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PHILIPPINES
Agenda
I. Introduction
II. Objectives of Mothers Class
Program
III. Some Statistics
IV. Part 1- Pre, during and post
delivery
V. Part 2 At Home: Post delivery
I. Maternal Care
II. Infant Care
Why are we doing this?
-Objectives-
Educate mothers on Maternal & Infant care
How to take care of yourselves
How to take care of your newborn babies
1.6M-2M
additional 3 persons/minute
Some statistics
Did you know that..
10 women die/ 24hrs
from causes related to
pregnancy & childbirth
3,650/yr
(rural areas)
What do women die of & where?
(Maternal mortality, obstetric causes -Regional
report,1998)
1. ARMM* 165
2. Region 9* 137
3. Region 12* 105
4. Region 7** 100
5. Region 5*** 97
6. Region 8* 94
7. Region 10*** 83
* hemorrhage, hpn/eclampsia & infection
** hemorrhage, hpn/eclampsia & abortion
*** hemorrhage, hpn/eclampsia
Part 1
Prenatal
During Delivery
Post partum
Maternal Care
Pre natal
Importance
Normal Changes
When to go to an HCP
Maternal Care
Importance of prenatal care:
Nutrition
Immunization
Breast feeding
Responsible parenthood
Exercise
Normal changes in a body of
pregnant women
Normal changes in a body of
pregnant women
INCREASE IN VASCULARITY
VAGINA &
INCREASE IN VAGINAL
VULVA SECRETIONS
BROWNISH PATCHES ON
SKIN FACE AND NECK
MASK OF PREGNANCY
INCREASE IN SIZE;
TENDERNESS
BREASTS
NIPPLES ENLARGED AND
DEEPLY PIGMENTED
When to go to a HealthCare
Professional..
Midwife, Nurse and Doctor
When to go to a HealthCare
Professional?
Headache
Blurring of vision
Epigastric pain
Vaginal spotting/bleeding
Frequent uterine contractions
Generalized edema
Adjustment in Appetite(hi or low)
Nausea is normal but excessive vomiting is not
Maternal Care
During Delivery
Birth Plan
What to do on day of
delivery..
You should have a birth plan what to
do, what to bring, who to call etc
Maternal Care
Post partum
What to do
When to go to an HCP
What to do after delivery
Hygiene to prevent infection
Discharge first 3-5 days reddish then pinkish
3-5 then brown (all not foul if foul go to
MW/MD
Nutrition to recover fast
Exercise
Care of breast, wound
When to go to a HealthCare
Professional..
Midwife, Nurse and Doctor
When to go to a HealthCare
Professional?
Fever over 38C
Foul vaginal discharge
Excessive bleeding
Painful swelling of the
leg
Swelling of the breast
When to go to a HealthCare
Professional?
Urinary difficulties
Feminine Hygiene
Infant Care
Immunization
Newborn screening
Breast feeding
Bathing
Skin Care
Cord Care
Touch
Infant care
Immunization prevention of diseases
at birth hepa B
DPT 6 weeks after
BCG
Influence of nipple
stimulation by the
baby on uterine
contractions and
postpartum blood loss
Advantages of Breastfeeding
B est for baby & Best for Mommy - Best for baby because of bonding & satisfies sucking
reflex, best for mommies because of bonding & satisfaction the mom gets for
feeding her baby. It also prevents breast cancer & pregnancy
R educe Allergy - Colostrum provide antibodies
E radicate feeding difficulties - No materials to prepare in feeding the child
A llergen free
S terile & Pure - No need to store in the refrigerator
T emperature is optimal
F reshness - Never goes off
E conomical - No feeding bottles & No Milk formula to buy
E asy to prepare - No bottles to wash, No formula to mix
D evelops bonding - Tremendous satisfaction
I mmediately available
N utritious
G astroenteritis greatly reduced
Inflammation of the lining of the stomach due to proteins found in milk formula; Breast milk contains iron that is easily
digested by the infant
Assessing readiness to Breastfeed
Activity
Alertness
Sucking and swallowing coordination
Absence of respiratory distress
Absence of abdominal distention
Breast milk is the BEST for infants
Colostrum
Preterm vs. term human milk
Foremilk and hindmilk
Why breastfeed?
1. Benefits to infants
Easy digestion
Provision of nutrients
Transfer of antibodies
Why breastfeed?
2. Benefits to mothers
Return of body to non-pregnant state
Enhance normal uterine contractions
Reduced risk for osteoporosis
3. Benefits to both mothers &
infants
Physical and emotional
bonding
Sense of Security
Improved mothering skills
Positioning during Breastfeeding
2. Proper positioning:
Baby's mouth should
be wide open, with the
nipple as far back into
his or her mouth as
possible.
(minimizes soreness
for the mother)
Tips for breastfeeding success
3. Nurse on demand
4. No supplements
5. Delay artificial nipples
6. Air dry
7. Watch for infection
8. Expect engorgement
Bathing
Infant Bathing:
16. Expect your baby to cry the first few times you
bathe him/her. Usually, this is just because a bath is
a new experience.
Skin Care
Cord Care
Infant Skin Care
Use clinically proven mild
products made especially for
babies
Touch Therapy
Advantages of Touch Therapy
It stimulates mother and baby to get
acquainted with each other
(Mother-Infant Bonding)
Promotes flexibility
CHEST: Butterfly
Touch/ I Love You
Relieves constipation
QUESTIONS?
PHILIPPINES