Maternal and Child Health Nursing Program

  • Pregnancy, labor and delivery and puerperium are part of the continuum of the total life cycle
  • Personal, cultural and religious attitudes and beliefs influence the meaning of pregnancy for individuals and make each experience unique
  • MCN is FAMILY CENTERED- the father is as important as the mother
  • To ensure that expectant mother and nursing mother maintain good health, learn the art of child care, has a normal delivery and bear healthy children
  • That every child lives and grows up in a family unit with love and security, in healthy surroundings, receives adequate nourishment, health supervision and efficient medical attention and is taught the elements of healthy living
Classification of pregnant women
  • Normal – healthy pregnancy
  • With mild complications- frequent home visits
  • With serious or potentially serious complication – referred to most skilled source of medical and hospital care
Home Based Mother’s Record (HBMR)
  • Tool used when rendering prenatal care containing risk factors and danger signs
Risk Factors
  • 145 cm tall (4 ft & 9 inches)
  • Below 18 yrs old, above 35 yrs old
  • Have had 4 pregnancies
  • With TB, goiter, heart disease, DM, bronchial asthma, severe anemia
  • Last baby born was less than 2 years ago
  • Previous cesarian section delivery
  • History of 2 or more abortions, difficult delivery, given birth to twins, 2 or more babies born before EDD, stillbirth
  • Weighs less than 45 kgs. or more than 80 kgs.
Danger Signs
  1. any type of vaginal bleeding
  2. headache, dizziness, blurred vision
  3. puffiness of face and hands
  4. pallor
Prenatal Care
Schedule of Visits
  • 1st – as early as pregnancy, 1st trimester
  • 2nd – 2nd trimester
  • 3rd & subsequent visits – 3rd trimester
  • More frequent visits for those at risk with complications
Tetanus Toxiod Immunization Schedule for Women
 Vaccine  Minimum Age Interval  Percent Protected  Duration of Protection
 TT1 As early as possible during pregnancy  0% None
 TT2 At least 4 weeks later  80% Infants born to the mother will be protected from neonatal tetanus. Gives 3 years protection for the mother from the tetanus.
 TT3 At least 6 months later  90%  Infants born to the mother will be protected from neonatal tetanus.

Gives 5 years protection for the mother.

 TT4 At least 1 year later  99% Gives 10 years protection for the mother
 TT5 At least 1 year later  99% Gives lifetime protection for the mothers. All Infants born to that mother will be protected.

Dose: 0.5ml
Route: Intramuscular
Site: Right or Left Deltoid/Buttocks

Components of Prenatal Visits
  • History – taking
  • Determination of obstetrical score- G, P, TPAL, AOG, EDD
  • U/A for Proteinuria, glycosuria and infxtn
  • Dental exam
  • Wt. Ht. BP taking
  • Exam of conjunctiva and palms for pallor
  • Abdominal exam – fundic ht, Leopold’s maneuver and FHT
  • Exam of breasts, face, hands and feet for edema and neck for thyroid enlargement
  • Health teachings- nutrition, personal hygiene, common complaints
  • Tetanus toxoid immunization
  • Iron supplementation – from 5th mo. Of pregnancy – 2 mos. Postpartum
  • In goiter endemic areas – iodized capsule once a year
  • In malaria infested areas- prophylactic Chloroquine (150 mg/tab ) 2 tabs/ wk for the whole duration of pregnancy