matenral health care Flashcards
what example of prevention does prenatal screening falll under
SECONDARY PREVENTION
EXAMPles of secondary prevention in relation to pregnancy
screening and the regular check ups a pregnant person has
notes
in relation to child parents choose GP
need to be able to give examples of health education and behaviour for iddferent age ranges of kids and SPECIFIC OR NON SPECIFIC
examples of health education and behaviour
ergonomics for children in school
sexual health education for teens
cigarettes and alcohols for teens
examples of specific prophylaxis
folic acid is SPecific
vitamin D is specific to prevent rickets and bone problems
immunisations - epidemiology immunization calendar
examples of 2 prophylaxis
anthropometrics up to 1 year
pre school - check their eyes
spinal postion of children
HPV.
what is tertiary prophylaxis
social rehabilitation (which is different to medical rehab) links to autism, so you do activites with the kids like speech therapy etc
oral q about screening and downs
don’t say that screening is diagnostic it just calculates risk so you cannot 100% say that a child will have downs for example
how many grams of folic acid
0.4 mg (400 micrograms) DAILY before ocnceptin (2months0
definition of maternal health
the health of woman from pregenacy, childbirth to postpartum
periatal health
from 22 weeks gestation to 7 days after birth
maternal health programme
free access to systemic health activities from beginning of pregnancy till 42 postpartum. its covered by the basic health insurance package
THE MHP of the nHIF regulates the activities of the GP for the the follow up normal pregnancies as well as the obs & gyn for normal and risk pregnancies, the programmes covers the bare minimum for pregnancy monitoring
pregancy monrtoring in obs and gyne is carried out with a ‘medical refereal’ by gp. once for the duration of pregs and oncn the first 42 days after pregancy
the woman has the right to choice her obs so if she wants a different one the gp writes another refeeral
best age for childbirth
20-30 years
risk for congential diseases
> 35 years old
normal package for ultrasound
2 free ultrasounds. once in the first trimetser and once in the 5 month
what happens with the first visit
ultrasound
preventive pap smear test
vaginal fluid examination
why would you chose gynecology over gp
most women in bg will opt ofr gyne as Gp are not as trained simply.
- als for high risk pregnancy
- multiple pregnancies
- previous history of miscarriages. stillbirths
- overall poor maternal health
- a family history of diabetes
- blood incompatibility with father of child
why would you chose gynecology over gp
most women in bg will opt ofr gyne as Gp are not as trained simply.
- als for high risk pregnancy
- multiple pregnancies
- previous history of miscarriages. stillbirths
- overall poor maternal health
- a family history of diabetes
- blood incompatibility with father of child
-<20 or >25
what do you do with a preganancy at risk
2 additional ultrasound examinations
serum screening for
AFP
B- hcg (downs syndrome and neural tube defects)
<20 test for chlamydia
indications for hospitlization for pregant women
vomiting
bleeding and pain
swelling of extremities
premature rupture of membranes
long term infertility
multiple pregnancies
narrow pelvis
delayed pregnancy
why take b9
by up to 70%
contributes to proper development of spinal cord, reduces neural tube defects, proper development of cells and formation of DNA
DOSAGE OF B9 FOR AT RIKS
4 mg a day
when to do biochemical screening
11-14 weeks- early
15-20 weeks (late)
what does biochemical screening trst
looks at the free b- hcg and APP- a in serum and ultrasound markers of certain parameters
trisomy 21
trisomy 18
trisomy 13
triploid
turners
what are newborns screened for (2- 5 days )
congenital hypothyroidism as leads to cretinism
PKU
CAH / 21 hydroxylase deficiency
secondary prevention of congenital diseases
biochemical screening
amniocentesis, CVS
neonatal mass screening
selective screening of newborns
primary prevention of congenital diseases
folic acid or fortified foods with b9
health information and health education
single playment for birth of child
250 levs
child health
NHIF has developed a program for kids 0-18 called ‘child health’ implemented by child gP or pediatrician
vaccinaition programe
within 12 hours hep b
24 h- TB
children born outside hospital mandatory vaccination of tetanus
total number of days for maternal days off?
410
what does the health act say in according to maternal health care
providing accessible and quality healthcare with priority for children pregnant women and mothers of children up to 1 year
speical health protection of childrne, pregnant wmen and mothers of children up to 1 year…
in relation to mothers and pregnancy what is the law
HEALH ACT
uninsured women
ministry of health (state budget) provides 1 prophylactic exam during pregnancy for each uninsured woman
free medical services for childbirth reimbursed by state budget
- consultation - expeted due date, anthropometrics
- lab tests - glucose, hep b
defintion of family planning
a right to decide if and when you want to have children
-time intervals between births
- number of kids
when is the father of baby tested
> 35 women
father over 50
what would make a woman need genetic counselling
> 35
50
had a previous child with congenital anomalies
reproductive health indicators
- TFR
- GRR
- NRR
- Contraceptive prevalence
For a given year of observation, is the average number of live born girls, which a generation of women in their reproductive age (15-49) would give birth to, if their age-specific fertility rates equal to that in the observed year.
GROSS REPRODUCTION RATE
For a given year of observation, is the average number of live born girls, which a generation of women in their reproductive age (15-49) would give birth to, if their age specific fertility and mortality rates remained equal to that in the observed year.
net reproduction rate
Replacement level fertility
part of net reproduction rate
level of fertility at which a population exactly replaces itself from one generation to the next.
reasons for early neonatal death
hospital acquired infection
death via delivery from vagina of mum
reasons for late
dehyrdation
outdated traditions like salting abies
bacterial infectons
highest incidence of child mortality
0-1 years.
scale of assesment of crude death rate
low <10
avg 10-15
>15 - bg was 15. 2 last time
Like in the rest of the European countries, the high mortality rate in Bulgaria is due to diseases of the cardiovascular system, non-infectious and cancer diseases.Feb 28, 2020
natural increase
the difference between the number of live born children and number of deaths for a given area in a calendar year. (Natural Increase in Bulgaria is NEGATIVE)
labour code of bulgaria chapter 15 section 2
pregnant and nursing women should be protected
women’s rooms available
job reassignment for pregnant women and nursing mothers
commissioning of pregnant women and mothers
work to be done at home
health act in relation to maternal aritfle 2
Providing accessible and qualitative healthcare with priority for children, pregnant women and mothers of children up to 1 year
Special health protection of children, pregnant women and mothers of children up to one year of age and disabled/mentally disordered persons
Ensuring risk- free motherhood:
propriogenic interval
time from start of marriage to first childbirth - optimal is 2 years
khadijah essay woman not insued
- find another hospital
- pay by cash
- go to the health insurance office and repay health insurance
in the case of having a high risk pregenacy what needs to be discussed
amniocentesis and and CVS
