Overview of Maternal Health in Philippines Flashcards

1
Q

obstetrical complication which is most common cause of maternal mortality?

A

Post partum hemorrhage

1 hemorrhage
2 infection
3 eclampsia

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2
Q

State of complete physical, mental and social wellbeing and
not merely the absence of disease or infirmity, in all matters
relating to the reproductive system and to its functions and
processes

A

health

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3
Q

Implies that people are able to have a satisfying and safe
sex life and that they have the capability to reproduce and
the freedom to decide if, when, and how often to do so. Includes sexual health, the purpose of which is the
enhancement of life and personal relations

A

RH law

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4
Q

when does comprehensive reproductive care start

A

Prenatally

and up to postnatal care

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5
Q

abortion is allowed in situations of maternal emergency such as eclampsia? t or f

A

True

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6
Q

the art and science that deals with delivery, its
antecedents and sequelae, or pregnancy, labor and
puerperium

A

Obstetrics

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7
Q

More babies are born inside the residence of the mother? to r f

A

false

born outside of residence for better services and facilities

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8
Q

Period after birth of an infant born after 20 weeks and

ending at 28 completed days after birth.

A

Perinatal period

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9
Q

Complete expulsion or extraction from the mother of a

fetus after 20 weeks gestation

A

Birth

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10
Q

Weight of a neonate determined immediately after

delivery or soon thereafter as feasible.

A

Birthweight

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11
Q

Women of reproductive age

A

Age 15-49 years old

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12
Q

Number of live births per 1000 population

A

Birth rate

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13
Q

Number of live births per 1000 females aged 15 - 44

A

Fertility rate

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14
Q

Term used to record a birth whenever the newborn at or
sometime after birth breathes spontaneously or shows any
other sign of life such as a heartbeat or definite
spontaneous movement of voluntary muscles

A

Live birth

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15
Q

Absence of signs of life at or after birth

A

STILLBIRTH OR FETAL DEATH

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16
Q

What is term delivery?

A

37 weeks to 42 weeks

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17
Q

Early term

A

37-38 weeks

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18
Q

full term

A

39-40 weeks

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19
Q

ideal age of gestation for birth?

A

39 weeks

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20
Q

Preterm?

A

less than 37 completed weeks (or 259 days) of

gestation

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21
Q

post term

A

more than 42 weeks (or 295 days or more)

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22
Q

Death of a liveborn neonate during the first 7 days after birth

A

Early neonatal death

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23
Q

Death after 7 days but before 29 days

A

Late neonatal daeth

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24
Q

Number of stillborn neonates per 1000 neonates born,

including live births and stillbirths

A

STILLBIRTH RATE OR FETAL DEATH RATE

25
Q

Number of neonatal deaths per 1000 live births

A

NEONATAL MORTALITY RATE

26
Q

The number of stillbirths plus neonatal deaths per 1000

total births

A

PERINATAL MORTALITY RATE

27
Q

All deaths of liveborn infants from birth through 12 months

of age

A

INFANT DEATH

28
Q

Death of a woman while pregnant or within 42 days after
termination of pregnancy, irrespective of the duration and
the site of the pregnancy

A

MATERNAL DEATH

29
Q

Either the disease or injury which initiated the train of
events leading directly to death or the circumstances of
the accident or violence which produced the fatal injury

A

UNDERLYING CAUSE OF DEATH

30
Q

Results from obstetric complications of the pregnant state
(pregnancy, labor, and puerperium) from the
interventions, omissions, incorrect treatment or from a
chain of events resulting from the above

A

DIRECT OBSTETRIC CAUSE

31
Q

Results from previous existing disease or other health

conditions that developed during pregnancy

A

INDIRECT OBSTETRIC CAUSE

32
Q

Traumatic deaths like suicide, accidents, gunshot wound

A

NON-OBSTETRIC DEATH

33
Q

fetal effects of cigarette

A

low birth weight
birth defects
low folate, vitamin c anb carotenoids

34
Q

fetal effects of alcohol

A

low birth weight
birth defects
stillbirth

35
Q

effects of diabetes

A

low vitamin c

36
Q

maternal effect of low iron

A

anemia
easy fatigability
fainting spells
breathlessness

37
Q

fetal effects of low iron

A

anemia

38
Q

maternal effects of low calcium

A

ostetoporosis

39
Q

fetal effects of low calcium

A

poor mineralization of fetal skeleton and teeth

40
Q

maternal effects of low iodine

A

abortion

41
Q

fetal effects of low iodine

A
cretinism
stillbirth
congenital defects
impaired brain development
goiter
hypothyroidism
42
Q

90% of all maternal mortalities are?
preventable
inevitable

A

preventable

43
Q

2 main reasons for high teen pregnancy?

A

inadequate sex education

lack of access to birth control

44
Q

The three delays

A
1 DELAY IN DECIDING TO SEEK MEDICAL CARE
2 DELAY IN IDENTIFYING AND REACHING THE 
APPROPRIATE FACILITY
3 DELAY IN RECEIVING APPROPRIATE AND
ADEQUATE CARE AT HEALT FACILITY
45
Q

Universal access by 2015 to the widest possible range
of safe and effective family planning methods and
the following related reproductive health services:
o Essential obstetric care
o Prevention and management of reproductive tract
infections including STI

A

Millennium development goals

46
Q

adopted by all United Nations
Member States in 2015 as a universal call to action to end
poverty, protect the planet and ensure that all people enjoy
peace and prosperity by 2030.

A

The Sustainable Development Goals (SDGs) or Global Goals

47
Q

POGs recommendation for frequency of check ups

A

every month until 28 weeks. every two weeks until 36 weeks and every week until delivery. Atleast 14 visits.

48
Q

DOH recommendation for frequency of visits?

A

4-5 quality and purposeful antenatal visits

49
Q

When does the first antenatal visit happen by DOH?

A

After the first trimester (12 weeks) to screen for STI, anemia, GDM and first time for accurate ultrasound.

50
Q

When does the additional visit after first visit happen?

A

at 20 weeks for a repeat scan

51
Q

When does the 2nd visit happen?

A

at 24-28 weeks (6th or 7th month) to screen again for GDM

52
Q

when does the 3rd visit happen?

A

at 32 weeks (8th month) to screen for multiple gestation, eclampsia and anemia

53
Q

when does the 4th visit happen?

A

9th month or 36 weeks to assess of fetal lie and mode of delivery

54
Q

it is a workshop being given to birth
attendants (e.g midwifes and district primary care
physicians)

A

EmONC (Emergency Obstetrical and Newborn Care)

Approach

55
Q

The single most important way to reduce maternal deaths

A

ensure that a skilled attendant is present at every

birth.

56
Q

An accredited health professional (a midwife, doctor or
nurse) who has been educated and trained to
proficiency in the skills needed to manage normal
pregnancies, childbirth and the immediate postnatal
period, and in the identification, management and referral
of complications in women and newborns.

A

SKILLED ATTENDANT

57
Q

The elements of obstetric & newborn care needed for the
management of normal and complicated pregnancy,
delivery, postpartum periods and the newborn.
● Early detection and treatment of problem
pregnancies to prevent progression to an emergency
● Management of emergency complications

A

EMERGENCY OBSTETRIC AND NEWBORN CARE

EmONC

58
Q

Facility that performed all of the following six services:
o Administration of parenteral antibiotics, oxytocics and
anticonvulsants
o Manual removal of placenta
o Removal of retained products
o Assisted vaginal delivery

A

BASIC ESSENTIAL/ EMERGENCY OBSTETRIC

CARE (BEmOC)

59
Q

Facility that has performed surgery and blood

transfusion, in addition to all six BEmOC services

A
COMPREHENSIVE ESSENTIAL/ EMERGENCY 
OBSTETRIC CARE (CEmOC)