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MATERNAL AND CHILD HEALTH NURSING PROGRAM

Philosophy

Pregnancy, labor and delivery and 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

MCN is FAMILY CENTERED- the father is as important as the mother

Goals

To ensure that expectant mother and nursing mother maintain good health, learn the art of
child care, has a normal delivery and bear healthy children

That every child 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

Classification of pregnant women

Normal healthy pregnancy

With mild complications- frequent home visits

With serious or potentially serious complication referred to most skilled source of medical
and hospital care

Home Based Mothers Record (HBMR)

Tool used when rendering prenatal care containing risk factors and danger signs

Risk Factors

145 cm tall (4 ft & 9 inches)

Below 18 yrs old, above 35 yrs old

Have had 4 pregnancies

With TB, goiter, heart disease, DM, bronchial asthma, severe anemia

Last baby born was less than 2 years ago

Previous cesarian section delivery

History of 2 or more abortions, difficult delivery, given birth to twins, 2 or more babies born
before EDD, stillbirth

Weighs less than 45 kgs. or more than 80 kgs.

Danger Signs
1. any type of vaginal bleeding
2. headache, dizziness, blurred vision
3. puffiness of face and hands
4. pallor
Prenatal Care
Schedule of Visits

1st as early as pregnancy, 1st trimester

2nd - 2nd trimester

3rd & subsequent visits - 3rd trimester

More frequent visits for those at risk with complications

Tetanus Toxiod Immunization Schedule for Women

Vaccine
TT1

Minimum Age Interval

As early as possible during
pregnancy

Percent Protected
0%

Duration of Protection
None

TT2

TT3

At least 4 weeks later

At least 6 months later

80%

90%

Infants born to the mother will be protected

from neonatal tetanus. Gives 3 years protection
for the mother from the tetanus.
Infants born to the mother will be protected
from neonatal tetanus.
Gives 5 years protection for the mother.

TT4

At least 1 year later

99%

Gives 10 years protection for the mother

TT5

At least 1 year later

99%

Gives lifetime protection for the mothers. All

Infants born to that mother will be protected.

Dose: 0.5ml
Route: Intramuscular
Site: Right or Left Deltoid/Buttocks
Components of Prenatal Visits

History taking

Determination of obstetrical score- G, P, TPAL, AOG, EDD

U/A for Proteinuria, glycosuria and infxtn

Dental exam

Wt. Ht. BP taking

Exam of conjunctiva and palms for pallor

Abdominal exam - fundic ht, Leopolds maneuver and FHT

Exam of breasts, face, hands and feet for edema and neck for thyroid enlargement

Health teachings- nutrition, personal hygiene, common complaints

Tetanus toxoid immunization

Iron supplementation from 5th mo. Of pregnancy - 2 mos. Postpartum

In goiter endemic areas iodized capsule once a year

In malaria infested areas- prophylactic Chloroquine (150 mg/tab ) 2 tabs/ wk for the whole
duration of pregnancy