2. Introduction
Health status of mother and child are prime indicator of
assessing health situation of a country .
Mothers and children not only constitute a large group but
they also vulnerable or special group.
So mother and children are the foremost priorities of
community health programme . health status of mother and
child are prime indicator of assessing health situation of a
country .
3. In India, women of childbearing age (15-44)constitute 22.2% and
children under 15 years of age about 35.5% of the total population.
India accounts for nearly 20% of the world,s child deaths.
880,000 newborns die in the first month of life.
Nearly 1,600,000 children in total die each year before they turn
five.
Maternal and child health services were first organized in India in
1921 by a committee of “the lady Chelmsford league” which
collected funds for child welfare and established demonstration
services on an all-India basis.
4. Most common causes of maternal death in india
1. Haemorrhage-34%
2. abortion-8%
3. Hypertensive disorder-5%
4. Obstructed labor -5%
5. Sepsis-12%
6. Other-34%
5. MATERNAL AND CHILD HEALTH
MATERNAL AND CHILD HEALTH CARE REFERS TO -
According to
WHO(1976)Promotive ,
preventive , curative and
rehabilitative health care for
mother and children
6. Mother and child –one unit
During antenatal period the fetus is part of mother.
Child health is closely related to the maternal health.
After birth child is dependent upon mother.
Certain diseases of mother affects the child.
Certain drug intake adversely affects the fetus.
Mother is the first teacher of the child.
7. Components of MCH
Maternal health
Child health
School health
Care of the adolescent
Handicapped children
Care of the children in special settings e.g; day care centres
8. Objectives of MCH
To reduce maternal, infant and childhood mortality and morbidity.
To promote reproductive health.
To promote physical and psychological development of children
and adolescent within the family.
9. Criteria of MCH
Improvement of maternal health.
Improvement of child health.
Family planning
School health maintence .
Reduction of maternal , perinatal ,infant and childhood mortality.
Promotion of reproductive health.
Promotion of physical and psychological development.
10. Maternity
Maternity is the
period of
Providing care
to women
during
pregnancy and
continues after
childbirth.
11.
12. High risk babies
1. Birth weight less than 2.5 kg(lbw)
2. Twins
3. Birth disorder
4. Artificial feeding
5. Weight below 70% of the expected weight
6. Children with PEM, Diarrhoea
7. Working mother/single parents
8. Failure to gain weight during 3 successive months.
13. Intranatal care
Procedures of intranatal care:
1. Clean hands of attendance
2. Clean surface
3. Clean equipments
4. Skilled birth attendant
5. Readiness to deal complications
6. Specific care of newborn
14. Postnatal care
1. Physical examination
2. Postnatal examination
3. Anemia
4. Nutrition
5. Postnatal exercise
6. Psychological
7. Timidity and insecurity for baby
8. Support of husband
9. Fear of ignorance
10. social
11. Women can do to have a baby
12. Creating a family atmosphere