Maternal and Child Program Flashcards
what is RA 10354
Responsible Parenthood and Reproductive Health Act of 2012
also known as Reproductive health law or RH Law
Philippine law that provided universal access to methods on contraception, fertility control, sexual education, and maternal care in the Philippines.
RA 10354
what is the target population of the RA 10354
MWRA (18-49)
WRA (15-49)
these were created to advance the health of women and children, gender equality, education, the environment, and global partnerships.
Millennium development goals MDGs
when is iron supplementation given to a pregnant mother
from 5th month of pregnancy until two months postpartum
100-120 mg PO per day for 210 days
proper schedule of follow up (postpartum)
1st - within 24 hrs after delivery
2nd - at least one week after delivery
3rd - 2-4 weeks after delivery
attendants must be aware of early signs, symptoms, and complications. They should follow the 3 cleans:
clean hands
clean surface
clean cord
what does HBMR mean
home-based mother’s record
what does BEMOC mean
basic emergency obstetric care
allows families to plan for childbirth and
upgrade technical capacities of HCP
BEMOC
target population of BEMOC
every 125 000 population
what does CEMOC mean
comprehensive emergency obstetric care
population of CEMOC
1:150 population
functions of CEMOC (3)
TAH BSO
bt/blood
newborn resuscitation
BREASTFEEDING acronym
Best for babies Reduce the incidence of allergies Economical Antibodies present Stool inoffensive (golden yellow) Temperature always ideal Fresh milk never goes off Emotionally bonding Easy once established Digested easily Immediately available Nutritionally optimal Gastroenteritis greatly reduced
a “simple cost-effective newborn care
intervention” intended to enable improved neonatal and maternal care.
EINC
immediate thorough drying is done within ______ (provide the rationale)
within 30 minutes
prevents hypothermia/ provides warmth
Early skin-to-skin contact is done at ______ (provide rationale)
after 30 seconds
mother and child bonding and decreases risk of sepsis and hypoglycemia
Properly timed cord clamping and cutting (time and rationale)
within 1-3 minutes
prevents anemia and hemorrhage
Non-separation of the
newborn and mother for early initiation of breastfeeding (time)
within 90 minutes
LAW: Non-separation of the
newborn and mother for early initiation of breastfeeding
RA 7600 (BF Law/Rooming-in)
the planning of when to have children, and the use of birth control and other techniques to implement such plans
family planning
also known as contraception and fertility control, are methods or devices used to prevent pregnancy
birth control
Planning, provision and the use of birth control is called ______
family planning
refers to the termination of pregnancy before the fetus become viable. It is either spontaneous or induced
abortion
abortion is fixed at _ weeks when the fetus weighs ___ grams
28 weeks
1000 grams
these do not involve the use of any man-made devices
natural methods
these methods are useful for timing and spacing of pregnancies
natural methods
these methods can help in timing and spacing of pregnancies, preventing unwanted pregnancies. These methods are temporary methods
spacing method
4 pillars or guiding principles of PFPP
- responsible parenthood
- respect for life
- birth spacing
- informed choice
the will and ability to respond to the needs and aspirations of the family
responsible parenthood
it promotes the freedom of responsible parents to decide on the timing and the =size of their families in pursuit of a better life
responsible parenthood
this law protects the life of the unborn from the moment of conception. FP aims to prevent abortions thereby saving the lives of both women and children
1987 constitution ( respect for life)
proper birth spacing is ______ years that enables women to recover from pregnancy and to improve their well-being, health of the child, and the relationship between husband and wife, and between parents and child
3-5 years from recent pregnancy
what is the general objective of the responsible parenthood/ family planning program
help couples/parents and individuals to achieve their desired number, timing, and spacing of children thru responsible parenthood and contribute to improving maternal, neonatal and child health, and nutrition (MNCHN) conditions
natural methods of contraception (4)
abstinence
calendar method
cervical mucus
coitus interruptus
this involves the complete avoidance of sexual cohabit
abstinence
the only 100 % effective way to prevent pregnancy STI HIV/AIDS
abstinence
what is basal body temperature
the temperature of the body at rest or when relaxed
when is the best time to measure BBT
early in the morning / after waking up
what is the significance of BBT in pregnancy prevention
if high, fertile or there is ovulation
peak of BBT and how to know when is the lesser chance of pregnancy
38 C
count 2-3 days from the day of peak for a lesser chance of pregnancy
what is the rhythm-standard days method (SDM)
how effective?
usually best if your menstrual cycle is 26-32 days long
9-19 days = you are fertile
effectivity: 70-80%
it is the method of predicting fertility based on menstrual cycles
calendar method
coincides with the day of ovulation in 80% of cases. The probability of conceiving a baby is highest on that day
spinnbarkeit
stringy, stretchy quality of cervical mucus found especially around the time of ovulation
spinnbarkeit
removal of penis from the vagina before ejaculation occurs
how effective
withdrawal/ coitus interruptus
80% effective
is withdrawal a sufficient method?
NO because it is hard to control
these methods add chemicals similar to the hormones to stop the release of an egg and weaken the sperm
hormonal methods
7 hormonal methods
pill, patch, vaginal ring, shot, implant, IUD, emergency contraception
methods that prevent the meeting of sperms with the ovum
barrier methods
thin covering that you unroll over an erect penis that is made of latex, polyurethane, or animal membrane
male condoms
what makes the condom less likely to break
lubrication
this part of the condom serves as the spermicide
lubricant
do condoms protect from STI
no
effectiveness rate of male condoms
82-98 %
chemicals that go into the vagina before sex
effectiveness rate
spermicides
72-91%
weakens and immobilizes sperms
spermicide
spermicides should be melted first for ____
10-15 mins
most spermicides work for _ hour/s and the sponge works for __ hour/s
1 hour;24 hours
what is the key ingredient in spermicides
nonoxynol9
combining condoms with spermicides raises effectiveness level to
99%
covers the cervix so sperm cannot get into the womb (uterus) to fertilize an egg
diaphragm or cap
a small plastic T with a string inserted into the uterus
effectiveness rate
IUD
99.8%
copper on IUD acts as _______
spermicide
3 functions of hormonal methods (pills)
prevents ovulation
thins uterine lining to prevent implantation
thickens cervical mucus
when is the best time to insert IUD
during menstruation because the cervix is open and there is no pregnancy
can you take 2 pills together if you missed 1 day?
yes
can you take 3 pills together if you missed 2 days?
no
this might lead to withdrawal bleeding
orally taken every day at about the same time
effectiveness rate
pills
91-99.7%
a pill or combination of pills you take to after sex to prevent pregnancy
effectiveness
emergency contraception - morning after pill - plan B
95 % if taken immediately within the first 24 hours after sex
its action is to inhibit ovulation of the ovum by blocking the secretion of gonadotropin from the pituitary gland
oral pills
two preparations of progestin-only injectible
DMPA (depot-medroxyprogesterone acetate)
NET-EN (norethisterone enanthate )
has six small silicon rubber tubes that contain 30 mg of progestogen
Norplant
has 2 small rods
Norplant R-2
their tubes r the rods allow steady diffusion of steroids into the bloodstream for a period of 5 years to give effective contraceptive effects
Norplant and Norplant R2
subdermal implants
a long-acting hormone injection
shot (Depo-Provera)
how frequent is the SHOT given
once every 3 months
long-term or permanent method to prevent pregnancy in men and women
men - vasectomy
women- tubal ligation
only method which gives permanent protection from contraception
sterilization
2 most common abdominal approaches of tubectomy
laparoscopy and minilaparotomy
