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Maternal and child health – a national and international perspective Dr Hora Soltani Health & Social Care Research C entre Sheffield Hallam University. Introduction. What factors influence Maternal & Child Health (MCH): Local & National Global
Dr Hora Soltani
Health & Social Care Research Centre
Sheffield Hallam University
Identified issues in service provision [D\'Souza & Garcia 2004]
Models of maternity care[Hatem et al 2008 Cochrane Systematic Review]
Overall, there was no increased likelihood for any adverse outcome for women or their infants associated with having been randomised to MLC.
Pre-conception care: (Opportunistic and planned) for women of childbearing age with pre-existing serious medical or mental health conditions that may be aggravated by pregnancy.
Migrant women who have not previously had a full medical examination in the UK should have a medical history taken and a clinical assessment should be made of their overall health, including a cardio-vascular examination at booking or as soon as possible thereafter by an appropriately trained doctor.
Women with genital mutilation should be sensitively asked about this during their pregnancy and management plans for delivery should be agreed upon during the antenatal period.
Women and Children first available from http://www.wcf-uk.og/issues
Sometimes when I’m exhausted my baby seems so horrible, like a monster: vicious, greedy and bad. I end up like a monster myself, furious with my husband and with the pregnancy, just wanting to smash everything up, get rid of it all and force everyone out of my way. But I also feel desperate, like a screaming baby inside. What does all that do to the fetus? How will I bear its crying when it’s born, not to mention looking after it too? How will I cope without ever wanting to exterminate the baby the way I feel my mother would have liked to get rid of me?
There is evidence to suggest
i.e. There is a great responsibility for Professionals in dealing with women to protect them from unnecessary impingements during investigations.
Triggering hidden vulnerable areas in women who appear healthy – obtainable through looking at the AN/booking history
Keeping in mind the importance of maternal psycho-social well-being, the following skills/qualities are essential for health professionals: