1.01 MATERNAL AND CHILD NURSING
Maam Rialyn Villaceran | 1ST SEM 2ND YR
MATERNAL AND CHILD HEALTH
 Refer to Philo-mother and child
relationship to one another and
consideration of the entire family as
well as the culture and socioeconomic environment as framework
of the patient.
 It involves the care of the woman and
family throughout the pregnancy and
childbirth and the health promotion
and illness care for the children and
families.
Obstetrics > or the care of the women
during childbirth, is derived from the Greek
word, obstare which means “to keep watch”
Pediatrics > is a word derived from the
Greek word pais meaning “child”
GOALS OF MATERNAL CHILD HEALTH
NURSING
The goal of maternal and child health
nursing care is necessarily broad because
the scope of practice is so broad. The range
of practice includes:
● Preconceptual health care
● Care of children during three
trimesters of pregnancy and the
puerperium (6 weeks after childbirth)
○ Also called the 4th trimester
of pregnancy, where the mom
recovers.
● Care of children during the perinatal
period (6 weeks before conception to
6 weeks after birth)
● Care of children from birth through
adolescence
○ Childhood - 1-14 yrs old
○ Adolescence - 10-19 yrs old
● Care in settings as varied as the
birthing room, the pediatric intensive
care unit, and the home
GOALS OF MATERNAL CHILD NURSING
● To ensure that every expectant and
nursing mother maintains good
health, learns the art of child care,
has normal delivery and bears
healthy children
○ Have prenatal care/prenatal
○ Educate the patient to have
regular prenatal
● That every child, wherever possible
lives and grows up in a family unit
with love and security, in healthy
surroundings, receive adequate
nourishment, health supervision and
efficient medical attention, and is
taught the elements of health living
(Reyala,2000)
● Promotion and maintenance of
optimum health of the women and
newborn
○ Before, during and after
pregnancy
PHILOSOPHY OF MATERNAL AND
CHILD HEALTH NURSING
Philosophy - fundamental knowledge
● Is family-centered; (assessment data
must include a family and individual
assessment)
● Is community centered; (the health of
families depends on and influences
the health communities)
○ Knows the background
● Is evidence based; (it provides a
foundation for nursing care)
● Protects the rights of all family
members, including the fetus.
● Use a high degree of independent
nursing functions
○ Educate, promote, counsel
● Places importance on promotion of
health
1.01 MATERNAL AND CHILD NURSING
Maam Rialyn Villaceran | 1ST SEM 2ND YR
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Is based on the belief that
pregnancies or childhood illness are
stressful because they are crises.
○ Respect as long as it will not
affect the baby negatively
Is a challenging role for nurses and a
major factor in keeping families well
and optimally functioning
○ You need to follow their
journey
Pregnancy, labor, and delivery and
the puerperium are part of the
continuum of the total life cycle.
TEAM
Health Promotion
Health Maintenance
Health Restoration
Health Rehabilitation
4 PHASES OF HEALTH CARE
1. Health Promotion
2. Health Maintenance
3. Health Restoration
4. Health Rehabilitation
➢ Maternal and Child health Nursing
can be visualized within a framework
in which nurses, using nursing
process,
nursing
theory,
and
evidence-based practice, care for
families during childbearing and
childrearing years through four
phases of health care.
DEFINITION
EXAMPLES
Educating clients to be aware Teaching
women
the
of good health through importance
of
rubella
teaching and role modeling
immunization
before
pregnancy; teaching children
the importance of safer sex
practices
Intervening to maintain health Encouraging women to come
when risk of illness is present for prenatal care; teaching
parents the importance of
safeguarding their home by
childproofing
it
against
poisoning.
Promptly diagnosing and Caring for a woman during a
treating
illness
using complication of pregnancy or
interventions that will return a child during an acute illness
client to wellness most rapidly
Preventing
further Encouraging a woman with
complications from an illness; gestational
trophoblastic
bringing ill client back to disease to continue therapy or
optimal state of wellness or a child with a renal transplant
helping client to accept to continue to take necessary
inevitable death
medications
1.01 MATERNAL AND CHILD NURSING
Maam Rialyn Villaceran | 1ST SEM 2ND YR
COMMON MEASURES TO ENSURE
FAMILY CENTERED MATERNAL AND
CHILD HEALTH CARE
Principles
1. Family is the basic unit of society
2. Families come in many different
forms and sizes and represent racial,
ethnic, cultural and socio-economic
diversity.
3. Children grow both individually and
as part of a family
Nursing Interventions
1. Consider the family as a whole as
well as its individual members
2. Assess families for strengths as well
as for specific needs or challenges.
3. Respect diversity in families as a
unique quality of that family.
4. Share or initiate information on health
planning with family members
5. Encourage family bonding
6. Encourage families to give care to
newborn or ill child
7. Family members affect
other
members
8. Participate in early hospital discharge
programs to reunite families as soon
as possible
9. Include developmental stimulation in
nursing care
10. Encourage families to reach out to
their community
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STRATEGIC THRUSTS (2005-2010)
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STATISTICAL TERM USED TO REPORT
MATERNAL AND CHILD HEALTH
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Birth rate – the number of births per
1,000 population
Fertility rate – the number of
pregnancies per 1,000 women of
childbearing age.
Fetal death rate – the number of fetal
deaths (over 500g) per 1,000 live
births
Neonatal death rate – the number of
deaths per 1,000 live births occurring
at birth or in the first 28 days of life
Perinatal death rate – the number of
death of fetuses more than 500 g and
in the first 28 days of life per 1,000
live birth.
Maternal mortality rate – the
number of maternal deaths per
100,000 live births that occur as a
direct result of the reproductive
process
Infant mortality rate – the number of
deaths per 1,000 live births occurring
at birth or in the first 12 months of life
Childhood mortality rate – the
number of deaths per 1,000
population in children, 1-14 years of
age.

Launch and implement the Basic
Emergency Obstertical Care strategy
in coordination with the DOH. It
entails the establishments of facilities
that provide emergency obstetric
care for every 125,000 population
and which are located strategically.
Improves the quality of prenatal and
postnatal care
Reduce women’s exposure to health
risks through the institutionalization
of responsible parenthood and
provision of appropriate health care
package to all women of reproductive
age especially those who are less
than 18 years old and over 35 years
of age, women with low education
and financial resources, women with
unmanaged chronic illness and
women who had just given birth in the
last 18 months.
LGUs and NGOs and other
stakeholders must advocate for
1.01 MATERNAL AND CHILD NURSING
Maam Rialyn Villaceran | 1ST SEM 2ND YR
health through resource generation
and allocation for health services to
be provided for the mother and the
unborn.
MATERNAL AND NEONATAL CHILD
HEALTH AND NUTRITION STRATEGY
(MNCHN)

It applies specific policies and actions
for local health systems to
systematically address health risks
that lead to maternal and especially
neonatal deaths which comprise half
of the reported infant mortalities
Basic Emergency Obstetrics and
Newborn Care (BEmONC)
It refers to lifesaving services for
emergency
maternal
and
newborn
conditions/complications being provided by a
health facility or professional to include the
following services:
 Administration of parenteral oxytocic
drugs
 Administration of dose of parenteral
anticonvulsants
 Administration
of
parenteral
antibiotics
 Administration of maternal steroids
for preterm labor
 Performance of assisted vaginal
deliveries
 Removal of retained placental
products
 Manual removal of retained placenta
It also includes neonatal interventions
which include at the minimum
 Newborn resuscitation
 Provision of warmth
 Referral
 Blood Transfusion
Comprehensive Emergency Obstetrics
and Newborn Care Facility (CEmONC)
refers to lifesaving services for
emergency
maternal
and
newborn
conditions/complications as BEmONC plus
the provision of surgical delivery and blood
bank services and other services and other
specialized obstetric intervention