Page 82 - fourth year book

MATERNAL AND CHILD HEALTH CARE (MCH)

Disadvantages of home delivery:

1. Normal cases may become suddenly complicated despite the best
screening process. Certain complications are difficult to predict.

2. There is no constant attention for the mother and baby, and skilled
help is not readily available.

3. The mother may resume her household responsibilities too soon
when there is inadequate help in the home.

4. The mother’s diet may be neglected.

Contraindications of home delivery:

The mother
The home The baby
Obstetrical Medical
 Over  Cephalo-pelvic disproportion  Cardiac
Crowding  Pre-eclampsia, eclampsia disease  Any abnormal
 Infectious  Multiple pregnancy  T.B Presentation or
disease  Ante partum hemorrhage  Diabetes position
 Unsanitary  Polyhydramnios  Venereal  Gestation
conditions  Rh. Iso- immunization disease period less than
 Previous: caesarian section,  Essential 36 wks.
difficult forceps delivery:  Hypertension  Rh.Haemolytic
postpartum hemorrhage or  Anemia disease
adherent placenta; stillbirths,  Sub fertility  Fetal
neonatal deaths. abnormalities
 primigravida over 30 years ,  True post-
multigraveda over 36 years no maturity
living child

C. Post natal care
Postpartum period is a critical time in the women life. During that

time women need physical and psychological care as well as guidance
for healthy practices for themselves and their babies. The period of
postnatal care is six weeks, which is considered enough for the women
to resume her physical status and acclimatize her new life with the baby.
Post natal care provided to 66% of mother was and 30% of neonates
(EDHS 2014)

52