Dr.Rajkumar Patil

Asstt. Prof., Community Medicine

AVMCH, Pondicherry

What is Maternal and Child Health(MCH)?

Promotive,preventive,curative and rehabilitative health care for mothers and children

Objectives of MCH

• Reduction of maternal,perinatal,infant and childhood mortality and morbidity

• Promotion of reproductive health

• Promotion of the physical and psychological development of the child and adolescent within the family

Community Obstetrics

Obstetrical concerns with concepts of primary health care

Social Obstetrics

Study of social and environmental factors and human reproduction

Preventive Paediatrics

Antenatal and postnatal preventive paediatrics

Social Paediatrics

Family and community approach to child’s health problems

Maternity Cycle

Fertilization Antenatal period Intranatal Period Postnatal period Interconceptional period

Period of growths of a child

Antenatal period• Ovum(up to 2 weeks)• Embryo(2-9 weeks)• Foetus (9 weeks to birth)

Premature infant (28-37 weeks) Birth(Full term)-40 weeks

MCH Problems

Malnutrition

LBW,Anaemia,Toxemias of pregnancy,PPH PEM

Infection

TORCH,UTI Diarrhoea,respiratory tract inf,skin inf

Uncontrolled reproduction

Antepartum haemorrhage High maternal and perinatal mortality

Method to estimate requirements for MCH services

Probable number of pregnancies annually

Live births+10%

Population=5000,CBR = 25/1000 population

Expected number of live-births =(25 x 5000)/ 1000=125 births

Probable number of pregnancies in a year = 125+13 = 138

50% of registered antenatal mothers are anaemic

15% of registered antenatal mothers are at high risk

10% of live-birth babies are at high risk