Maternal and Child Health Nursing 1
Content
AND
CHILD
HEALTH
NURSING
INTRODUCTION
Maternal and Child Health refer to philo-mother
and child relationship to one another and
consideration of the entire family as well as the
culture and socio-economic environment as
framework of the patient.
It involves the care of the woman and family
throughout pregnancy and childbirth and the
health promotion and illness care for the children
and families.
GOAL OF MCH
To ensure that every expectant and nursing
mother maintains good health, learns the art of
child care, has normal delivery and bears healthy
child.
That every child, wherever possible lives and
grows up in a family unit with love and security, in
healthy surroundings, receives adequate
nourishment, health supervision and efficient
medical attention, and is taught the elements of
healthy living (Reyala, 2000).
Promotion and maintenance of optimum
health of the women and newborn.
PHILOSOPHY OF MCN
Is community-centered
Is research-centered
Is based on nursing theory
Protects the rights of all family members
Uses a high degree of independent
functioning
Places importance on promotion of health
Is based on the belief that pregnancies or
childhood illness are stressful because
they are crises.
Is a challenging role for the nurse and is
a major factor in promoting high level
wellness in families.
Pregnancy, labor and delivery and the
puerperium are part of the continuum of
the total life cycle.
Personal, cultural and religious attitudes
and beliefs influence the meaning of
pregnancy for individuals and make
each experience unique.
Maternal-child nursing is family
centered. The father of the child is as
important as the mother.
STRATEGIC THRUSTS (20052010)
Launch and implement the Basic Emergency
Obstetric Care strategy in coordination with the
DOH. It entails the establishments of facilities that
provide emergency obstetric care for every
125,000 population and which are located
strategically.
Improves the quality of prenatal and postnatal
care.
Reduce women’s exposure to health risks
through the institutionalization of
responsible parenthood and provision of
appropriate health care package to all
women of reproductive age especially those
who are less than 18 years old and over 35
years of age, women with low education
and financial resources, women with
unmanaged chronic illness and women who
had just given birth in the last 18 months.
LGUs and NGOs and other stakeholders must
advocate for health through resource
generation and allocation for health services to
be provided for the mother and the unborn.
MATERNAL NEONATAL AND CHILD
HEALTH AND NUTRITION STRATEGY
(MNCHN)
It applies specific policies and actions for local
health systems to systematically address
health risks that lead to maternal and
especially neonatal deaths which comprise half
of the reported infant mortalities.
BEMONC- BASIC EMERGENCY
OBSTETRICS AND NEWBORN CARE
It refers to lifesaving services for emergency
maternal and newborn conditions/complications
being provided by a health facility or professional to
include the following services:
Administration of
Administration of
anticonvulsants
Administration of
Administration of
labor
parenteral oxytocic drugs.
dose of parenteral
parenteral antibiotics
maternal steroids for preterm
Performance of assisted vaginal deliveries
Removal of retained placental products
Manual removal of retained placenta
It also includes neonatal interventions which include
at the minimum:
Newborn resuscitation
Provision of warmth
Referral
Blood transfusion
BeMONC facility shall consist of the core
district hospital.
For geographically
isolated/disadvantaged areas/ densely
populated areas, the designated BeMONC
facilities are the following: Rural Health
Unit, Barangay Health Station, Lying-in
Clinics and Birthing Homes.
Accessibility within 1 hour from residence
or referring facility within the ILHZ (Interlocal Health Zones)
Shall operate within 24 hours with 6
signal obstetric function.
Shall have access to communication
and transportation facilities to mobilize
referrals.
Staff composition: (1) Medical Doctor,
(1) Registered Nurse, (1) Registered
Midwife.
CEMONC- COMPREHENSIVE
EMERGENCY OBSTETRICS AND
NEWBORN CARE FACILITY
- Refers to lifesaving services for emergency
maternal and newborn
conditions/complications as in Basic
Emergency Obstetric and Newborn Care
plus the provision of surgical delivery and
blood bank services and other specialized
obstetric interventions.
ESSENTIAL HEALTH SERVICES
AVAILABLE IN THE HEALTH CARE
FACILITIES
A. Antenatal Registration/ Prenatal Care
OBJECTIVE: to reach all pregnant women, to give
sufficient care to ensure a healthy pregnancy and
the birth of a full term healthy baby.
Normal Patients- following the initial
evaluation they will be given healthy
instructions and counseling. This will
include advice for prompt prenatal care
examination.
Patients with mild complications- a
thorough evaluation of the needs of
patients with mild complications will
determine the frequency of follow-up of
these cases by the rural health unit, city
health clinic or puericulture center
Patients with potentially serious
complications- these patients shall be
referred to the most skilled source of
medical and hospital care. As a first
choice they will be referred if at all
possible for continuing care or
consultation. Second choice will be
followed carefully by the rural health
unit, city health clinic or puericulture
center.
All RHUs and BHS should have a masterlist of
pregnant women in their respective
catchment center.
The Home Based Mother’s Record (HBMR)
shall be used when rendering prenatal care
as a guide in in the identification of risk
factors, danger signs and to be able to do
appropriate measures.
There should be atleast 3 prenatal visits
following the prescribed timing:
CHILD
HEALTH
NURSING
INTRODUCTION
Maternal and Child Health refer to philo-mother
and child relationship to one another and
consideration of the entire family as well as the
culture and socio-economic environment as
framework of the patient.
It involves the care of the woman and family
throughout pregnancy and childbirth and the
health promotion and illness care for the children
and families.
GOAL OF MCH
To ensure that every expectant and nursing
mother maintains good health, learns the art of
child care, has normal delivery and bears healthy
child.
That every child, wherever possible lives and
grows up in a family unit with love and security, in
healthy surroundings, receives adequate
nourishment, health supervision and efficient
medical attention, and is taught the elements of
healthy living (Reyala, 2000).
Promotion and maintenance of optimum
health of the women and newborn.
PHILOSOPHY OF MCN
Is community-centered
Is research-centered
Is based on nursing theory
Protects the rights of all family members
Uses a high degree of independent
functioning
Places importance on promotion of health
Is based on the belief that pregnancies or
childhood illness are stressful because
they are crises.
Is a challenging role for the nurse and is
a major factor in promoting high level
wellness in families.
Pregnancy, labor and delivery and the
puerperium are part of the continuum of
the total life cycle.
Personal, cultural and religious attitudes
and beliefs influence the meaning of
pregnancy for individuals and make
each experience unique.
Maternal-child nursing is family
centered. The father of the child is as
important as the mother.
STRATEGIC THRUSTS (20052010)
Launch and implement the Basic Emergency
Obstetric Care strategy in coordination with the
DOH. It entails the establishments of facilities that
provide emergency obstetric care for every
125,000 population and which are located
strategically.
Improves the quality of prenatal and postnatal
care.
Reduce women’s exposure to health risks
through the institutionalization of
responsible parenthood and provision of
appropriate health care package to all
women of reproductive age especially those
who are less than 18 years old and over 35
years of age, women with low education
and financial resources, women with
unmanaged chronic illness and women who
had just given birth in the last 18 months.
LGUs and NGOs and other stakeholders must
advocate for health through resource
generation and allocation for health services to
be provided for the mother and the unborn.
MATERNAL NEONATAL AND CHILD
HEALTH AND NUTRITION STRATEGY
(MNCHN)
It applies specific policies and actions for local
health systems to systematically address
health risks that lead to maternal and
especially neonatal deaths which comprise half
of the reported infant mortalities.
BEMONC- BASIC EMERGENCY
OBSTETRICS AND NEWBORN CARE
It refers to lifesaving services for emergency
maternal and newborn conditions/complications
being provided by a health facility or professional to
include the following services:
Administration of
Administration of
anticonvulsants
Administration of
Administration of
labor
parenteral oxytocic drugs.
dose of parenteral
parenteral antibiotics
maternal steroids for preterm
Performance of assisted vaginal deliveries
Removal of retained placental products
Manual removal of retained placenta
It also includes neonatal interventions which include
at the minimum:
Newborn resuscitation
Provision of warmth
Referral
Blood transfusion
BeMONC facility shall consist of the core
district hospital.
For geographically
isolated/disadvantaged areas/ densely
populated areas, the designated BeMONC
facilities are the following: Rural Health
Unit, Barangay Health Station, Lying-in
Clinics and Birthing Homes.
Accessibility within 1 hour from residence
or referring facility within the ILHZ (Interlocal Health Zones)
Shall operate within 24 hours with 6
signal obstetric function.
Shall have access to communication
and transportation facilities to mobilize
referrals.
Staff composition: (1) Medical Doctor,
(1) Registered Nurse, (1) Registered
Midwife.
CEMONC- COMPREHENSIVE
EMERGENCY OBSTETRICS AND
NEWBORN CARE FACILITY
- Refers to lifesaving services for emergency
maternal and newborn
conditions/complications as in Basic
Emergency Obstetric and Newborn Care
plus the provision of surgical delivery and
blood bank services and other specialized
obstetric interventions.
ESSENTIAL HEALTH SERVICES
AVAILABLE IN THE HEALTH CARE
FACILITIES
A. Antenatal Registration/ Prenatal Care
OBJECTIVE: to reach all pregnant women, to give
sufficient care to ensure a healthy pregnancy and
the birth of a full term healthy baby.
Normal Patients- following the initial
evaluation they will be given healthy
instructions and counseling. This will
include advice for prompt prenatal care
examination.
Patients with mild complications- a
thorough evaluation of the needs of
patients with mild complications will
determine the frequency of follow-up of
these cases by the rural health unit, city
health clinic or puericulture center
Patients with potentially serious
complications- these patients shall be
referred to the most skilled source of
medical and hospital care. As a first
choice they will be referred if at all
possible for continuing care or
consultation. Second choice will be
followed carefully by the rural health
unit, city health clinic or puericulture
center.
All RHUs and BHS should have a masterlist of
pregnant women in their respective
catchment center.
The Home Based Mother’s Record (HBMR)
shall be used when rendering prenatal care
as a guide in in the identification of risk
factors, danger signs and to be able to do
appropriate measures.
There should be atleast 3 prenatal visits
following the prescribed timing:
