NCM 109
CARE OF MOTHER AND
CHILD AT RISK OR WITH
PROBLEMS (ACUTE AND
CHRONIC)
INTRODUCTION

INTRODUCTION
• Death and disabilities
from pregnancy can be
prevented or treated.
These can be achieved
by a combination of
interventions.

INTRODUCTION
• Family planning can
help avoid and prevent
unplanned too early,
too late, too close, too
sickly and too many
pregnancies
particularly among
very high risk women.

INTRODUCTION
• Quality prenatal,
delivery and postpartum
services can prevent
complications, detect
problems early and
allow prompt treatment
and management,
mobilizing communities
and local government
will help improve the
status of women who
needed care.

BASIC DATA:
Poor women have 3x
more children
Poor women are more
likely to start sexual
activity, get married,
and have children the
earliest
Closely spaced
pregnancies higher
among young mother

BASIC DATA:
Less educated, poor
rural males are more
likely to become
fathers early
Husbands prefer more
children that their
wives
On the average,
women want 3
children

How are our mothers?
360,000pregnancies
experienced obstetrical
complications that
require hospitalization
Roughly, 10 women die
every 24 hrs from
causes related to
pregnancy and
childbirth

How are our mothers?
3,650 maternal
deaths/ yr…most are in
the rural areas
7 out of 10 deaths
occur during labor or
within 1 day after
delivery
473, 000 unsafe
abortions take place
every yr

Why do women die:
Complications related
to pregnancy occuring in
the onset of labor,
delivery, and
puerperium
Hypertension
complicating pregnancy,
childbirth, and
puerperium

Why do women die:
Postpartum
hemorrhage due to
uterine atony, retained
placenta
Pregnancy related to
abortive outcome
Hemorrhage rt
pregnancy ( ectopic
preg, placenta previa

Global Situation:
529,000 women die
annually from
pregnancy-related
causes
95% of maternal deaths
in 2000 occurred in
Africa and Asia; 4% in
Latin America; and 1% in
developed regions

Global Situation:
More than 1 million of
children are orphaned
Children who have lost
their mothers are 10x
more likely to die early

PhilippineSituation:
3.1 million pregnancies
occur each year. Half of
these are unintended
and one-third ends in
abortion.
= about 473,000
abortions annually with
induced abortions as
leading cause of maternal
deaths

Philippine Situation:
10 mothers die
everyday due to
childbirth and
pregnancy-related
complications
Every mother who dies
leaves 3 orphans. In
effect, 30 children are
orphaned everyday.

Central Visayas:
Only 4 in 10 births occur
in health facility
70% of birth were
delivered at home; 27% at
hospital ; 3% others

High Risk Pregnancy
• Is defined as one in
which a concurrent
disorder , pregnancy
related complication or
external factor
jeopardizes the health
of the mother, fetus,
or both.

High Risk Pregnancy
can be group into two:
• Women with pre
existing or newly
acquired illness
• Women who develop
complications of
pregnancy

High Risk Pregnancy
Ways for Identifying
client’s at Risk:
Physiological
Psychological
Social

A. Pre-
Pregnancy

A. Pre-Pregnancy

B. Pregnancy

C. Labor & Delivery

Risk Factors:
Socio-demographic: maternal age,
parity , marital
• status, residence,
ethnicity, income, racial
and ethnic origin.
• occupational hazards:
 prolonged shifts,
extreme heat,
 exposure to
radiation.
Marginalized Women:
1. unemployment
2. lack of education

Risk Factors:
• Infants and children:
1. birth defects due to
exposure to teratogens
2. malnutrition
3. illness
4. handicapped children
5. child abuse