the family, husbands and wives must receive nutrition education.
  • If a mother's health is monitored throughout her pregnancy, childbirth, and puerperium, many mothers and babies' lives will be saved.

Objectives of The MCH Clinic

  • To provide nursing care for mothers and children at the MCH clinic as well as symptomatic therapy.
  • To vaccinate youngsters in order to prevent sickness.
  • To discuss with a mother about maintaining good health in order to prevent sickness.
  • To maintain and improve the health of kids under five.
  • To stop child malnutrition by organizing appropriate mother and family health education events.
  • To determine a child's development and outgrowth.
  • To determine whether the kids are nutritionally deficient.
  • To maintain, protect, and promote a mother's health while she is pregnant.
  • In order to identify "high risk" cases and provide alternate care.
  • To provide health information on family planning, breastfeeding, nutrition, and immunization.

Activities of MCH Clinic

Child health clinic

The primary 3 functions of a child health clinic are

Care of illness

The mother feels that her children need to be taken care of and treated. Children's illness care include

Diagnoses and therapy for

  • illnesses that are both acute and chronic, including congenital, mental, and physical abnormalities. services for X-rays and laboratories. services recommended.

Preventive Care

  • Immunization.
  • Growth tracking.
  • Health examinations
  • Examination of the body.
  • Health instruction
  • Distribution of vitamin A and deworming

Growth Monitoring

  •  Weight according to age.
  •  Height according to weight and age.

Maternal Health Clinic Activities

  • Prenatal and postnatal mothers are listed.
  • Antenatal examination and physical examination.
  • TT immunization.
  • Health instruction
  • Planning a family.
  • Safe post-abortion procedures.

 

REFERENCE

Dr.Suwal S.N. & Tuitui R. (2063) A Textbook of Community Health Nursing, 1st edition, Vidyarthi Prakashan (P). Ltd. Kamalpokhari, Kathmandu

Endres J.B & Rockwell R.E. (1985), 2nd edition, Food, Nutrition & the Young Child, Times Mirror/ Mosby College Publishing, Toronto, USA

Giri R.K., 2007, 1st edition, A Textbook of Foundation of Health Education and Primary Health Care

GN Pravakara, 2004, Textbook of Community Health for Nurses, 1st edition

Prabhakara GN, 2004 (reprint 2005), Textbook of Community Health for Nurses, Peepe Publishers & Distributers (P) Ltd. India

 

 

 

Things to remember
  • Pregnancy care or examinations during the antenatal period offer the chance to assess women in detail, inform women and their families about the danger signs of pregnancy, delivery, and the postpartum period, which focuses on birth spacing and family planning, and provide information about the significance of skilled birth attendance during delivery.
  • The ANC's goals are
    • To determine the women's social, economic, and educational standing.
    • The high-risk cases for screening.
    • To guarantee a healthy, typical baby that is alive.
    • To determine and monitor the state of the pregnant women and the fetus.
      • Components are  
        • Antenatal care.
        • Postnatal care.
        • Essential newborn care and child care.
        • Vita A prophylaxis and deworming program.
        • Immunization.
        • Family planning.
        • Nutrition.
        • RTI / STI.
        • Safe abortion ( CAC, PAC ).

Post-abortion care is referred to as PAC and CAC, respectively.

 

  • ARI is managed well.
  • Only breast milk and weaning foods.
  • Addressing anemia.
Questions and Answers

Care of preterm infant

  • Maintain warmth:
    • Delay bathing and cover with a warm cloth to keep the baby's head protected.
    • Put the baby in the warming in the incubator. maintain an incubator's temperature.
    • Track the temperature of the auxiliary.
    • Maintain a warm environment.
    • Reduce a child's exposure as much as you can.
    • Assure proper breastfeeding or feeding with expressed breast milk.
    • Maintain the ambient temperature.
  • Maintain effective breathing and adequate oxygenation:
    • Position for sniffing.
    • Keep an eye out for things like breathing rate, cyanosis, nasal flare-ups, and oxygen saturation.
    • Dispense oxygen.
    • Suction as necessary.
    • After eating, lie on your side or in a semi-prone position.
    • Upkeep of ventilators and other respiratory support equipment.
  • Provide nutritional need:
    • Nursing in the early postpartum period.
    • Breastfeeding only.
    • If oral feeding is not an option, continue receiving parental or intravenous nutrition.
    • Feed through an NG tube with expressed breast milk.
    • Evaluation of nipple suck readiness
    • If at all feasible, encourage the mother to breastfeed.
    • Check for feeding tolerance.
  • Protect from infection:
    • Make sure to wash your hands before touching a newborn.
    • Ensure that all tools are clean.
    • Keep the infant with the infection alone.
    • Apply antibiotics as directed.
    • Sustain stringent asepsis.
    • Keep sick infants apart from one another.
    • Prompt infection detection and care.
  • Skincare to maintain skin integrity:
    • Position shift
    • Back care and warm water scrubbing.
  • Maintain adequate hydration:
    • Watch your electrolytes and fluids.
    • Be sure to drink enough oral or parental fluid.
    • Watch your urine output.
  • To attain normal growth and development:
    • Give the best nutrition possible.
    • Ensure you get enough rest and sleep.
  • Promote family processes and infant-parent attachment:
    • Give sufficient details regarding the condition and development of the youngster.
    • Invite relatives to a child's visit.
    • If at all possible, assist the mother in raising the child.
    • Respond to family members' inquiries.

Problems faced by preterm newborn are:

  • Feeding problems.
  • Hypoglycemia.
  • Hypothermia.
  • Severe infection and bleak outlook.
  • Respiratory issues brought on by developing lungs.
  • A young liver's cause of jaundice a brain injury.
  • Premature retinopathy.
  • Anemia of infancy.

Pregnancy care or examinations during the antenatal period offer the chance to assess women in detail, inform women and their families about the danger signs of pregnancy, delivery, and the postpartum period, which focuses on birth spacing and family planning, and provide information about the significance of skilled birth attendance during delivery.

Objectives of Antenatal Examination \ Care

  • To determine the women's social, economic, and educational standing.
  • The high-risk cases for screening.
  • To guarantee a healthy, typical baby that is alive.
  • To assess the health of the pregnant mothers and the fetus.
  • To take proper measures after early detection of pregnancy problems like hypertension and anemia.
  • To identify and treat illnesses that women frequently experience, such as anemia, tuberculosis, and other conditions, by taking a thorough medical history and doing laboratory tests.

Components of Antenatal Care

  • Care before conception.
  • Raising community understanding of the importance of maintaining maternal health.
  • Pregnancy is discovered early.
  • Initial prenatal assessment and health information.
  • Focused prenatal visits.
  • Evaluation of referral: identify complications, intervene as necessary, and refer.
  • Detection and treatment of a related illness
  • keeping records.
  • Plan for birth, emergency preparedness, and ready for complications.

 

Maternal and Child Health Services Include ;

  • Prenatal treatment
  • After-birth care.
  • Essential kid and new-born care.
  • Program for deworming and vitamin A prophylaxis.
  • Immunization.
  • Planning a family.
  • Food. STIs and RTIs.
  • Legal abortion ( CAC, PAC ).

Comprehensive abortion care (CAC) and post-abortion care (PAC)

  • ARI is managed properly.
  • Only breast milk and weaning foods.
  • Addressing anemia.

Importance of MCH

  • Mothers typically supply the majority of the family's medical care.
  • Her knowledge and actions on wellness and disease prevention affect her family's and her children's health.
  • Mothers who are unwell, anemic, or always pregnant will be exhausted and unable to perform their maternal duties to the best of their ability.
  • Bring in labor to grow the crops.
  • The work of a mother never ends. Her nutritional needs are frequently bigger than her husband's. In the majority of societies, it is customary for the men to eat first and take the meat chunks. Whatever is left over is given to the mother and children. In order to meet the nutritional demands of the family, husbands and wives must receive nutrition education.
  • If a mother's health is monitored during her pregnancy, during childbirth, and during the puerperium, many mothers and babies' lives will be saved.

Objectives of the MCH Clinic

  • To provide nursing care for mothers and children at the MCH clinic as well as symptomatic therapy.
  • To vaccinate youngsters in order to prevent sickness.
  • To discuss with a mother about maintaining good health in order to prevent sickness.
  • To maintain and improve the health of kids under five.
  • To stop child malnutrition by organizing appropriate mother and family health education events.
  • To determine a child's development and outgrowth.
  • To determine whether the kids are nutritionally deficient.
  • To maintain, protect, and promote a mother's health while she is pregnant.
  • In order to identify "high risk" cases and provide alternate care.
  • To provide health information on family planning, breastfeeding, nutrition, and immunization.

Activities of MCH clinic

Child Health Clinic

The primary 3 functions of a child health clinic are

  • Care of illness,
  • Preventive care,
  • Growth monitoring,

Maternal health clinic activities.

Care of illness 

Care and treatment of sick children are the mother's felt need. The illness care for children includes.

  • Diagnosis and treatment of physical, mental, and congenital abnormalities as well as acute and chronic illnesses
  • X-ray and laboratory services; and referred services.

Preventive Care

  • Immunization.
  • Growth tracking
  • Health examinations
  • Physical assessment
  • Health instruction
  • Distribution of vitamin A and deworming

Growth Monitoring

  • Weight in relation to age
  • Height in relation to age and weight

Maternal Health Clinic Activities

  • Prenatal and postnatal mothers are listed.
  • Antenatal examination and physical examination.
  • TT immunization.
  • Health instruction
  • Planning a family.
  • Safe post-abortion procedures.

© 2021 Saralmind. All Rights Reserved.