Introduction to Maternal and Child Health

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Introduction to Maternal and Child Health

  1. 1. Introduction to Maternal and Child Health Dr.Rajkumar Patil Asstt. Prof., Community Medicine AVMCH, Pondicherry
  2. 2. <ul><li>What is Maternal and Child Health(MCH)? </li></ul><ul><li>Promotive,preventive,curative and rehabilitative health care </li></ul><ul><li>for mothers and children </li></ul><ul><li>Objectives of MCH </li></ul><ul><li>Reduction of maternal,perinatal,infant </li></ul><ul><li>and childhood mortality and morbidity </li></ul><ul><li>Promotion of reproductive health </li></ul><ul><li>Promotion of the physical and psychological development of </li></ul><ul><li>the child and adolescent within the family </li></ul>
  3. 3. Community Obstetrics Obstetrical concerns with concepts of primary health care Social Obstetrics Study of social and environmental factors and human reproduction Preventive Paediatrics Antenatal and postnatal preventive paediatrics Social Paediatrics Family and community approach to child’s health problems
  4. 4. <ul><li>Maternity Cycle </li></ul><ul><li>Fertilization </li></ul><ul><li>Antenatal period </li></ul><ul><li>Intranatal Period </li></ul><ul><li>Postnatal period </li></ul><ul><li>Interconceptional period </li></ul><ul><li>Period of growths of a child </li></ul><ul><li>Antenatal period </li></ul><ul><ul><li>Ovum(up to 2 weeks) </li></ul></ul><ul><ul><li>Embryo(2-9 weeks) </li></ul></ul><ul><ul><li>Foetus (9 weeks to birth) </li></ul></ul><ul><li>Premature infant (28-37 weeks) </li></ul><ul><li>Birth(Full term)-40 weeks </li></ul>
  5. 5. <ul><li>MCH Problems </li></ul><ul><li>Malnutrition </li></ul><ul><li>LBW,Anaemia,Toxemias of pregnancy,PPH </li></ul><ul><li>PEM </li></ul><ul><li>Infection </li></ul><ul><li>TORCH,UTI </li></ul><ul><li>Diarrhoea,respiratory tract inf,skin inf </li></ul><ul><li>Uncontrolled reproduction </li></ul><ul><li>Antepartum haemorrhage </li></ul><ul><li>High maternal and perinatal mortality </li></ul>
  6. 6. <ul><li>Method to estimate requirements for MCH services </li></ul><ul><li>Probable number of pregnancies annually </li></ul><ul><li>Live births+10% </li></ul><ul><li>Population=5000,CBR = 25/1000 population </li></ul><ul><li>Expected number of live-births =(25 x 5000)/ 1000=125 births </li></ul><ul><li>Probable number of pregnancies in a year = 125+13 = 138 </li></ul><ul><li>50% of registered antenatal mothers are anaemic </li></ul><ul><li>15% of registered antenatal mothers are at high risk </li></ul><ul><li>10% of live-birth babies are at high risk </li></ul>
  7. 7. Thank you…

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