Maternal and Child Care

Care for Women during Pregnancy

 Psychosocial Task during Pregnancy

• FIRST TRIMESTER
Factors:
Maturational Crisis
Situational Crisis
Task: Acceptance of Pregnancy
Assess feelings, attitude, culture, and support
 Psychosocial Task during Pregnancy

• SECOND TRIMESTER
Fetal Embodiment
Discuss fetal development with the pregnant woman
Task: Accept the baby as separate from self
 Psychosocial Task during Pregnancy

• THIRD TRIMESTER
Task: Prepare for fetal separation
Preparing for childbirth
 Prenatal Care
Assess the medical history of the pregnant women:
Diabetes Mellitus, Hypertension, Cardiovascular Diseases
Lifestyle:
Smoking, alcohol, stress
Tetanus Toxoid Immunization- to prevent tetanus in both mother and
baby
Micronutrient Supplementation- Vitamin A, Iron
 Prenatal Care
PRENATAL VISITS
Normal pregnancy:
1-7 months- every month
8 months- every 2 weeks
9 months- weekly
High-risk Pregnancy:
More frequent check-up with the Obstetrician
 Nutrition
• Total weight gain- 25 lbs
• Additional calories- 300 kcal
• Lactating women- 500 kcal
 Complications during Pregnancy
1. Abortion- termination before age of viability
 Early abortion- before 16 weeks
 Late abortion- 16 to 24 weeks
 Types:
1. Threatened- spotting, painless, closed cervix
2. Inevitable- profuse bleeding, painful
3. Induced- therapeutic
4. Missed- retention of dead fetus
5. Complete
 Complications during Pregnancy

2. Ectopic Pregnancy- any gestation outside uterus

Implantation Sites:
Fallopian tube (70-90%)
Cervix
Ovary
Abdomen
 Complications during Pregnancy
Others:
-Pregnancy Induced Hypertension (PIH)
-Gestational Diabetes
 Post Partum Care
Recommended Schedule of Post Partum Care Visits:
1st Visit- 1st week post partum preferably 3-5 days
2nd Visit- 6 weeks post partum
 New Born Care:
Expanded Program on Immunization: vaccines to preventable diseases:
- Poliomyelitis
- Tuberculosis
- Diphtheria
- Tetanus
- Pertussis
- Measles
 New Born Care:
- Unang Yakap and Breast feeding
- Newborn Screening
 Family Planning
- An intervention in attaining reproductive health
- Allows couples to freely decide on the number and proper spacing of births
- The Responsible Parenthood and Reproductive Health Act of 2012
(Republic Act No. 10354), informally known as the Reproductive
Health Law or RH Law, is a law in the Philippines, which guarantees
universal access to methods on contraception, fertility control, sexual
education, and maternal care.