Here is the basic Presentation of care of pregnant women and during lactation (helpful for Rural Medical Practionar - RMP PC)

2. Care During
Pregnancy &
Lactation
Presented By,
Dr.Sajid Hasan
MBBS
Army Medical College Chattogram

3. Introduction
Lactation: It describes the secretion of milk from the mammary glands
and the period of time that a mother lactates to feed her young.
Pregnancy: It described as a state in which a woman cares a fertilized
egg inside her body

4. Aims of Maternal Health Care
1. To Improve and promote maternal health.
2. To insure that the pregnant women and her fetus are in the best possible
health.
3. To detect early and treat properly complications.
4. To prepare the women for labor, lactation and care or her infant.
5. To prevent and reduce maternal morbidity rate.
6. To prevent and reduce maternal mortality rate.

5. Maternal Health Care
MHC
Preconception
Care
Antenatal Care Intra-natal Care Postnatal Care

6. Preconception Care
Preconception Care: It may be defined as a set of interventions that aim to
identify and modify biomedical, behavioral and social risks to the woman's
health or pregnancy outcome through prevention and management. Certain
steps should be taken before conception or early in pregnancy to maximize
health outcomes.

7. Cont.
Behavioral
• 1. Alcohol Misuse
• 2. Domestic Violence
• 3. Drug Abuse
• 4. Folic Acid
• 5. Over-the-Counter Medications
• 6. Prior Pregnancy Loss
• 7. Psychosocial Concerns
• 8. Smoking

8. Cont.
Chronic Diseases
• 1. Asthma
• 2. Diabetes
• 3. Heart Disease
• 4. Hypothyroidism
• 5. Obesity
• 6. Oral Health

9. Cont.
Sexually Transmitted Infections
• 1. Bacteriosis Vaginosis
• 2. Chlamydia
• 3. Gonorrhea
• 4. Hepatitis B
• 5. Hepatitis C
• 6. HIV
• 7. Cervical Cytology
• 8. Syphilis

10. Cont.
Vaccination
• 1. Human Papillomavirus
• 2. Influenza
• 3. Rubella Sero-negativity
• 4. Varicella

11. Antenatal Care
General objective: “The general objective of antenatal (prenatal) care is to
prepare the mother both physically and psychologically to give birth to a
healthy newborn (favorable outcome of pregnancy) and to be able to care
for it”

25. Lactation/বুকের দুধ খাওয়াক া
BENEFITS OF BREASTFEEDING
Ecological:
• Saves resources
• Less waste
• No refrigeration
• No manufacturing
• No bottles, cans
• No trucking
• No handling

26. Cont
For Society
• Smarter
• Healthier
• Less cost to healthcare system
• Stronger families

27. Cont
To Families
• Less trips to doctors, hospitals
• Less prescriptions
• Less stress
• Less illness
• More bonding
• Inexpensive

28. Cont
Benefits to baby:
• Better dental health
• Increased visual acuity
• Decreased duration and intensity of illnesses
• Less allergies
• Better health & less risk of illnesses

29. Cont
Benefits to mother:
• Psychological (Attachment, bonding, security, skin to skin, fulfillment of
basic needs, relationship)
• Easier weight loss -Decreased risk of illness (breast cancer, osteoperosis,
hemmorhage, ovarian cancer)
• Birth control
• Pride, empowerment, fulfillment