Informed Consent - is the birth of a disabled child whose
- The process by which a patient learns pregnancy the parents would have chosen
about and understands the purpose, to end if they have been informed about
benefits, and potential risks of the disability during pregnancy.
a medical or surgical intervention, “Wrongful Life”
including clinical trials, and then agrees to - is a claim that negligent prenatal testing
receive the treatment or participate in the on the part of a healthcare provider
trial. resulted in the birth of a disabled child.
Legal Concerns “Wrongful Conception”
New Technologies - denotes that a contraceptive measure
- (e.g., assisted reproduction, surrogate failed, allowing an unwanted child to be
motherhood, umbilical cord sampling, and conceived and born.
end-of-life decisions). Confidentiality
Assisted reproductive technology (ART) - means that personal and medical
- is used to treat infertility. It information given to a health
includes fertility treatments that handle care provider will not be disclosed to
both a woman's egg and a man's sperm. It others unless the individual has given
works by removing eggs from a woman's specific permission for such release.
body. The eggs are then mixed with Republic Act No. 10173,
sperm to make embryos. The embryos - otherwise known as the Data Privacy
are then put back in the woman's body. Act is a law that seeks to protect all forms
Surrogate motherhood of information, be it private, personal, or
- practice in which a woman sensitive.The patient has the right to
(the surrogate mother) bears a child for demand that all information,
a couple unable to produce children in the communication and records pertaining to
usual way, usually because the wife is his care be treated as confidential.
infertile or otherwise unable to undergo Information
pregnancy. - In the course of
Percutaneous umbilical cord blood his/her treatment and hospital care, the
sampling (PUBS) patient or his/her legal guardian has a
- also called cordocentesis, fetal blood right to be informed of the result of the
sampling, or umbilical vein sampling is evaluation of the nature and extent of
a diagnostic genetic test that examines his/her disease, any other additional or
blood from the fetal umbilical cord to further contemplated medical treatment
detect ; on surgical procedure or procedures,
Chromosomal abnormalities. including any other additional medicines
Blood disorders such as anemia. to be administered.
Some metabolic disorders. Medical Records
Infections such as toxoplasmosis and rubella. - serves as the central repository for
Some causes of structural problems or planning patient care and documenting
intrauterine growth restriction. communication among patient and health
care provider and professionals
End-of-life decision making contributing to the patient's care.
- is the process that healthcare providers, - Includes a variety of types of "notes"
patients, and patients’ families go through entered over time by health care
when considering what treatments will or professionals, recording observations and
will not be used to treat a life-threatening administration of drugs and therapies,
illness.
, orders for the administration of drugs and - Respects personal, cultural, and spiritual
therapies, test results, x-rays, reports, etc. attitudes and beliefs.
Documentation - Encourages family bonding through
- Essential for justifying actions. rooming in and family visiting in maternal
- Good documentation promotes patient and child health care settings.
safety and quality of care. Complete and STANDARDS OF CARE
accurate medical recordkeeping can help 1. Every woman and new born receives
ensure that your patients get the right care routine, evidence based care and
at the right time. management of complications during
- Good documentation is important to labor, childbirth and the early postnatal
protect you the provider. Good period
documentation can help you avoid liability 2. The health of information system enables
and keep out of fraud and abuse trouble. use of data to ensure early, appropriate
action to improve the care of every
SCOPE AND STANDARD OF MATERNAL woman and newborn
CHILD PRACTICES 3. Every woman and newborn with condition
MATERNAL AND CHILD HEALTH. that cannot be dealt with effectively with
- The Maternal and child health (MCH) the available resources is appropriately
refers to the health of mothers, infants, referred.
children, and adolescents. 4. Communication with women and their
- It is a profession within the public health families is effective and responds to their
committed to promoting the health status needs and preferences.
and future challenges of this vulnerable 5. Women and newborns receive care with
population. respect and preservation of their dignity.
- it involves the care of the woman and 6. Every woman and her family are provided
with emotional support that is sensitive to
family throughout pregnancy and
their needs and strengthens the woman's
childbirth and the health promotion and
capability
illness care for the children and families. 7. For every woman and newborn,
Two main national health goals are: component, motivated staff are
• To increase quality and years of healthy life consistently available to provide routine
• To eliminate health disparities care and management complications.
Components of maternal and child health 8. The health facility has an appropriate
1. Family planning and reproductive health physical environment, with adequate
services water, sanitation and energy supplies and
2. Maternal, newborn, and child health services equipment for routine maternal and
3. Health communications newborn care.
4. Health commodities and supplies Health Promotion and Diseases Prevention in
5. Health system strengthen different Stage of growth and development
Examples of Scope of practice include: Nurse role in health promotion
- Serves an advocate to protect the rights of – Model healthy life style behaviors and
all family members, including the fetus attitude
- Demonstrates a high degree of – Facilitate client involvement in assessment,
independent nursing functions because implementation, evaluation of health goal
teaching and counseling are major – Teach the client health care strategies to
interventions enhance fitness, improve nutrition, manage
- Promotes health and disease prevention stress and enhance relationship
because these protect the health of the – Assist individual, families and communities
next generation. to increase their level of health