Page 90 - fourth year book

MATERNAL AND CHILD HEALTH CARE (MCH)

Factors influencing the decrease of maternal mortality:

1- Good coverage during the antenatal natal and post natal period
2- Increase the use of hospital and specialized health care centers for
maternity clients.
3- Establishment of high-risk centers for mother & infant care.

4- Prevention & control of infection with antibiotics and improved
techniques.
5- The availability of blood & blood products for transfusion.
6- Lowered rates of anesthesia related deaths.
7- Family planning.
8- In service training programs for health personal as well traditional
birth attendants.

9- Supervision of midwives, assistant midwives, nurses and T.B.A.
10- Raising the age of marriage (↑18 years).
11- Improving standard of living of mothers.
12- Application of research for prevention of MM.

B. Perinatal mortality rate

no of still births and no of early neonatal deaths
Perinatal mortality × 1000
rate = Total no of births (still and live births) in the same
area and year

Causes of perinatal mortality:

 Maternal diseases. e.g. cardiovascular dis., D.M., hypertension,

malnutrition ...etc.
 Toxemia of Pregnancy.
 Ante partum hemorrhage.
 Natal causes e.g. birth injures, asphyxia, prolonged, complicated
labor .
 Post natal causes: prematurity, respiratory distress, infection e.g.

tetanus neonatorum, septicemia, meningitis.
 Congenital anomalies.

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