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
Maternal and child health – a national and international perspective
Dr Hora Soltani
Health & Social Care Research Centre
Sheffield Hallam University
What is maternal and child health?
Local andnationalinfluences on maternalandchildhealth
Maternity matters: principles of good maternity care
Fetaland neonatal outcomes [CEMACH 2008]
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.
Global maternal healthSafe motherhood
Global neonatal health Safe motherhood
To improve neonatal health
Women and Children first available from http://www.wcf-uk.og/issues
Psychosocial and cultural factors:preconception
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.
Mental health and the antenatal period
Triggering hidden vulnerable areas in women who appear healthy – obtainable through looking at the AN/booking history
Preparation for birth: basic approaches
Keeping in mind the importance of maternal psycho-social well-being, the following skills/qualities are essential for health professionals:
References – further reading list