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Dying to give birth

Dying to give birth. Maternal Mortality: 5 women in India die every minute during child birth Can it be prevented???? How??. Preventive Medicine in Obstetrics, Pediatrics and Geriatrics. Background. Comprise 71% of population (India: 57%)

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Dying to give birth

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  1. Dying to give birth

  2. Maternal Mortality: 5 women in India die every minute during child birth Can it be prevented???? How??

  3. Preventive Medicine in Obstetrics, Pediatrics and Geriatrics

  4. Background • Comprise 71% of population (India: 57%) • Half of the deaths are occurring among children in the first five years • Vulnerable or special risk group • Child bearing • Growth, development and survival • Under five mortality • Health of mothers and children • Health of general population • MCH services

  5. Mother and Child : One Unit • Antenatal period • Healthy mother : Healthy Baby • TORCH infections • EBF • Postpartum care and neonatal care and family planning • First Teacher

  6. Under Five Clinic

  7. Terminologies • Community Obstetrics: Integration of obstetrics with primary health care • Social Obstetrics • Preventive Pediatrics: Care of children from conception to adolescence: Antenatal and Postnatal • Social Pediatrics • RMNCH+A: Continuum of care across life cycle

  8. MCH Problems • Developed & Developing countries • MCH problems Triad: • Malnutrition • Infection • Uncontrolled Reproduction

  9. Maternal Malnutrition • Malnutrition : Iceberg • Adverse effects: LBW, Anemia, Toxemia of pregnancy, PPH • Birth weight and child mortality: Inverse relation • Weaning initiation period • Interventions: • Direct • Indirect

  10. Infection • TORCH • ADD, URTI & Skin infections • Recurrent infections: PEM & Anemia • Interventions: Cultural and Direct

  11. Uncontrolled Reproduction • Family life education in schools • Role of field workers • Social marketing • Door delivery of contraceptives • Cafetaria approach • GATHER

  12. Nischaya kits: Urine pregnancy test kits offered to women to facilitate early detection of pregnancy and availing antenatal care at an early stage Nischaya vs Nikshaya

  13. Interim Review • Community Obstetrics • Social Obstetrics • Social Paediatrics • Under five clinic components • MCH Problems: Triad of: 6. Pregnancy detection:

  14. Maternal and child health • Maternal health • Child health • Family planning • School health • Handicapped children • Adolescence

  15. Objectives of MCH • Reduction of maternal, perinatal, infant and childhood mortality and morbidity • Promotion of reproductive health • Promotion of physical and psychological development of child and adolescent within the family • Lifelong health

  16. Antenatal Care • Promote, protect and maintain the health of mother during pregnancy • Detect high risk cases • Foresee complications and prevent them • Remove anxiety • Reduce maternal and infant mortality and morbidity • Teach mother elements of child care and nutrition • Sensitize mother regarding FP • Attend to under-fives accompanying the mother

  17. Estimate the number of pregnancies in a specified area: Need: - Registration and identify missing number - Ensure adequate stock

  18. Number of expected pregnancies per year: Expected number of live births (A)= Birth rate per 1000 population× Area population 1000 Correction factor (B): 10% of (A) Total number of live births= A + B

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