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MATERNAL AND CHILD HEALTHCARE SERVICES.SEMINAR PPT

MCH SERVICES
PREPARED BY
ANJALY MOHAN
FIRST YEAR MSc NURSING

? Introduction
? Objectives of mch programme
? Strategies of mch programme
? Indicators of maternal and child health
? Organizational activities of mch services
? Recent trends in mch care
? Responsibilities of community health nurse in mch services
? Antenatal or prenatal care
? Postnatal or postpartum care
? Child health services
? Responsibilities of community health nurse in child health
services.
CONTENT

INTRODUCTION
? Maternal and child health care is the health services provided to
mothers(women in their child bearing age ) and children. The targets
for mch are all women in their reproductive age group of that is 15-
49 years of age,children,school age population and adolescents.
Throughout the world, especially in the developing countries ,there
is an increasing concern and interest in mch services. The
commitment towards mch care gains further strength after the
world summit for children , 1991,which gave serious consideration
and outlined major areas to be addressed in the provision of
maternal and child health care services.

OBJECTIVES
?To reduce maternal morbidity and mortality due to pregnancy and child birth.
?To reduce morbidity and mortality due to unsafe abortion.
?To reduce perinatal and neonatal mortality and morbidity.
?To promote reproductive health awareness for young children.
?To increase knowledge of reproductive biology and promote responsible behavior of
adolescents regarding contraception, safe sex and prevention of STD��s.
?To reduce the level of unwanted pregnancies in all women of reproductive age group.
?To reduce the incidence and prevalence of STD��S in order to reduce the transmission of
HIV infection.
?To reduce the incidence of and prevalence in cervical cancer.
?To reduce the female genital mutilation and provide appropriate care for females who
have already undergone genital mutilation.
?To reduce the domestic and sexual violence and ensure proper management of the
victims.

STRATEGIES OF THE MCH
PROGRAMME
? The health services at all levels, including the CHS shall carry out integrated services. Health
education programs are to be included.
? The health services shall be continuously expanded.
? The skill and knowledge of the health personnel shall be constantly improved.
? Adequate emphasis is on mch should be ensured in the curricula of health workers.
? An adequate number of health workers for the various levels of shall be trained. Text books,
manuals, other reference materials will be distributed to all health institutions.
? Knowledge shall be continuously up field through appropriate training and supervisory activities.
? Revision and improvement of the referral system.
? Co-ordinate with other organizations and institutions involved in activities related to mch services.
? Promote community participation.
? To engage the activities of agricultural extension workers.
? Manpower training and research.

INDICATORS OF MATERNAL AND
CHILD HEALTH
?Maternal mortality rate.
?Infant mortality rate,
?Neo natal mortality rate.
?under five mortality rate.
?Child survival rate.

ORGANISATION ACTIVITIES OF MCH SRVICES
MCH services are an important part of primary health care. Traditional activity
areas of these services are;
? Complete health check up and care of the child and mother from
conception to birth.
? Studying health problems of mothers and children.
? Providing health education to parents for taking care of children.
? Training to professionals and assistant workers.

RECENT TRENDS IN MCH CARE
Mother and child health care services have become the foremost priority of
primary health care in every country. This indicate transformation of thinking
about mch care. A description of modern and latest nature of this care is given
below;
I. INTEGRATION OF CARE.
II. RISK APPROACH
III. MANPOAER CHANGES.
IV. PRIMARY HEALTH CARE.
V. REPRODUCTIVE AND CHILD HEALTH.

RESPOSIBILITIES OF A COMMUNITY HEALTH
NURSE IN MCH SERVICES.
? DIRECT CARE
1. ANTENATAL CARE
?Contact; contacting every pregnant mother in the primary stage of pregnancy.
?History; taking history of general health and family environment, social condition,
previous child births and present pregnancy.
?Antenatal examination; conducting general examination , physical examination,
obstetric examination and laboratory investigations etc.
?Calculating the expected date of delivery and informing mothers.
?Conducting antenatal clinics.
? identifying high risk mothers. Providing counselling and health education.
?Helping mother and other family members in planning the delivery.

CONTD��
2.INTRANATAL CARE
?Encouraging institutional deliveries.
?Preparing the place for delivery.
?Arranging necessary equipment and their sterilization.
?Giving mental support to mother. Examining position of fetus, dilation of cervix,
heart rate of fetus and observing the position of bladder and uterine contractions.
?Recording general condition of the pregnant of the pregnant mother, process of
pains and time of membrane rupture.
?Ensuring safe delivery, examining umbilical cord and noting the abnormalities.
?If necessary referring the patient to a specialist.

Contd��
3.POSTNATAL CARE
? Observing the blood pressure, temperature and pulse of mother
immediately after the delivery then during the following period.
? Collecting information about the general condition of the mother, food,
sleep, pain and elimination.
? Observing the fundus, perineum, lochia, bladder etc.
? Observing breast and nipples. Encourage mother to start the breast
feeding to newborn.
? Protecting the mother from the complications like puerperal sepsis breast
inflammation, PPH,UTI etc.

CONTD��
4.NEONATAL CARE
? Observing the respiration of newborn immediately after birth and
if necessary providing resuscitation.
? Taking care of the umbilical cord and tying it with proper
technique.
? Assessing physical condition of the newborn by his Apgar score 9
or 10 is ideal score.
? Cleaning and taking care of the newborn child,skin,eyes.
? Maintaining normal body temperature of the newborn.
? Observing crying,sleeping,intestinal activity and feeding pattern
of the new born.

FUNCTIONS RELATED TO
MATERNAL CLINICS
o Home visits.
The community health nurse should focus the mother on following points;
? Antenatal check ups and it��s importance.
? Anatomy and physiology of pregnancy.
? Diet during pregnancy.
? Plans of delivery.
? Neonatal care.
? Family planning.

MANAGERIAL FUNCTIONS
? Organizing and managing the nursing homes.
? Playing the role of liaison officer under referral system,
for sending the mother to the hospital for safe delivery.
? Taking part in community activities.
? Explaining the importance of RCH services in community.
? Supervising the work of TBAS , midwives and female health worker and
giving them appropriate suggestions.
? Organizing the maternal clinics and manage it.
? Co ordinate among the doctor , family and patients.

EDUCATIONAL FUNCTIONS
? Providing health education to TBA��S , mother��s and family either individual or in the
group.
? Educating (using demonstrations ) , pregnant mothers and relatives about maternal
nursing .
? Community health nurse should discuss the following topics with pregnant mothers.
? Importance of regular antenatal check up.
? Utility of rest, sleep,exercise,personal hygiene and proper diet.
? Importance of hospital delivery and delivery by trained workers.
? Utility of maternal clinics.
? Taking care of infant.
? Utility of maternal clinics. taking care of infant.

COMPONENTS OF MCH SERVICES
? Antenatal or prenatal care
Purposes
1. Protecting and promoting the health of pregnant mother.
2. providing maximum possible care to pregnant mother.
3. Identifying high risk mothers and treating them.
4. Ensuring safe delivery and birth of healthy child.
5. Preparing the pregnant mother physically and mentally for the delivery.
6. Reducing the maternal mortality and morbidity rate.

ACTIVITIES OF ANTENATAL CLINIC
a) Collection of facts.
b) Antenatal examination.
c) Prenatal counselling.
d) Immunization and health protection.
Functions of community health nurse in antenatal clinics
? Selection of place for clinics.
? Fixing clinic days.
? Ensuring presence of specialists and helping them.
? Contacting pregnant mothers and motivating them for consultations and clinics.
? Preparing antenatal cards.
? Taking history and conducting general examinations.
? Maintaining the records and reports.

INTRA NATAL CARE
AIMS
?Taking care of the mother and re establishing the
optimum health as early as possible.
?Maximum possible care to mother during delivery.
?Minimum harm to mother and children.
?Prevention of complications like hemorrhage, mal
presentations, cord prolapse etc.

POSTNATAL OR POST PARTAL CARE
? AIMS
?Taking care of the mother and re establishing the optimum health, as
early as possible.
?Protecting the mother from the complications during the post natal
period.
?Providing health education to mother and family.
?Providing family planning services.

CHILD HEALTH SERVICES
?OBJECTIVES
? Decreasing child mortality rate.
? Complete protection of child.
? Nutritious diet to children.
? Overall growth of children.
? Special efforts to preserve and promote health of children below 5
years of age.
? Increasing health level of children.

NURSES RESPOSIBILITIES IN
CHILD HEALTH SERVICES
? Assessment of growth and development.
? Immediate care of newborn.
? Assessment of nutritional status.
? Prevention of common childhood
accidents.
? Immunization.
? Educational functions.
? Other functions.

CONCLUSION
MCH services are one of the most important programmes of the community. It's aims
is to provide health care to special group in population , which is specially vulnerable
to disease or health.it promotes reproductive health , reduce MMR,IMR.It has various
schemes such as NRHM,CSSM,JSY,ASHA,TBA,IMNCI. These programmes are provide
comprehensive care helps in promoting health status of mother and child.

BIBLIOGRAPHY
1. Swarankar��s community health nursing ; 3rd
edition;N.R brothers ; page no;87-99.
2. k.Park; preventive and social medicine ; 22nd
edition;2013;published by
premnagar; page no;481,514.
3. Rao sunder kasthuri ; an introduction to community health nursing;4th
edition;2015;B.I publications ; page no;446.
4. www.google.com
5. www.pubmed.com
6. MCN The American journal of maternal and child health nursing ; august
2022;vol 47; issue number 4.

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MATERNAL AND CHILD HEALTHCARE SERVICES.SEMINAR PPT

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