01 Maternal-Child Health Program

Comprehensive Emergency Obstetric Care (CEmOC)
 

Cesarean Section

Comprehensive Emergency Obstetric Care (CEmOC)
Blood Transfusion

 

Prenatal Visits
First visit - As early in pregnancy as possible befire   months or during the  

Prenatal Visits
Second visit - During the  

Prenatal Visits
Third visit - During the  

Prenatal Visits
Every 2 weeks - After   month of pregnancy until  

Tetanus Toxoid Immunization
A series of   must be received by a woman one month before delivery to protect baby from neonatal tetanus

Micronutrient Supplementation
Vitamin A
Dose:  
Schedule: Twice a week starting on the 4th month of pregnancy
Postpartum: 200,000 IU (regular dose) once within 6 weeks post-delivery

Micronutrient Supplementation
Vitamin A
Dose: 10,000 IU
Schedule:   starting on the   month of pregnancy
Postpartum: 200,000 IU (regular dose) once within 6 weeks post-delivery

Micronutrient Supplementation
Vitamin A
Dose: 10,000 IU
Schedule: Twice a week starting on the 4th month of pregnancy
Postpartum:   once within 6 weeks post-delivery

Micronutrient Supplementation
Vitamin A
Dose: 10,000 IU
Schedule: Twice a week starting on the 4th month of pregnancy
Postpartum: 200,000 IU (regular dose)  

Micronutrient Supplementation
Iron/Folic Acid
Dose:   Iron + 400 ug Folic Acid
Schedule: Daily starting on the 5th month of pregnancy up to 2 months postpartum
Taken without meals

Micronutrient Supplementation
Iron/Folic Acid
Dose: 60 mg Iron +   Folic Acid
Schedule: Daily starting on the 5th month of pregnancy up to 2 months postpartum
Taken without meals

Micronutrient Supplementation
Iron/Folic Acid
Dose: 60 mg Iron + 400 ug Folic Acid
Schedule:   starting on the   month of pregnancy up to   months postpartum
Taken without meals

Micronutrient Supplementation
Iron/Folic Acid
Dose: 60 mg Iron + 400 ug Folic Acid
Schedule: Daily starting on the 5th month of pregnancy up to 2 months postpartum
Taken   meals

Newborn Screening is done after   within 48 hours up to 2 weeks after birth

Newborn Screening is done after 24 hours within   up to 2 weeks after birth

Newborn Screening is done after 24 hours within 48 hours up to   after birth

Postpartum Care Visits
First visit:   week postpartum preferably   days
Second visit: 6 weeks postpartum

Postpartum Care Visits
First visit: First week postpartum preferably 3-5 days
Second visit:   weeks postpartum

Proper spacing of birth:   years

Micronutrient Supplementation
Iodine
Dose:  
To prevent goiter
Lack of iodine causes mental retardation in infant

Micronutrient Supplementation
Iodine
Dose: Once per pregnancy
To prevent  
Lack of iodine causes mental retardation in infant

Micronutrient Supplementation
Iodine
Dose: Once per pregnancy
To prevent goiter
Lack of iodine causes   in infant

Minimum Prenatal Visits
DOH:  
WHO: 8

Minimum Prenatal Visits
DOH: 4
WHO:  

Goal of maternal child health programs: to reduce  

Basic Emergency Obstetrical Care (BEmOC)
  pregnant women are considered  
Addresses common problems of pregnancy
Entails the establishment of facilities that provide emergency obstetric care for every 125,000 population
Capacity Building/Training
Parenteral Oxytocin - for hemorrhage
Parenteral Antibiotic - for infection
Parenteral Anticonvulsant (Magnesium Sulfate) - for preeclampsia
Parenteral Steroids (Betamethasone) - for lung maturity
Assisted Delivery - Forceps delivery, vacuum-assisted delivery
Manual Removal of Placenta and Retained Products of Conception - for DIC

Basic Emergency Obstetrical Care (BEmOC)
All pregnant women are considered HIGH RISK
Addresses   problems of pregnancy
Entails the establishment of facilities that provide emergency obstetric care for every 125,000 population
Capacity Building/Training
Parenteral Oxytocin - for hemorrhage
Parenteral Antibiotic - for infection
Parenteral Anticonvulsant (Magnesium Sulfate) - for preeclampsia
Parenteral Steroids (Betamethasone) - for lung maturity
Assisted Delivery - Forceps delivery, vacuum-assisted delivery
Manual Removal of Placenta and Retained Products of Conception - for DIC

Basic Emergency Obstetrical Care (BEmOC)
All pregnant women are considered HIGH RISK
Addresses common problems of pregnancy
Entails the establishment of facilities that provide emergency obstetric care for every   population
Capacity Building/Training
Parenteral Oxytocin - for hemorrhage
Parenteral Antibiotic - for infection
Parenteral Anticonvulsant (Magnesium Sulfate) - for preeclampsia
Parenteral Steroids (Betamethasone) - for lung maturity
Assisted Delivery - Forceps delivery, vacuum-assisted delivery
Manual Removal of Placenta and Retained Products of Conception - for DIC

Basic Emergency Obstetrical Care (BEmOC)
All pregnant women are considered HIGH RISK
Addresses common problems of pregnancy
Entails the establishment of facilities that provide emergency obstetric care for every 125,000 population
Capacity Building/Training
Parenteral   - for hemorrhage
Parenteral Antibiotic - for infection
Parenteral Anticonvulsant (Magnesium Sulfate) - for preeclampsia
Parenteral Steroids (Betamethasone) - for lung maturity
Assisted Delivery - Forceps delivery, vacuum-assisted delivery
Manual Removal of Placenta and Retained Products of Conception - for DIC

Basic Emergency Obstetrical Care (BEmOC)
All pregnant women are considered HIGH RISK
Addresses common problems of pregnancy
Entails the establishment of facilities that provide emergency obstetric care for every 125,000 population
Capacity Building/Training
Parenteral Oxytocin - for hemorrhage
Parenteral   - for infection
Parenteral Anticonvulsant (Magnesium Sulfate) - for preeclampsia
Parenteral Steroids (Betamethasone) - for lung maturity
Assisted Delivery - Forceps delivery, vacuum-assisted delivery
Manual Removal of Placenta and Retained Products of Conception - for DIC

Basic Emergency Obstetrical Care (BEmOC)
All pregnant women are considered HIGH RISK
Addresses common problems of pregnancy
Entails the establishment of facilities that provide emergency obstetric care for every 125,000 population
Capacity Building/Training
Parenteral Oxytocin - for hemorrhage
Parenteral Antibiotic - for infection
Parenteral Anticonvulsant ( ) - for preeclampsia
Parenteral Steroids (Betamethasone) - for lung maturity
Assisted Delivery - Forceps delivery, vacuum-assisted delivery
Manual Removal of Placenta and Retained Products of Conception - for DIC

Basic Emergency Obstetrical Care (BEmOC)
All pregnant women are considered HIGH RISK
Addresses common problems of pregnancy
Entails the establishment of facilities that provide emergency obstetric care for every 125,000 population
Capacity Building/Training
Parenteral Oxytocin - for hemorrhage
Parenteral Antibiotic - for infection
Parenteral Anticonvulsant (Magnesium Sulfate) - for preeclampsia
Parenteral Steroids ( ) - for lung maturity
Assisted Delivery - Forceps delivery, vacuum-assisted delivery
Manual Removal of Placenta and Retained Products of Conception - for DIC

Basic Emergency Obstetrical Care (BEmOC)
All pregnant women are considered HIGH RISK
Addresses common problems of pregnancy
Entails the establishment of facilities that provide emergency obstetric care for every 125,000 population
Capacity Building/Training
Parenteral Oxytocin - for hemorrhage
Parenteral Antibiotic - for infection
Parenteral Anticonvulsant (Magnesium Sulfate) - for preeclampsia
Parenteral Steroids (Betamethasone) - for lung maturity
  Delivery - Forceps delivery, vacuum-assisted delivery
Manual Removal of Placenta and Retained Products of Conception - for DIC

Basic Emergency Obstetrical Care (BEmOC)
All pregnant women are considered HIGH RISK
Addresses common problems of pregnancy
Entails the establishment of facilities that provide emergency obstetric care for every 125,000 population
Capacity Building/Training
Parenteral Oxytocin - for hemorrhage
Parenteral Antibiotic - for infection
Parenteral Anticonvulsant (Magnesium Sulfate) - for preeclampsia
Parenteral Steroids (Betamethasone) - for lung maturity
Assisted Delivery - Forceps delivery, vacuum-assisted delivery
Manual Removal of Placenta and Retained Products of Conception - for  

Maternal Health Program
Institutionalization of responsible parenthood and provision of appropriate healthcare package to ALL women of reproductive age especially those:
Less than   years old and over   years of age
Women with low educational and financial resources
Women with unmanaged chronic illness
Women who had just given birth in the last 18 months

Maternal Health Program
Institutionalization of responsible parenthood and provision of appropriate healthcare package to ALL women of reproductive age especially those:
Less than 18 years old and over 35 years of age
Women with   resources
Women with unmanaged chronic illness
Women who had just given birth in the last 18 months

Maternal Health Program
Institutionalization of responsible parenthood and provision of appropriate healthcare package to ALL women of reproductive age especially those:
Less than 18 years old and over 35 years of age
Women with low educational and financial resources
Women with   chronic illness
Women who had just given birth in the last 18 months

Maternal Health Program
Institutionalization of responsible parenthood and provision of appropriate healthcare package to ALL women of reproductive age especially those:
Less than 18 years old and over 35 years of age
Women with low educational and financial resources
Women with unmanaged chronic illness
Women who had just given birth in the last  

Maternal Health Program
Tetanus Toxoid
TT1 Protection of baby -  

Maternal Health Program
Tetanus Toxoid
TT2-5 Protection of baby -  

Essential Intrapartal Newborn Care (EINC)
True or False
 
NPO

Essential Intrapartal Newborn Care (EINC)
True or False
 
Bedrest

Essential Intrapartal Newborn Care (EINC)
True or False
 
Shaving of pubic hair

Essential Intrapartal Newborn Care (EINC)
True or False
 
No IV line, promote ambulation

Essential Intrapartal Newborn Care (EINC)
Position:  

Essential Intrapartal Newborn Care (EINC)
Active Management of Third Stage of Labor (ICU)
I 
Controlled Cord Traction
Uterine Massae (do not use cold pack)

Essential Intrapartal Newborn Care (EINC)
Active Management of Third Stage of Labor (ICU)
IM Oxytocin
C 
Uterine Massae (do not use cold pack)

Essential Intrapartal Newborn Care (EINC)
Active Management of Third Stage of Labor (ICU)
IM Oxytocin
Controlled Cord Traction
U 

Newborn Care (Unang Yakap) - DED Breast
  of infant
Early skin-to-skin contact
Delayed cord clamping
Exclusive breastfeeding

Newborn Care (Unang Yakap) - DED Breast
Drying of infant
Early  
Delayed cord clamping
Exclusive breastfeeding

Newborn Care (Unang Yakap) - DED Breast
Drying of infant
Early skin-to-skin contact
  cord clamping
Exclusive breastfeeding

Newborn Care (Unang Yakap) - DED Breast
Drying of infant
Early skin-to-skin contact
Delayed cord clamping
  breastfeeding

Newborn Care (Unang Yakap) - DED Breast
Drying of infant - within  

Newborn Care (Unang Yakap) - DED Breast
Early skin-to-skin contact
If a baby is crying and breathing normally,   any manipulation such as routine suctioning that may cause trauma or introduce infection.
Place the newborn prone on the mother's abdomen or chest skin-to-skin
Cover newborn's back with a blanket and head with a bonnet. Place an identification band on ankle

Newborn Care (Unang Yakap) - DED Breast
Early skin-to-skin contact
If a baby is crying and breathing normally, AVOID any manipulation such as routine suctioning that may cause trauma or introduce infection.
Place the newborn   on the mother's   skin-to-skin
Cover newborn's back with a blanket and head with a bonnet. Place an identification band on ankle

Newborn Care (Unang Yakap) - DED Breast
Early skin-to-skin contact
If a baby is crying and breathing normally, AVOID any manipulation such as routine suctioning that may cause trauma or introduce infection.
Place the newborn prone on the mother's abdomen or chest skin-to-skin
Cover newborn's back with a   and head with a  . Place an identification band on ankle

Newborn Care (Unang Yakap) - DED Breast
Early skin-to-skin contact
If a baby is crying and breathing normally, AVOID any manipulation such as routine suctioning that may cause trauma or introduce infection.
Place the newborn prone on the mother's abdomen or chest skin-to-skin
Cover newborn's back with a blanket and head with a bonnet. Place an   on ankle

Newborn Care (Unang Yakap) - DED Breast
Delayed Cord Clamping
Clamp and cut the cord after   have stopped (typically at   minutes)
Put ties tightly around the cord at 2 cm and 5 cm from the newborn's abdomen
Cut between ties with sterile instrument
Observe for oozing blood
DO NOT milk the cord towards the newborn
After cord clamping, ensure oxytocin 10 IU IM is given to the mother

Newborn Care (Unang Yakap) - DED Breast
Delayed Cord Clamping
Clamp and cut the cord after cord pulsations have stopped (typically at 1-3 minutes)
Put ties tightly around the cord at   cm and   cm from the newborn's abdomen
Cut between ties with sterile instrument
Observe for oozing blood
DO NOT milk the cord towards the newborn
After cord clamping, ensure oxytocin 10 IU IM is given to the mother

Newborn Care (Unang Yakap) - DED Breast
Delayed Cord Clamping
Clamp and cut the cord after cord pulsations have stopped (typically at 1-3 minutes)
Put ties tightly around the cord at 2 cm and 5 cm from the newborn's abdomen
Cut between ties with sterile instrument
Observe for  
DO NOT milk the cord towards the newborn
After cord clamping, ensure oxytocin 10 IU IM is given to the mother

Newborn Care (Unang Yakap) - DED Breast
Delayed Cord Clamping
Clamp and cut the cord after cord pulsations have stopped (typically at 1-3 minutes)
Put ties tightly around the cord at 2 cm and 5 cm from the newborn's abdomen
Cut between ties with sterile instrument
Observe for oozing blood
DO NOT   the cord towards the newborn
After cord clamping, ensure oxytocin 10 IU IM is given to the mother

Newborn Care (Unang Yakap) - DED Breast
Delayed Cord Clamping
Clamp and cut the cord after cord pulsations have stopped (typically at 1-3 minutes)
Put ties tightly around the cord at 2 cm and 5 cm from the newborn's abdomen
Cut between ties with sterile instrument
Observe for oozing blood
DO NOT milk the cord towards the newborn
After cord clamping, ensure   is given to the mother

Newborn Care (Unang Yakap) - DED Breast
Early Breastfeeding and Non-Separation
Observe the newborn. Only when the newborn shows   (opening of mouth, tonguing, licking, rooting), make verbal suggestions to the mother to encourage her newborn to move toward the   (nudging)
When the baby is ready, advise the mother to:
Make sure the newborn's neck is neither flexed nor twisted
Make sure the newborn is facing the breast, with the newborn's nose opposite her nipple and chin touching the breast
Hold the newborn's body close to her body
Support the newborn's whole body, not just the neck and shoulders
Wait until her newborn's mouth is opened wide
Move her newborn onto her breast, aiming the infant's lower lip well below the nipple

Newborn Care (Unang Yakap) - DED Breast
Early Breastfeeding and Non-Separation
Observe the newborn. Only when the newborn shows feeding cues (opening of mouth, tonguing, licking, rooting), make verbal suggestions to the mother to encourage her newborn to move toward the breast (nudging)
When the baby is ready, advise the mother to:
Make sure the newborn's neck is neither   nor  
Make sure the newborn is facing the breast, with the newborn's nose opposite her nipple and chin touching the breast
Hold the newborn's body close to her body
Support the newborn's whole body, not just the neck and shoulders
Wait until her newborn's mouth is opened wide
Move her newborn onto her breast, aiming the infant's lower lip well below the nipple

Newborn Care (Unang Yakap) - DED Breast
Early Breastfeeding and Non-Separation
Observe the newborn. Only when the newborn shows feeding cues (opening of mouth, tonguing, licking, rooting), make verbal suggestions to the mother to encourage her newborn to move toward the breast (nudging)
When the baby is ready, advise the mother to:
Make sure the newborn's neck is neither flexed nor twisted
Make sure the newborn is facing the  , with the newborn's nose opposite her   and chin touching the  
Hold the newborn's body close to her body
Support the newborn's whole body, not just the neck and shoulders
Wait until her newborn's mouth is opened wide
Move her newborn onto her breast, aiming the infant's lower lip well below the nipple

Newborn Care (Unang Yakap) - DED Breast
Early Breastfeeding and Non-Separation
Observe the newborn. Only when the newborn shows feeding cues (opening of mouth, tonguing, licking, rooting), make verbal suggestions to the mother to encourage her newborn to move toward the breast (nudging)
When the baby is ready, advise the mother to:
Make sure the newborn's neck is neither flexed nor twisted
Make sure the newborn is facing the breast, with the newborn's nose opposite her nipple and chin touching the breast
Hold the newborn's body close to her  
Support the newborn's whole body, not just the neck and shoulders
Wait until her newborn's mouth is opened wide
Move her newborn onto her breast, aiming the infant's lower lip well below the nipple

Newborn Care (Unang Yakap) - DED Breast
Early Breastfeeding and Non-Separation
Observe the newborn. Only when the newborn shows feeding cues (opening of mouth, tonguing, licking, rooting), make verbal suggestions to the mother to encourage her newborn to move toward the breast (nudging)
When the baby is ready, advise the mother to:
Make sure the newborn's neck is neither flexed nor twisted
Make sure the newborn is facing the breast, with the newborn's nose opposite her nipple and chin touching the breast
Hold the newborn's body close to her body
Support the newborn's  , not just the neck and shoulders
Wait until her newborn's mouth is opened wide
Move her newborn onto her breast, aiming the infant's lower lip well below the nipple

Newborn Care (Unang Yakap) - DED Breast
Early Breastfeeding and Non-Separation
Observe the newborn. Only when the newborn shows feeding cues (opening of mouth, tonguing, licking, rooting), make verbal suggestions to the mother to encourage her newborn to move toward the breast (nudging)
When the baby is ready, advise the mother to:
Make sure the newborn's neck is neither flexed nor twisted
Make sure the newborn is facing the breast, with the newborn's nose opposite her nipple and chin touching the breast
Hold the newborn's body close to her body
Support the newborn's whole body, not just the neck and shoulders
Wait until her newborn's mouth is  
Move her newborn onto her breast, aiming the infant's lower lip well below the nipple

Newborn Care (Unang Yakap) - DED Breast
Early Breastfeeding and Non-Separation
Observe the newborn. Only when the newborn shows feeding cues (opening of mouth, tonguing, licking, rooting), make verbal suggestions to the mother to encourage her newborn to move toward the breast (nudging)
When the baby is ready, advise the mother to:
Make sure the newborn's neck is neither flexed nor twisted
Make sure the newborn is facing the breast, with the newborn's nose opposite her nipple and chin touching the breast
Hold the newborn's body close to her body
Support the newborn's whole body, not just the neck and shoulders
Wait until her newborn's mouth is opened wide
Move her newborn onto her  , aiming the infant's   well below the  

Newborn Care (Unang Yakap) - DED Breast
Early Breastfeeding and Non-Separation
Signs of good attachment and suckling
Mouth  
Lower lip turned outward
Baby's chin touching breast
Suckling is slow, deep with some pauses
If the attachment or suckling is not good, try again and reassess

Newborn Care (Unang Yakap) - DED Breast
Early Breastfeeding and Non-Separation
Signs of good attachment and suckling
Mouth wide open
Lower lip  
Baby's chin touching breast
Suckling is slow, deep with some pauses
If the attachment or suckling is not good, try again and reassess

Newborn Care (Unang Yakap) - DED Breast
Early Breastfeeding and Non-Separation
Signs of good attachment and suckling
Mouth wide open
Lower lip turned outward
Baby's chin touching  
Suckling is slow, deep with some pauses
If the attachment or suckling is not good, try again and reassess

Newborn Care (Unang Yakap) - DED Breast
Early Breastfeeding and Non-Separation
Signs of good attachment and suckling
Mouth wide open
Lower lip turned outward
Baby's chin touching breast
Suckling is   with some  
If the attachment or suckling is not good, try again and reassess

Newborn Care (Unang Yakap) - DED Breast
Non-Time Bound
  - to prevent ophthalmia neonatorum
Vitamin K - for bleeding
BCG, Hepa B
Anthropometric - Head, Chest, Abdominal circumference
Washing after 6 hours

Newborn Care (Unang Yakap) - DED Breast
Non-Time Bound
Erythromycin ointment - to prevent ophthalmia neonatorum
  - for bleeding
BCG, Hepa B
Anthropometric - Head, Chest, Abdominal circumference
Washing after 6 hours

Newborn Care (Unang Yakap) - DED Breast
Non-Time Bound
Erythromycin ointment - to prevent ophthalmia neonatorum
Vitamin K - for bleeding
BCG, Hepa B
Anthropometric -   circumference
Washing after 6 hours

Newborn Care (Unang Yakap) - DED Breast
Non-Time Bound
Erythromycin ointment - to prevent ophthalmia neonatorum
Vitamin K - for bleeding
BCG, Hepa B
Anthropometric - Head, Chest, Abdominal circumference
Washing after  

Newborn Care (Unang Yakap)
True or False
 
Milking of cord

Newborn Care (Unang Yakap)
True or False
 
Slap in buttocks

Newborn Care (Unang Yakap)
True or False
 
Stimulate heel

Newborn Care (Unang Yakap)
True or False
 
Immediate clamping of cord

Newborn Care (Unang Yakap)
True or False
 
Washing immediately

Newborn Care (Unang Yakap)
True or False
 
Covering of stump

Newborn Care (Unang Yakap)
True or False
 
Antiseptic cord (alcohol, betadine, gentian solution)

Maternal Health Program
  - Newborn Screening Act of 2004

Maternal Health Program
RA 9288 -  

Newborn Screening
Basic screening screens for   genetic disorders

Newborn Screening
Expanded screening screens for   genetic disorders

Newborn Screening
6 genetic disorders included in Basic Screening (Co Co G G M P)
Co 
Congenital adrenal hyperplasia
Galactosemia
G6PD Deficiency
Maple Syrup Urine Disease
Phenylketonuria

Newborn Screening
6 genetic disorders included in Basic Screening (Co Co G G M P)
Congenital hypothyroidism
Co 
Galactosemia
G6PD Deficiency
Maple Syrup Urine Disease
Phenylketonuria

Newborn Screening
6 genetic disorders included in Basic Screening (Co Co G G M P)
Congenital hypothyroidism
Congenital adrenal hyperplasia
G 
G6PD Deficiency
Maple Syrup Urine Disease
Phenylketonuria

Newborn Screening
6 genetic disorders included in Basic Screening (Co Co G G M P)
Congenital hypothyroidism
Congenital adrenal hyperplasia
Galactosemia
G 
Maple Syrup Urine Disease
Phenylketonuria

Newborn Screening
6 genetic disorders included in Basic Screening (Co Co G G M P)
Congenital hypothyroidism
Congenital adrenal hyperplasia
Galactosemia
G6PD Deficiency
M 
Phenylketonuria

Newborn Screening
6 genetic disorders included in Basic Screening (Co Co G G M P)
Congenital hypothyroidism
Congenital adrenal hyperplasia
Galactosemia
G6PD Deficiency
Maple Syrup Urine Disease
P