MATERNAL AND CHILD

HEALTH
MOTHER & CHILD HEALTH- ONE UNIT

During antenatal period, fetal tissue draws

nutrition from mother through placenta-hence
maternal health affects fetal health
Maternal malnutrition/ ill health causes stillbirths,
premature , low birth weight infants
Diseases like typhoid,syphlis,AIDS ,german
measles pass from mother to child
Postpartum infant depends on mothers milk
Psychological bond between mother & child
 • POSITIVE HEALTH,
THROUGH PRACTICE OF
SOCIAL OBSTETRICS AND SOCIAL PEDIATRICS IN
PRIMARY HEALTH CARE
• Social obstetrics considers, age at marriage, child
spacing, fertility, education, customs and beliefs in
pregnancy, upbringing of child in family, deliveries
by trained birth attendants

• Social pediatrics aims growth monitoring of

infants /children, nutritional surveillance, breast
feeding promotion, regular health check ups of
infants
 Mother and child health programs have to be
dealt SIMULTANEOUSLY

MCH aims at reducing maternal and infant mortality

as well as morbidity
MALNUTRITION is common problem of both
mothers and children – addressed by MCH
MATERNAL INFECTIONS at any stage can cause
fetal and neonatal infections
Tetanus neonatorum,TB, diphtheria, hepatitis need
to be checked
 EDUCATION OF WOMEN / MOTHERS

ORS & diarrhea prevention program. Diarrhea major

cause of infant deaths, morbidity & malnutrition,
hence education in personal hygiene and child care
MCH refers to comprehensive medical care
comprising promotive, preventive ,curative and
rehabilitative services for mothers and children
including family health planning
 AIMS OF MCH
urban, rural ,socioeconomic factors

• EVERY PREGNANCY IS A WANTED

PREGNANCY, needs to COMPLETE full term &
DELIVER healthy baby
• ALL PREGNANT WOMEN AND CHILDREN
MUST RECEIVE full medical care
• ALL WOMEN AND CHILDREN MUST REACH
health centers for routine and emergency care
• REDUCE MORTALITY maternal and infant
• PROMOTION of reproductive health/ education
INDICATORS – REPRODUCTIVE HEALTH

• Total fertility rate

• Contraceptive prevalence rate
• Maternal mortality rate
• Antenatal care coverage
• Births attended by skilled health personnel
• Availability of essential services
• Availability of comprehensive essential services
 INDICATORS-cont

Perinatal mortality rate

Prevalence of low birth weight babies
Prevalence of positive syphilis serology in pregnant
women
Prevalence of anemia in pregnant women
Percentage of hospital admissions owing to
abortions
Prevalence of infertility in women
 SAFE
MOTHERHOOD
ESSE
ANTE CLEA NTIA
FAMIL
NATA N/ L
Y
L SAFE
PLA OBS
DELIVE TET
NNI CARE RY
NG RIC

BASIC MATERNITY CARE CAR

E

PRIMARY HEALTH CARE

EQUITY FOR WOMEN

WHAT GROWTH MONITORING IS
INTENDED TO DO & HOW
GROWTH MONITORING
GROWTH MONITORING
 THINKING??????
STILL NOT ADDRESSED SERIOUSLY .
WHAT SIMPLE SOLUTIONS

THANKS