MATERNAL AND CHILD
HEALTH
Introduction
MATERNAL and CHILD HEALTH
Refersto 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 MATERNAL & CHILD HEALTH
Toensure 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
GOAL OF MATERNAL & CHILD HEALTH
Promotion and maintenance of optimum health of the
woman and the newborn
PHILOSOPHY OF MCH
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
PHILOSOPHY OF MCH
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 (2005 to 2010)
Launch and implement the Basic Emergency
Obstetric Care strategy in coordination with
the Department of Health. 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
STRATEGIC THRUSTS (2005 to 2010)
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 NUTRITION STRATEGY
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 parenteral oxytocic drugs
Administration of dose of parenteral,
anticonsulvant
Administration of parenteral antibiotics
Administration of maternal steroids for
preterm labor
BeMONC – Basic Emergency Obstetrics and Newborn Care
Performance of assisted vaginal
deliveries
Removal of retained placental
products
Manual removal of retained placenta
It also includes neonatal
interventions which include the
minimum: Newborn resuscitation,
Provision of warmth, Referral, Blood
transfusion
BeMONC – Basic Emergency Obstetrics and Newborn Care
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 Inter – local
Health Zones
BeMONC – Basic Emergency Obstetrics and Newborn Care
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
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
