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Introduction to Maternal and Child Health Nursing
GOALS AND PHILOSOPHIES
OBSTETRICS comes from the Greek word “obstare” which means = “to keep watch”
PEDIATRICS comes from the Greek word “pais” which means = “child”
The care of childbearing and childrearing families is a major focus of nursing practice, because to have healthy adults
you must have healthy children. To have healthy children, it is important to promote the health of the
childbearing woman and her family from the time before children are born until they reach adulthood.
Main GOAL of MCHN
promotion and maintenance of optimal family health to ensure cycles of optimal child bearing and childrearing.
WHO Goal for MCHN
✔ Accelerate progress towards reducing maternal,
newborn and child mortality in order to achieve
Sustainable Development Goal targets 3.1 and 3.2
SDG Target 3.1 Reduce the global maternal mortality ratio to less than 70 per 100 000 live births
SDG Target 3.2: End preventable deaths of newborns and children under 5 years of age
NURSING THEORISTS
• Calista Roy’s “Adaptation Model of Nursing” – stresses that an important role of the nurse is to help patients adapt
to change caused by the illness or other stressors.
• Dorothea Orem’s “Self Care Deficit Theory” – concentrates on examining patients’ ability to perform self care.
• Patricia Benner’s “Novice to Expert Model” – describes the way nurses move from novice to expert as they
become more experienced and prepared to give professional care.
Nurses’ Role and Function
● Support Maternal health well being
● Identify health and development concerns early
● Provide intervention and referral when necessary
● Deliver Health promotion and education programs
● Provide parenting sup
MEASURING MATERNAL AND CHILD HEALTH
Common Statistical Terms Used to Report Maternal and Child Health
● BIRTH RATE - number of births per 1,000 population
● FERTILITY RATE - number of pregnancies per 1,000 women of childbearing age
● FETAL DEATH RATE - number of fetal deaths (over 500g) per 1,000 live births
● NEONATAL DEATH RATE - number of deaths per 1,000 live births at birth or in the 1st 28 days of life
● MATERNAL MORTALITY RATE - number of maternal deaths per 100,000 live births that occur as a direct
result of reproductive process
● INFANT MORTALITY RATE - Number of deaths per 1,000 live births occurring at birth or in the first 12
months of life.
MAJOR CAUSES OF DEATH IN CHILDHOOD Under 1 Year
● 1.Congenital malformations and chromosomal abnormalities
● 2.Disorders related to short gestation age and low birth weight
● 3. Sudden infant death syndrome
● 4. Newborn affected by maternal complications of pregnancy
● 5. Unintentional injuries (accidents)
1–4 Years
● 1. Unintentional injuries (accidents)
● 2. Congenital malformations and
● chromosomal abnormalities
● 3. Malignant neoplasms
● 4. Assault or homicide
● 5. Diseases of the heart
5–14 Years
● 1. Unintentional injuries (accidents)
● 2. Malignant neoplasms
● 3. Assault or homicide
● 4. Intentional self-harm (suicide)
● 5. Congenital malformations and chromosomal abnormalities
5–14 Years
● 1. Unintentional injuries (accidents)
● 2. Malignant neoplasms
● 3. Assault or homicide
● 4. Intentional self-harm (suicide)
, 2
15–24 Years
● 1. Unintentional injuries (accidents)
● 2. Assault or homicide
● 3. Intentional self-harm (suicide)
● 4. Malignant neoplasms
● 5. Diseases of the heart
EMBRYONIC DEVELOPMENT
Introduction to Maternal and Child Health Nursing
GOALS AND PHILOSOPHIES
OBSTETRICS comes from the Greek word “obstare” which means = “to keep watch”
PEDIATRICS comes from the Greek word “pais” which means = “child”
The care of childbearing and childrearing families is a major focus of nursing practice, because to have healthy adults
you must have healthy children. To have healthy children, it is important to promote the health of the
childbearing woman and her family from the time before children are born until they reach adulthood.
Main GOAL of MCHN
promotion and maintenance of optimal family health to ensure cycles of optimal child bearing and childrearing.
WHO Goal for MCHN
✔ Accelerate progress towards reducing maternal,
newborn and child mortality in order to achieve
Sustainable Development Goal targets 3.1 and 3.2
SDG Target 3.1 Reduce the global maternal mortality ratio to less than 70 per 100 000 live births
SDG Target 3.2: End preventable deaths of newborns and children under 5 years of age
NURSING THEORISTS
• Calista Roy’s “Adaptation Model of Nursing” – stresses that an important role of the nurse is to help patients adapt
to change caused by the illness or other stressors.
• Dorothea Orem’s “Self Care Deficit Theory” – concentrates on examining patients’ ability to perform self care.
• Patricia Benner’s “Novice to Expert Model” – describes the way nurses move from novice to expert as they
become more experienced and prepared to give professional care.
Nurses’ Role and Function
● Support Maternal health well being
● Identify health and development concerns early
● Provide intervention and referral when necessary
● Deliver Health promotion and education programs
● Provide parenting sup
MEASURING MATERNAL AND CHILD HEALTH
Common Statistical Terms Used to Report Maternal and Child Health
● BIRTH RATE - number of births per 1,000 population
● FERTILITY RATE - number of pregnancies per 1,000 women of childbearing age
● FETAL DEATH RATE - number of fetal deaths (over 500g) per 1,000 live births
● NEONATAL DEATH RATE - number of deaths per 1,000 live births at birth or in the 1st 28 days of life
● MATERNAL MORTALITY RATE - number of maternal deaths per 100,000 live births that occur as a direct
result of reproductive process
● INFANT MORTALITY RATE - Number of deaths per 1,000 live births occurring at birth or in the first 12
months of life.
MAJOR CAUSES OF DEATH IN CHILDHOOD Under 1 Year
● 1.Congenital malformations and chromosomal abnormalities
● 2.Disorders related to short gestation age and low birth weight
● 3. Sudden infant death syndrome
● 4. Newborn affected by maternal complications of pregnancy
● 5. Unintentional injuries (accidents)
1–4 Years
● 1. Unintentional injuries (accidents)
● 2. Congenital malformations and
● chromosomal abnormalities
● 3. Malignant neoplasms
● 4. Assault or homicide
● 5. Diseases of the heart
5–14 Years
● 1. Unintentional injuries (accidents)
● 2. Malignant neoplasms
● 3. Assault or homicide
● 4. Intentional self-harm (suicide)
● 5. Congenital malformations and chromosomal abnormalities
5–14 Years
● 1. Unintentional injuries (accidents)
● 2. Malignant neoplasms
● 3. Assault or homicide
● 4. Intentional self-harm (suicide)
, 2
15–24 Years
● 1. Unintentional injuries (accidents)
● 2. Assault or homicide
● 3. Intentional self-harm (suicide)
● 4. Malignant neoplasms
● 5. Diseases of the heart
EMBRYONIC DEVELOPMENT
