MATERNAL HEALTH Flashcards
What is safe motherhood
Achieving conception, going through pregnancy, childbirth and resulting in the birth of a healthy infant while the mother is in the best of health
Goal of safe motherhood
to improve women’s health in general and specifically to contribute to the reduction in maternal and infant morbidiy and mortality
Components of SM
Health education and counseling
Pre-conception care
Antenatal care
Labour and delivery care
Postnatal care
Family planning
Post abortion care
Post natal care
From delivery to 6 weeks after
Maternal mortality
death of a woman while pregnant or within 42 days of pregnancy, irrespective of the duration and site of pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes
What percentage of maternal deaths occur in developing countries
99%
Maternal mortality ratio
maternal deaths per 100,000 live births within a year
Maternal mortality rate
maternal deaths per 100,000 women of reproductive age (15-49)
Direct causes of maternal mortality
results from complications of pregnancy, labour or puerperium
Indirect causes of maternal mortality
HIV
malaria
anemia
diabetes
cardiac disease
State the direct causes of maternal mortality
hemorrhage
hypertensive disorders
sepsis
complications of unsafe abortion
embolism
Determinants of maternal mortality
the four delays
EmONC
Emergency obstetric and newborn care
Components of EmONC
basic and comprehensive
Difference between basic and comprehensive
Comprehensive has two additional
Perform surgery
Perform blood transfusion
Basic EmONC
Parenteral antibiotics
Uterotonics
Parenteral anticonvulsants
Removal of placenta
Removal of retained products of conception
Assisted vaginal delivery
Neonatal resuscitation
UN EmONC recommendation
5 EmONC facilities per 500,000 people including at least one comprehensive facility
Ghana EmONC recommendation
5 EmONC facilities per 200,000 people including at least one comprehensive facility
Categories of FP methods
Emergency
Short term
Long term (LARCs)
Permanent (VSC)
LARCs
Long acting reversible contraceptives
VSC
voluntary surgical contraception
Short term methods
Condoms
Spermicides
Oral contraceptives
Combined injectables
Lactational amenorrhoea method (LAM)
Natural FP methods
Long term FP methods
Intrauterine devices (IUDs)
Hormonal implants
Progestin only injectables
Example of hormonal implant
Jadelle