Maternal and Child Health

Question 1

Complications w/maternal health

Answer 1

• Hypertension during pregnancy
• Prolonged/obstructed labor
• Severe hemorrhaging
• Infections
• Unsafe abortion

Question 2

Thaddeus and Maine’s three delays model

Answer 2

1. Delay in decision to seek care
2. Delay in arrival at the health facility
3. Delay in the provision of adequate care

Question 3

Why is Reproductive, Maternal, Newborn, Child health difficult to address in low resource settings?

Answer 3

1. Biology: humans need help in childbirth
2. Lack of schooling: Birth attendants need better practices and appropriate referals
3. Lack of rural health systems: results in delayed care
4. Disregard for women: lack of investment/attention

Question 4

3 Investments and interventions to address maternal morbidity/ mortality in LMIC

Answer 4

• Prevent unplanned pregnancies (family planning & post-/abortion care)
• Prevent/ treat postpartum hemorrhage (uterotonics, appropriate tech, & transfusions)
• Diagnose & address pre-eclampsia (screening during antenatal care, meds to manage BP, labor induction)

Question 5

2 Investments and interventions to address maternal morbidity/ mortality in LMIC

Answer 5

• Prevent & manage sepsis (infection control even during c-section, availability of fluids & transfusions
• Manage obstructed/prolonged labor (labor induction, c-section)

Question 6

Relationship between Maternal mortality, Fertility, and Infant mortality

Answer 6

As fertility rates go down due to improvements in economic development or strong family planning programs,maternal and infant mortality go down as well

Question 7

Barriers and Facilitators to Family Planning

Answer 7

• Woman’s inability to negotiate w/male partner
• Lack of knowledge

-Contraceptive Use

Question 8

How is family planning related to economic development?

Answer 8

When a range of family planning services are easy to obtain, women often choose to have fewer children and invest more in their families through the accumulation of greater wealth. Family planning enables women to be healthier and have more equal opportunities to pursue an education, a career, and financial security. With fewer children to support, families can accumulate greater assets and invest more in their children’s health and well-being.