MCH Flashcards
What is the goal of MCH?
To reduce MMR (maternal mortality rate)
Ilang visits ang required according to:
Sentrong sigla
WHO
Sentrong sigla (DOH) - 4
WHO - 8
Since ang goal natin is to reduce MMR, we promote ___
Prenatal visits
This is a joint effort between the DOH and LGU, aka quality assurance.
Sentrong sigla movement (SSM) of 1999
According to the Sentrong Sigla of the DOH, every when ang visits?
1st trisem - 1
2nd trisem - 1
3rd trisem - 2
To foster better and more effective collaboration bet. DOH and LGU, in which they each act as what?
Objective ng SSM,
DOH - provider ng financial assistance
LGU - implementer ng health programs
keyword: collaboration ng DOH snd LGU
Institutionalize SSM w/n the health sector to generate continuous quality improvement in health care.
Long term goal of SSM
What is our recognition for achieving good quality sa SSM?
Maintain incentive in SS certification
T or F. Quality improvement is an unending process.
True
Partnership that empowers all stakeholders is based on what?
Trust and transparency
Where will the focus be since it is proven to be the most beneficial under SSM?
Public health program
What is the highest sa level and scope of certification under SSM?
Awards of excellence
Give levels and scope of certification under SSM
1st level - basic ss certification
2nd- specialty awards
Highest - awards of excellence
SS validity is?
2 years
What are the 4 pillars under SSM?
Quality assurance
Grants and technical assistance
Health promotion
Awards
It considers all pregnant women are at high-risk pregnancy but also only addresses ___ problems.
BEMOC - common problems in pregnancy
(Basic emergency obstetrical care)
With BEMOC, nagkakaroon tayo ng capability buildings/trainings. What are they?
oxytocin - hemorrhage
antibiotic
anti-convulsion - MagSo4
steroids - Betamethasone
assisted delivery/forceps delivery
manual removal of placenta/retained products of conception
What is the antidote for magnesium sulfate and ano ba use neto?
calcium gluconate is the antidote
pineprevent natin sa pregnancy ang convulsion from eclampsia, hence we give MagSo4
It is usually given for preterm labors since it promotes _____.
Betamethasone - lung matuirity
The updated version of BEMOC kung saan may nadagdag lang na tatlo, what are they?
CEMOC (Comprehensive emergency obstetrical care)
- CS
- blood transfusion
- advanced life support
T or F. Community based care ang gusto nating mangyari in the future, so included don na sa community na sila manganganak.
True :) Lahat ng pangangailangan is kaya na sa community.
What are the elements under maternal care?
(FMPA)
Familly planning
Maternal and child health nutrition
Prevention and management of reproductive infxns (STI & HIV/AIDS)
Adolescent reproductive health
PD 965 stands for?
Pre-marriage counseling about family planning and responsible parenthood
Reproductive parenthood and reproductive health act of 2002?
RA 4244
(tip; 2002 = 2+2 = 4 tapos kalahati is 2
42 na, then repeat first number 2 times
Amended RA 4244
10354
Ano ang considered as reproductive age for women?
18-35 yo
Home based mother record is color ___ to identify ___
color PINK to identify risk of pregnancy
Micronutrient supplementation includes two, what are they?
Iron/folic acid
Vitamin A (Retinol)
Normal pregnant and lactating, same unit lang binibigay sa Iron/ dolic acid. Give the value and when binibigay (tip: yun lang diff ng dalawa)
60 mg/400 ug
normal preggy - daily for 6 mos
lactating - daily for 3 mos
Give namn yung sa Vit A (Retinol)
10, 000 IU for both normal pregnant and xeropthalmia
200,000 IU - lactating
normal pregnant - twice a wk starting 4 mos
xeropthalmia - once a day for 4 wks
lactating - 1 dose only w/n 4 weeks after delivery
EINC stands for?
Essential intrapartum and newborn care
EINC is ___ practice from WHO standards.
Evidence based!!
What are the time bound interventions aka four priority interventions under unang yakap? (DEDbreast)
Dry infant immediately
Early skin to skin contact
Delayed cord clamping
Breastfeeding
We dry the newborn within __ minutes after birth.
30 mins
Delayed cord clamping, what do we wait?
For pulsations to stop after 2-3 mins
We breastfeed for the ___ mos
First 6 mos pero pwede rin mag breasfeed after 6 mos
T or F. Do not suction unless mouth/nose are blocked with secretions.
True!
T or F. We ventilate baby kahit hindi siya floppy or not breathign.
False! Ventilate with cases:
- floppy
- not breathing
T or F. Cover natin with a blanket likod ng bata sa earlly skin to skin contact.
True! Lagay sa tiyan ni mother para mainitan. Prone ang position ni baby sa likod ni mother.
- cover NB back with dry blanket
- cover NB head with bonnet
Place ID bands on ___
Ankles! Not wrist
T or F. Skin to skin contact is doable for C-section babies.
True!
Put ties tightly around the cord at___ cm & ___ cm from the newborn’s abdomen.
at 2 cm & 5 cm from
Give feeding cues
Tonguing, licking, rooting
Good latch during breastfeeding
(CALMS)
Chin must touch yung breast
Areola is more visible above than below
Lower lip turned outward
Mouth wide open
Suckling must be slow, deep, and with pauses
