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REPRODUCTIVE HEALTH TRENDS AND ISSUES CFH-PHC 6590-001. G. LOPEZ M.D. A JOINT ENTERPRISE. Student ceases to be a data bank in which deposits of knowledge are made by the teacher to become a participatory actor who responds to the challenges of each problematic situation. DEFINITION*.

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Reproductive health trends and issues cfh phc 6590 001 l.jpg

REPRODUCTIVE HEALTH TRENDS AND ISSUES CFH-PHC 6590-001

G. LOPEZ M.D


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A JOINT ENTERPRISE

Student ceases to be a data bank in which deposits of knowledge are made by the teacher to become a participatory actor who responds to the challenges of each problematic situation


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DEFINITION*

  • Reproductive Health is a state of complete,physical,mental and social well-being and not merely the absence of disease or infirmity, in all matters related to the reproductive health system and to its functions and processes

  • *adopted by ICDP - Cairo 1994


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REPRODUCTIVE HEALTH

  • Implies: Ability to reproduce,to regulate their fertility,and to practice and enjoy sexual relationships

  • That reproduction is carried to a successful outcome through infant and child survival,growth,and healthy development.

  • That women can go safely through pregnancy and childbirth,that regulation of fertility can be achieved without health hazards and that people feel and are safe in having sex


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REPRODUCTIVE HEALTH GOALS (WHO Program)

*Experience healthy sexual development and maturation and have the capacity for equitable responsible relationships and sexual fulfillment

*Achieve their desired number of children safely and healthily,when and if they decide to have them


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REPRODUCTIVE HEALTH GOALS (WHO program)

*Avoid illness, disease and disability related to sexuality and reproduction and receive appropriate care when needed

* Be free from violence and other harmful practices related to sexuality and reproduction


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BIRTH

INFANCY AND CHILDHOOD

ADOLESCENCE

ADULTHOOD

MATURE AGE (Post Menopause- Geriatrics)

REPRODUCTIVE HEALTH LIFE STAGES


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INFECTIONS

RAPE AND ABUSE

STDs/HIV/AIDS

LEUKORRHEA

MENSTRUAL DYSFUCTIONS

ABORTION

PREGNANCY

BIRTH TRAUMA

PELVIC FLOOR LESIONS(Prolapse-Incontinence)

TUMORS (Breast-Cervix-Endometrium-Ovaries-Vagina)

OSTEOPOROSIS-FRACTURES

REPRODUCTIVE HEALTH LIFE RISKS


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POPULATION IDENTIFICATION

DETECTION OF RISK GROUPS

PREVENTION Motivation,Promotion Education

SEX EDUCATION

EPIDEMIOLOGIC

PSYCHOPROPHILACTIC (Lamaze)

ONCOLOGIC CARE AND TREATMENT

FOLLOW-UP ACCORDING TO LEVELS AND RISKS

REPRODUCTIVE HEALTH INTERVENTIONS AND PROGRAMS



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MATERNAL PRACTICES INFLUENCING CHILD SURVIVAL IN REPRODUCTIVE LIFE STAGESPRECONCEPTION: 1)Conception delaying actions: postponement of marriage-birth spacing-contraception-abstinence-breast-feedingPREGNANCY: 2)Specific preventive practices to “protect” pregnancy,e.g.: dietary restrictions; traditional practices; modern practices; rituals; prenatal care.3)Treatments for sickness/complications-traditional-modern4) Dietary practice an care- Food taboos5) Work activities: physical demands of work (energy)6) Other behaviors: smoking-use of drugs-etc


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MATERNAL PRACTICES INFLUENCING CHILD SURVIVAL IN REPRODUCTIVE LIFE CYCLECHILDBIRTH 7) Place selected for birth- Hygiene-:Home-Health Facility8) Attendant: self/family-tba-qualifiedPOST-NATAL :9) Breast-feeding practices-use of colostrum-duration-partial breast-feeding- pattern(demand,schedule,nighttime)10) Supplementary feeding: type/timing/amount of foods offered;special foods;use of bottle feeding11)Dietary practices of mother:food taboos/restrictions/supplements.


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MATERNAL PRACTICES (cont) REPRODUCTIVE LIFE CYCLE12) Household hygienic practices: cleaning;bedding;diapers;food preparation; storage;latrine/toilet;water/soap; general environment.13) Specific prevention practices traditional (taboos;rituals;circumcision)-modern postpartum childcare: (immunizations; vitamins;contraception)14) Sickness care practices: traditional ( food restrictions; medicines;rituals) modern.15) Activities ( work) of the mother: time resuming household work-Outside work care - Care of infant during work (place of care home or work) Delegation of care ( sibling/relative) unqualified or qualified caretaker.


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SOME GLOBAL OVERVIEW DATA REPRODUCTIVE LIFE CYCLEBirth rate per 1000 population(1999):World: 23-More developed countries: 11- Less developed countries: 26-Less developed countries excluding China:292) Infant Mortality rate (Infant deaths per 1000 live births) (1999): World: 57- More developed countries: 8- Less developed countries: 62- Less developed countries excluding China:683) Contraceptive use women in union (1999):Prevalence % rate all methods- World: 58- More developed countries: 72- Less developed countries:55- Less developed countries excluding China:44


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GLOBAL OVERVIEW DATA (Cont) REPRODUCTIVE LIFE CYCLEContraceptive use modern methods(1999):World: 51- More developed Countries: 59- Less developed countries 49- Less developed countries excluding China: 37Maternal Mortality Ratio ( Per 1000 live births) (1992) World: 320 -More developed countries: 9- Less developed countries: 350- Less developed countries excluding China: 410)Life time chance of Maternal death according to region ( 1987): Africa 1 in 21- Asia 1 in 54 - South America 1 in 73- Caribbean 1 in140- North America 1 in 6366- Northern Europe 1 in 9850


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