Maternal and

Child Health
PROGRAMME
 Introduction
The slowing down of the rate of decline in
maternal and child mortality in the Philippines
places the country at risk of missing its
Millennium Development Goal targets of
reducing maternal and child mortality. To
ensure rapid reduction of maternal and child
mortality, the Department of Health (DOH)
issued Administrative Order 2008-0029
entitled: “Implementing Health Reforms for the
Rapid Reduction of Maternal and Neonatal
Mortality”.
 Introduction
The strategy aims to achieve the following
intermediate results:
1. Every pregnancy is wanted,
planned and supported;
2. Every pregnancy is
adequately managed
throughout its course;
 Introduction
The strategy aims to achieve the following
intermediate results:
3. Every delivery is facility-
based and managed by
skilled birth
attendants/skilled health
professionals; and
 Introduction
The strategy aims to achieve the following
intermediate results:
4. Every mother and newborn pair
secures proper post-partum and
newborn care with smooth
transitions to the women’s health
care package for the mother and
child survival package for the
newborn.
 Goal
Improve the health and well-
being of women, infants,
children, and families.
 Objectives
Collaborating with Local Government
Units in establishing sustainable, cost-
effective approach of delivering health
services that ensure access of
disadvantaged women to acceptable
and high quality maternal and
newborn health services and enable
them to safely give birth in health
facilities near their homes
 Objectives
Establishing core knowledge base and
support systems that facilitate the
delivery of quality maternal and
newborn health services in the
municipality.
 MOTHER AND
CHILD - ONE UNIT
1. DURING THE ANTENATAL
PERIOD THE FETUS IS PART OF
THE MOTHER.
2. CHILD HEALTH IS CLOSELY
RELATED TO MATERNAL HEALTH.
 MOTHER AND
CHILD - ONE UNIT
3. CERTAIN DISEASES AND CONDITIONS OF
THE MOTHER DURING PREGNANCY ARE
LIKELY TO HAVE EFFECT UPON THE FETUS.
4. AFTER BIRTH THE CHILD IS DEPENDENT
ON THE MOTHER.
5. THE MOTHER IS ALSO THE FIRST TEACHER
OF THE CHILD.
ANTENATAL CARE
THE CARE OF THE WOMEN
DURING PREGNANCY. THE
PRIMARY AIM OF ANTENATAL
CARE IS TO ACHIEVE AT THE
END OF A PREGNANCY A
HEALTHY MOTHER AND A
HEALTHY BABY.
 ANTENATAL CARE
A MINIMUM OF 4 VISITS COVERING THE
ENTIRE PEROID OF PREGNANCY SHOULD BE
FIRST TRIMESTER
( 1-3 MONTHS)- at least 1
SECOND TRIMESTER
( 4- 6 MONTHS)- at least 1
THIRD TRIMESTER
( 7-9 MONTHS) - at least 2
 ANTENATAL CARE
PREVENTIVE SERVICES FOR
MOTHERS( BEFORE DELIVERY)
THE FIRST VISIT

a. HEALTH HISTORY
- PHYSICAL EXAMINATION
LABORATORY EXAMINATION
 ANTENATAL CARE
PREVENTIVE SERVICES FOR
MOTHERS( BEFORE DELIVERY)
THE FIRST VISIT

b. ON SUBSQUENT VISITS:
-PHYSICAL EXAMINATION
LABORATORY TESTS
 ANTENATAL CARE
PREVENTIVE SERVICES FOR
MOTHERS( BEFORE DELIVERY)
IRON AND FOLIC ACID TABLETS, TT
INJECTIONS ETC...
WILL BE PROVIDED BY THE
RESPECTIVE RURAL HEALTH MIDWIFE
OR PUBLIC HEALTH NURSE
ANTENATAL CARE
 ANTENATAL CARE
TETANUS TOXOID IMMUNIZATION
 ANTENATAL CARE
LABORATORIES

URINALYSIS- Urinary tract infection

HEMOGLOBIN- Anemia
BLOOD TYPING
HBSAG- Hepa B
RPR- Syphilis
HIV TESTING - HIV/AIDS
ANTENATAL CARE
NUTRITION
 ANTENATAL CARE
IRON SUPPLEMENTATION

FERROUS SULFATE WITH FOLIC ACID

1 TAB DAILY FOR 6 MONTHS, IF
ANEMIC, TAKE 2 TABLETS DAILY
(HEMOGLOBIN LEVEL)
AFTER DELIVERY, CONTINUE TAKING
1 TABLET DAILY FOR 3 MONTHS
 ANTENATAL CARE
Why should a pregnant woman practice
proper self care?
Good personal hygiene promotes good health and
prevent illnesses
Practice proper personal hygiene by taking a bath
daily, brushing teeth, wearing clean and loose
clothing.
Take a regular light exercise such as walking,
stretching and doing light household chores
Have adequate rest and sleep
Avoid unhealthy practices
ANTENATAL CARE
 ANTENATAL CARE
The Three Delays Model and our
Integrated Approach
1: Delay in decision to seek care due to;
 The low status of women
 Poor understanding of complications and risk
factors in pregnancy and when to seek medical help
 Previous poor experience of health care
 Acceptance of maternal death
 Financial implications
 ANTENATAL CARE
The Three Delays Model and our
Integrated Approach
2: Delay in reaching care due to;
 Distance to health centres and hospitals
 Availability of and cost of transportation
 Poor roads and infrastructure
 Geography e.g. mountainous terrain,
rivers
 ANTENATAL CARE
The Three Delays Model and our
Integrated Approach
3: Delay in receiving adequate health care
due to;
 Poor facilities and lack of medical supplies
 Inadequately trained and poorly motivated
medical staff
 Inadequate referral systems
 POSTPARTUM CARE
CARE OF THE MOTHER( AND THE NEW BORN )
AFTER DELIVERY IS KNOWN AS POST-PARTAL
CARE.
IMPORTANCE
 TO PREVENT COMPLICATIONS OF THE
POSTPARTAL PERIOD.
 TO PROVIDE CARE FOR THE RAPID RESTORATION
OFTHE MOTHER TO OPTIMUM HEALTH.
 TO CHECK ADEUQUACY OF BREAST FEEDING.
 POSTPARTUM CARE
CARE OF THE MOTHER( AND THE NEW BORN )
AFTER DELIVERY IS KNOWN AS POST-PARTAL
CARE.
IMPORTANCE
TO PROVIDE FAMILY PLANNING
SERVICES.
TO PROVIDE BASIC HEALTH
EDUCATION TO MOTHER/FAMILY.
 POSTPARTUM CARE
2 PPV (Post-partum visit)

First visit:
within 24 hours
Second Visit:
after 3 days/ within 7 days
 POSTPARTUM CARE
RESTORATION OF MOTHER TO
OPTIMUM HEALTH:
 TO CONSUME NUTRITIOUS FOOD
DAILY & ENOUGH REST
 VITAMIN A SUPPLEMENTS ( 200,000
IU) 1 DOSE WITHIN 1 MONTH AFTER
DELIVERY
 IRON SUPPLEMENTS FOR 3 MONTHS
 POSTPARTUM CARE
RESTORATION OF MOTHER TO
OPTIMUM HEALTH:
BREASTFEEDING PREVENTS
BLEEDING
PROMOTES BONDING BETWEEN THE
MOTHER AND CHILD
ENSURE COLOSTRUM IS TAKEN BY
BABY
 POSTPARTUM CARE
RESTORATION OF MOTHER TO
OPTIMUM HEALTH:
THE INFANTS CORD IS A COMMON
SITE OF INFECTION. MUST BE KEPT
CLEAN AND DRY
GOOD HYGIENE WILL PREVENT
INFECTIONS IN THE MOTHER AND
CHILD.
 EXCLUSIVE
BREASTFEEDING
feeding your baby only breast milk,
not any other foods or liquids
(including infant formula or water),
except for medications or vitamin
and mineral supplements. Fortify
means adding vitamins and minerals
to a food or drink.
 EXCLUSIVE
BREASTFEEDING
Wastong nutrisyon para sa mga buntis at
nagpapasusong ina
Kung ikaw ay buntis o nagpapasuso, ang
iyong katawan ay nangangailangan ng
karagdagang pagkain sa bawat araw dahil ikaw
ay nagbibigay ng nutrisyon para sa iyong
lumalaking sanggol.
Kumain ng masustansiyang pagkain.
Uminom ng iron supplement.
 EXCLUSIVE
BREASTFEEDING
Wastong nutrisyon para sa mga buntis at
nagpapasusong ina
Ang COLOSTRUM ay ang
malapot at manilaw-nilaw na
gatas ng ina.
Huwag patikimin ang iyong
sanggol ng ibang mga pagkain.
 EXCLUSIVE
BREASTFEEDING
SA UNANG 6 (ANIM) NA BUAN
Ang gatas ng ina ay may sapat na pagkain at
tubig na kinakailangan ng sanggol sa kanyang
unang 6 na buwan.
Huwag magbigay ng anumang pagkain,
maging tubig o ibang uri ng pagkain.Ang gatas
ng ina ay sapat na para punuan ang pagkauhaw
at gutom ng isang sanggol sa kanyang unang
anim na buwan.
 EXCLUSIVE
BREASTFEEDING
Kahalagahan ng ekslusibong pagpapasuso sa
sanggol sa kanyang unang anim na buwan
Ang eksklusibong pagpapasuso ay ang pagbibigay
sa sanggol ng gatas ng ina lamang sa unang 6 na
buwan nito. Sapat ang gatas ng ina para tugunan ang
lahat ng pagkain at tubig na kinakailangan ng sanggol
sa unang 6 na buwan ng kanyang buhay.
Ang gatas ng ina ang pinakamahusay na pagkain
para sa sanggol. Ito ay ligtas,malinis,madaling
tunawin at laging mayroon.
 EXCLUSIVE
BREASTFEEDING
Kahalagahan ng ekslusibong pagpapasuso sa
sanggol sa kanyang unang anim na buwan
Ang eksklusibong pagpapasuso sa sanggol sa
unang 6 na buwan ay proteksiyon din laban sa mga
sakit,tulad ng patatae at impeksiyon sa respiratory
system tulad ng ubo,sipon at pulmonya.Mas malusog
at matibay sa sakit ang batang napasuso ng ina
lamang sa unang 6 na buwan..
 EXCLUSIVE
BREASTFEEDING
Maagang palatandaan na gutom ang sanggol ay:

Hindi mapakali
Pagbukas ng bibig at pagbaling ng
ulo sa magkabilang kilid
Labas-pasok ang dila pagsipsip sa
kung daliri at kamao.
 EXCLUSIVE
BREASTFEEDING
Tamang Paghakab
Ang tamang paghakab ay nakatutulong
sa maayos na pagsuso ng sanggol at sa
patuloy na pagdaloy ng gatas.
Nakatutulong din ito para maiwasan ang
mga sugat at bitak-bitak sa utong ng ina.
Hindi dapat masakit ang pagpapasuso.
 EXCLUSIVE
BREASTFEEDING
Tamang Paghakab
 EXCLUSIVE
BREASTFEEDING
 EXCLUSIVE
BREASTFEEDING
Ibat- ibang posisyon sa pagpapasuso
Ang wastong posisyon ng pagpapasuso ay
nakatutulong para matiyak na ang sanggol ay nakakasuso
nang maayos at tumutulong para patuloy ang daloy ng
gatas ng ina.Ang magandang posisyon ay tumutulong din
na maiwasan ang sugat at bitak-bitak sa utong.
Apat na mahalagang punto upang matiyak na wasto ang
posisyon ng iyong sanggol;tuwid,malapit,suportado at
nakaharap sa iyo.
 EXCLUSIVE
BREASTFEEDING
Ibat- ibang posisyon sa pagpapasuso
Ang katawan niya ay tuwid, hindi
nakabalukot o nakapilipit, ang ulo ay
bahagyang nakaurong
Ang katawan niya ay nakaharap sa
iyo, siya ay nakatingin sa iyong mukha
 EXCLUSIVE
BREASTFEEDING
Ibat- ibang posisyon sa pagpapasuso

May mga ibat-ibang posisyon ng pagpapasuso

1. Cradle Position.
2. Cross-Cradle Position.
3. Side-lying position.
4. Underarm position.
 EXCLUSIVE
BREASTFEEDING
Ibat- ibang posisyon sa pagpapasuso
 EXCLUSIVE
BREASTFEEDING
Ibat- ibang posisyon sa pagpapasuso
Ang sanggol ay nakakakuha ng sapat na gatas
kung hindi siya payat ( o kung tumataba o
nadaragdagan ang timbang niya kung siya ay
dating payat) at kung aktibo siya na angkop
para sa kanyang edad.
 EXCLUSIVE
BREASTFEEDING
Ibat- ibang posisyon sa pagpapadighay
THANK YOU!

STRETCHING NA!