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a student presentation based on field visit to a primary health centre
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By Students
110201442-110201452
Introduction
Maternal and child health care including family
planning
• Antenatal care
• Intra-natal care
• Post natal care
• New born care
• Care of the child
• Family planning
Each year, lakhs of women, newborns, and children
die from preventable causes.
While the interventions that could save their lives
are widely known, they are often not available to
those most in need.
With the intention of avoiding these preventable
deaths the government of Karnataka set up the
Primary Health Care Centre in rural villages.
A look at the statistics worldwide shows that
each year:
• More than 60 million women deliver at home
without skilled care.
• About 530,000 women die from pregnancy related
complications, with some 68,000 of those deaths
resulting from unsafe abortion.
• Over 10 million children under the age of 5 die.
• Moreover, nearly all (99 percent) maternal,
newborn, and child deaths occur in low- and
middle-income countries.
• About 4 million babies die within the first
month of life (the newborn period), and more
than 3 million die as stillbirths.
MATERNAL AND CHILD HEALTH CARE INCLUDING FAMILY PLANNING
Antenatal care:
Early registration of all pregnancies ideally in the
first trimester (before 12th week of pregnancy).
However, even if a woman comes late in her
pregnancy for registration she should be registered
and care given to her according to gestational age.
• Minimum 3 antenatal checkups and provision of
complete package of services. First visit as soon as
pregnancy is suspected/between 4th and 6th month
(before 26 weeks), second visit at 8th month (around
32weeks) and third visit at 9th month (around 36
weeks).
• Associated services like providing iron and folic acid
tablets, injection Tetanus toxoid etc (as per the
“guidelines for ante-natal care and skilled
attendance at birth by ANMs and LHVs)
• Minimum laboratory investigations like
haemoglobin, urine albumin, and sugar, RPR test
for syphilis
• Nutrition and health counseling
• Identification of high-risk pregnancies/ appropriate
management
• Chemoprophylaxis for Malaria in high malaria
endemic areas as per NVBDCP (National Vector Borne Disease Control Programme) guidelines.
• Referral to First Referral Units (FRUs)/other
hospitals of high risk pregnancy beyond the
capability of Medical Officer, PHC to manage.
Intra-natal care:
(24-hour delivery services both normal and assisted)
i) Promotion of institutional deliveries
ii) Conducting normal deliveries
iii) Assisted vaginal deliveries including forceps /
vacuum delivery whenever required
iv) Manual removal of placenta
v) Appropriate and prompt referral for cases needing
specialist care.
vi) Management of Pregnancy Induced hypertension
including referral
vii) Pre-referral management (Obstetric first-aid) in
Obstetric emergencies that need expert assistance
(Training of staff for emergency management to be
ensured)
LABOUR WARD
Postnatal Care:
• A minimum of 2 postpartum home visits, first
within 48 hours of delivery, 2nd within 7 days
through Sub-centre staff.
• Initiation of early breast-feeding within half-hour
of birth
• Education on nutrition, hygiene, contraception,
essential new born care (As per Guidelines of GOI
on Essential new-born care)
• Others: Provision of facilities under Janani
Suraksha Yojana (JSY)
New Born care:
Facilities and care for neonatal resuscitation
Management of neonatal hypothermia / jaundice
Care of the child:
Emergency care of sick children including
Integrated Management of Neonatal and Childhood
Illness (IMNCI)
• Care of routine childhood illness
• Essential Newborn Care
• Promotion of exclusive breast-feeding for 6 months.
• Full Immunization of all infants and children
against vaccine preventable diseases as per
guidelines of GOI.
• Vitamin A prophylaxis to the children as per
guidelines.
• Prevention and control of childhood diseases,
infections, etc.
Family Planning:
• Education, Motivation and counseling to adopt
appropriate Family planning methods.
• Provision of contraceptives such as condoms, oral
pills, emergency contraceptives, IUD insertions.
• Permanent methods like Tubal ligation and
vasectomy / NSV.
• Follow up services to the eligible couples adopting
permanent methods (Tubectomy/Vasectomy).
• Counseling and appropriate referral for safe
abortion services (MTP) for those in need.
• Counseling and appropriate referral for couples
having infertility.
Medical Termination of Pregnancies using Manual
Vacuum Aspiration (MVA) technique. (wherever
trained personnel and facility exists)
Management of Reproductive Tract Infections /
Sexually Transmitted Infections:
Health education for prevention of RTI/ STIs
Treatment of RTI/ STIs
Nutrition Services (coordinated with ICDS)
Diagnosis of and nutrition advice to malnourished
children, pregnant women and others.
Diagnosis and management of anaemia, and
vitamin A deficiency.
Coordination with ICDS.
School Health: Regular check ups, appropriate
treatment including deworming, referral and
follow-ups.
Adolescent Health Care: Life style education,
counseling, appropriate treatment.
THANK YOU