Preparation for parenthood , child birth and importance of institutional delivery

1. PREPARATION FOR PARENTHOOD
,CHILDBIRTHAND IMPORTANCE OF
INSTITUTIONAL DELIVERY
PRESENTED BY : KAVITA
M.Sc. NURSING 1st YEAR

2. INTRODUTION:
 Prenatal care is the care women gets before
pregnancy and before her baby is born .It includes
health care , along with education and counselling
about how to handle different aspects of
pregnancy.

3. PREPARATION FOR PARENTHOOD
I has been suggested that parenting is the hardest job any
person will ever have. It also seems to be the job ,a person
is least prepared to begin with . Becoming a parent means
the lives are changing and must prepare for those changes.
 POSITIVE ASPECTS OF A CHILD’S ENTERANCE IN A FAMILY:
 Uniqueness of the child
 Feelings about oneself
 Personal growth
 Sense of family

4. Contd…..
 Personal growth
 Closeness to parents
GOALS OF PARENTHOOD:
There are three main goals of parenthood . They are;
 SURVIVAL : To promote the physical survival and health of their
children.
 ECONOMIC : To foster the skill , behaviours and capacities that the
children will need for economic self maintainence as adults.
 SELF ACTUALIZATION : To foster behavioural capacities for maximizing
cultural values and beliefs.

5. FACTORS INFLUENCING PARENTHOOD
 There are a number of factors which affects child’s rearing and caring by
parents in a family . These are ;
 Family size and social status
 Religion
 Race
 Financial stability
 Type of conjugal-role relationships
 The social psychological aspects of sexual relations
 The effectiveness of practicing contraception

6. PREPARATION FOR PARENTHOOD
 Parents learn by trial and error , commit the same
mistakes that have been commited by countless other
parents , they some how manage to accomplish the task ,
becoming more skilled with each additional child.
 PREPAREDNESS INCLUDES :
PHYSICAL PRE[PAREDNESS
PPSYCHOLOGICALREPAREDNESS
FINANCIAL PREPAREDNESS

7. PHYSICAL PREPAREDNESS
 Thorough physical check-up is
necessary.
 To ensure that the reproductive
organs and their functions are
healthy.
 To diagnose any deviation or any
abnormalities which may lead to
infertility or congenital defects or
abortions e.g. hormonal
insufficiency etc .
 To follow healthy habits.
 To educate the couple about the
effects and influence of bad habits
like smoking, alcoholism, drug
abuse and faulty food practices.

8. EDUCATION DURING PREGNANCY
 Confirming the pregnancy
 Hospital/medical check-up
 Home advice to the family and
care givers
 Health during pregnancy:
 Diet during pregnancy
 Alcohol consumption
 Smoking
 Sexual intercourse
 Exercise and sports
 Travel
 clothing

9. ADVANTAGES OF PREPARED
PARENTHOOD
 Economic and social planning
 Helps in maintaining peace and harmony within family
 Helps in maintaining a better living standard
 It improves socio-cultural changes which accompany the
developmental process
 Promotes better health and welfare of mother and
children
 Provides congenital and conflict free environment
 Reduces the morbidity and mortality of mother and
children

10. PSYCHOLOGICAL PREPARATION
 A couple should develop a favourable attitude about child
bearing and child rearing to react positively and to adjust
well.
 Certain favourable attitudes ,feelings and experiences
which have to include by the couple are ;
 Wanting a child
 Wanting a normal healthy child
 Satisfied with gender

11. FINANCIAL PREPARETION
 Having a baby is an added expense in the family . Couple
has to save money regularly from income in preparation
for the baby.
 Financial security by medical insurance can be enrolled by
couple.

12. PREPARED CHILDBIRTH
INTRODUCTION :
Historically ; the term
natural childbirth has evolved
to mean :
 Delivery outside in nature
 Home birth
 Non-hospital birth
 Delivery without analgesic
and aneasthesia

13. PREPAREDNESS FOR CHILD BIRTH
PSYCHOLOGICAL
PREPARATION
PREPAREDNESS FOR
BIRTH PROCESS

14. PSYCHOLOGICAL PREPARATION
 To prepare the women for childbirth , various methods are
used some of
which are ;
 GRANTLY DICK-READ METHOD : According to it prenatal
courses and training reduces fear , overcome ignorance ,
and built a woman’s self-confidence. It includes ;
 Explanations related to childbirth process and procedures
 Methods available to relieve pain
 Exercises
 Breathing techniques etc .

15.  PSYCHO-PROPHYLACTIC OR LAMAZE METOD : In this
method the woman is taught to replace responses of
restlessness , fear and the loss of control with more useful
activity.
 THE BRADLY METHOD : Commonly referred to as husband-
coached childbirth, although the coach is not necessarily
the husband of women.
 Coaches are supporters of the women from her family who
attend childbirth classes with women and learn to help
the women long before the labour begins.
 The coach serves as a conditioned stimulus using the
sound of his or her voice. Use of particular words and
repetition of practice.

16. PREPAREDNESS FOR BIRTH PROCESS
It include the following activities ;
 Decision making in an emergency
 Skilled birth attendant
 Supplies needed for clean delivery
 Identify support group
 Establish a financing plan for delivery
 Blood donor
 Transportation
 Complication readyness

17. IMPORTANCE OF IONSTITUTIONAL
DELIVERY
DEFINITION :
 Institutional delivery
refers to the childbirth at
technology equipped
medical facility under
supervision of skilled
medical staff.
 In an institutional delivery
, various medical tools
and technologies are used
to ascertain that health of
neonate or mother is not
compromised.

18. ADVANTAGES OF INSTITUTIONAL DALIVERY
 ANTENATAL CARE : Medical facility with trained staff and advanced
facilities provides all services related to antenatal check-ups and
counselling.
 TRAINED HEALTH CARE PROFESSIONALS : IN medical institutions
trained healthcare professionals provide specific care and attention
to mother as well as new-born babies with special needs.
 POST-PARTUM CARE : Mothers are regularly assisted for post-
pregnancy care , with medical staff discussing various aspects such
as care for umblical cord stump , nutrition , breastfeeding and
bathing.
 SAFE DELIVERY : Institutional medical facilities aim for safe delivery
by labour monitoring , active management of third stage of delivery
, immediate attention to the new-born , post-partum monitoring ,
addressing complications of mother and infant post delivery.
 EMERGENCY CARE : Institutional medical; facility also provides
personnel and equipment to handle emergency circumstances
which necessitate immediate attention.

19. Contd……
 ROUND-THE –CLOCK SUPERVISION : It ensures comfort for
mother with medical staff looking after nutrition and care
of baby.
 HYGEINE : Hygeine conditions and surroundings are also
important for safe delivery which are mostly ignored in
non institutional settings.

20. REFERENCES :
 “ Bhasker Nima ; Midwifery and Obstetrical Nursing ; 2nd Edition ; Published
by EMMESS publishers ; Pp-17-23.”