NCM 109N: Frameworks For Maternal & Child Health Nursing

NCM 109N
FRAMEWORKS FOR MATERNAL & CHILD

HEALTH NURSING
• The 2020 National Health
Goals include:
1. Increasing the quality and
years of healthy life

2. Eliminating health disparities.
Note that a new objective added in
2010 recommends that 100% of
prelicensure programs in nursing
 Include core content on counseling for:
1.health promotion and disease prevention
2. Cultural diversity
3.Evaluation of health sciences literature,
environmental health, public health
systems, and global health.
2020 National Health Goal
(MCN)
• Goal
Improve the health and well-being
of women, infants, children, and
families.
Overview
• Improving the well-being of mothers,
infants, and children is an important public
health goal for the United States.
• Their well-being determines the health of
the next generation and can help predict
future public health challenges for families,
communities, and the health care system.
• The objectives of the Maternal, Infant, and
Child Health topic area address a wide
range of conditions, health behaviors, and
health systems indicators that affect the
health, wellness, and quality of life of
women, children, and families.
MCN can be visualized within a
Framework in which nurses use Nursing
process
4 phases:
1.Health promotion
2.Health maintenance
3.Health Restoration
4.Health rehabilitation
1. Health Promotion
• Educating parents and children to

follow sound health practices through
teaching and role modelling
2. Health maintenance
• Intervene to maintain health when
risk of illness is present
3. Health restoration
•Using conscientious assessment to be
certain that symptoms of illness are
identified and interventions are begun
to return patient to wellness most
rapidly
4. Health rehabilitation
•Helping prevent complications from
illness; helping a pt. with residual
effects achieve an optimal state of
wellness and independence; helping pt
have an inevitable death
Why Are Maternal, Infant, and
Child Health Important?
• Pregnancy can provide an opportunity to identify
existing health risks in women and to prevent
future health problems for women and their
children.
• The risk of maternal and infant mortality and
pregnancy-related complications can be reduced
by increasing access to quality preconception
(before pregnancy), prenatal (during pregnancy),
and interconception (between pregnancies) care.
• Moreover, healthy birth outcomes and
early identification and treatment of
developmental delays and disabilities and
other health conditions among infants can
prevent death or disability and enable
children to reach their full potential.
• Mother and baby die in childbirth
every 11 seconds- UN
• 2.8 million women and newborn
die every year from preventable
causes
• According to the UN, 3M are dying in the
world every year from complications of
pregnancy and childbirth
• Neonatal Mortality Rate: 12.6/1000 live
births
• Maternal Mortality: 114 /1000 live births
• Demographic Profile:
- Philippines is considered
one of the most populous
country in the world in 2000.
- 75.3M in 2001 ( NCSB)
• In the Philippines, the lifetime risk
of maternal death is 1 in 140.
• Around 11 Filipino mothers die everyday
or an estimated 4,500 every year due to
severe hemorrhage, hypertensive
disorders, sepsis and problems related to
obstructed labor and abortion.
• The leading causes of death are
diseases of the heart, diseases of the
vascular system, pneumonias, malignant
neoplasms/cancers, all forms of
tuberculosis, accidents, COPD and allied
conditions, diabetes mellitus,
nephritis/nephritic syndrome and other
diseases of respiratory system.
• Philippines maternal mortality ratio was
at level of 121 deaths per 100,000 live
births in 2017, down from 124 deaths
per 100,000 live births previous year,
this is a change of 2.42%.
• Maternal mortality ratio is the number of
women who die during pregnancy and
childbirth, per 100,000 live births. The
data are estimated with a regression
model using information on fertility,
birth attendants, and HIV prevalence.
Philippine Scenario
• Mothers in marginalized urban
communities struggles to find ways of
putting a meal on the table is constant
• Their health and their children’s health are
taken a back
• Their basic rights to live in a safe and
healthy environment is denied
Philippine Scenario
• This mothers are placed at high risk for dying due to
pregnancy and child birth
• Reasons:
– Lack of Access to quality Health services
– Teenage pregnancy
– Unplanned pregnancies
– Lack of adequate prenatal care
– Homebirth by unskilled birth attendants
– No access to basic emergency obstetric and neonatal
care
– No postpartum Care
• Mothers die due to delays in deciding to
seek medical attention; delays in reaching
appropriate health care facility and delays in
receiving quality services at health facilities.
• Universal access to basic reproductive
health services is unlikely to be achieved as
contraceptive prevalence rate for modern
family planning methods remains high at
50%
• Increase in teenage pregnancy
Answer to Library work:
1. A personal philosophy of nursing care

for maternal and child populations should
include providing family-centered care as it is
influenced by the community and using
evidence-based practice to keep families
operating at their highest level of functioning.
• The nurse should consider the family unit
as a whole and as partners in health care.
The nurse would also serve as a patient
advocate, demonstrate independent
nursing functions to counsel and teach
patients, promote health and disease
prevention, and serve as an important
resource for the family.
2. Nursing interventions within the scope of
practice for a nurse caring for mothers and
their families may include the following:
Arranging for or providing preconception
counseling and care
Scheduling and assisting with prenatal
visits
Screening pregnant women for diseases
Scheduling well-child visits
Screening and caring for neonates
 Scheduling and administering
vaccinations
 Providing annual checkups for children
 Providing parent teaching for keeping
children healthy and safe
Working with an interprofessional team
when a family member is ill
Assisting the family with the transition from
childhood to adulthood
Terms related to statistics used in
maternal and child nursing include
infant mortality and maternal
mortality.
 The infant mortality rate of a country is
a good index of its general health because it
measures the quality of pregnancy care,
overall nutrition, and sanitation as well as
infant health and available care.
 General improvements in the rates of
maternal mortality can be attributed to
improved preconception, prenatal, labor and
birth, and postnatal care.
Students should explore the six competencies
necessary for quality care and derive appropriate
interventions, such as the following:
 Patient-centered care: putting the

patient first and advocating for the best
possible care for each client
 Teamwork and collaboration: setting up
appointments and coordinating care for a
patient receiving physical therapy at home
 Quality improvement: instituting a new,
more efficient call reporting system on a
hospital ward
 Informatics: keeping records and
documents current for all healthcare team
members to access when providing patient
care
 Evidence-based practice: performing
research to find the best current evidence in
making patient care decisions
 Safety: instituting policies in your
facility to prevent client falls

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NCM 109N

FRAMEWORKS FOR MATERNAL & CHILD

years of healthy life

• Educating parents and children to

1. A personal philosophy of nursing care

 Patient-centered care: putting the

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