Family Health

1. Safe Motherhood: Concept and
Components
Aashma Dahal
Jessica Thapa
MMC,IOM
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2. • Every day, approximately 830 women die from preventable
causes related to pregnancy and childbirth.
• 99% of all maternal deaths occur in developing countries.
• Maternal mortality is higher in women living in rural areas
and among poorer communities.
• Skilled care before, during and after childbirth can save the
lives of women and newborn babies.
• Between 1990 and 2015, maternal mortality worldwide
dropped by about 44%.
(WHO Fact sheet, 2016)
Key Facts
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3. Introduction
Safe motherhood encompasses a series of
initiatives, practices, protocols and service
delivery guidelines designed to ensure that
women receive high-quality gynecological,
family planning, prenatal, delivery and
postpartum care, in order to achieve optimal
health for the mother, fetus and infant during
pregnancy, childbirth and postpartum.
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4. • Addressing maternal health means reinsuring
that all women receive care they need to be
safe and healthy throughout pregnancy and
childbirth and even after that.
• Fifth Millennium Development Goals: reduce
Maternal mortality by 75 percent and
universal access to reproductive health.
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5. • SDG 3: Good Health and well being
– By 2030, reduce the global maternal mortality
ratio to less than 70 per 100 000 live births.
– By 2030, end preventable deaths of newborns and
children under 5 years of age, with all countries
aiming to reduce neonatal mortality to at least as
low as 12 per 1000 live births and under-5
mortality to at least as low as 25 per 1000 live
births.
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6. • SLTHP(1997-2017) recognized neonatal health
as an integral part of safe motherhood
programs.
– It has also included the importance of policy in
Skilled Birth Attendants
– Legalization of abortion
– Transmission of HIV from mother to child in HIV
– Importance of Equity
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7. Safe Motherhood Initiative
• First international Safe Motherhood Conference
in Nairobi jointly sponsored by WHO, UNFPA and
the World Bank in February 1987.
• Action to reduce maternal mortality and
morbidity by one half by the year 2000.
• Inter Agency group for safe motherhood
• Pillars or strategic intervention areas
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8. The Pillars of Safe Motherhood
Source: www.slideshare.net
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9. • ICPD in Cairo in 1994 (Safe motherhood as a
part of Reproductive health)
• 1995 UN Fourth World conference on Women
in Beijing (family planning and women’s
empowerment)
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10. Components of Safe Motherhood
• Family Planning
– Prevents Teenage pregnancy
– Birth Spacing methods
• Antenatal care
– Antenatal checkups
– Detection of high risk factors
– Behavior Change Communication
– Immunization, iron and folic acid supplementation
– Birth preparedness and complication readiness
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11. • Obstetric Care
– Provision of SBAs
– Provision of Emergency Obstetric Care Kit(EOC Kit)
– Management of complications during delivery
• Postnatal care
– Postnatal visits
– Identification of complications
– Breast feeeding
– Immunization
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12. • Postnatal services for Newborn Care
– Cord care prevention
– Management of hypothermia
• Emergency obstetric Care and birthing centre
– Basic Emergency Obstetric Care: vaginal delivery
complications, administration of drugs,
– Comprehensive Emergency obstetric care:
caesarean section, anesthesia and blood
transfusion
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13. • Safe Abortion services
– Access to legal and safe abortion services
– CAC( Comprehensive Abortion Care)
– Safe abortion services-service delivery, training of
manpower and monitoring
• HIV and other STD control
– Prevention of Mother to Child
Transmission(PMTCT)
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14. Current Activities of Safe Motherhood
in Nepal
• Birth Preparedness and community level
maternal and newborn health
• Rural Ultrasound programme
• Reproductive health morbidity prevention and
management programme
– Management of pelvic organ prolapse
– Cervical cancer screening and prevention training
– Obstetric Fistula management
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15. • Human Resources
• Expansion and quality improvement of service delivery
sites
• Emergency referral funds motherhood services
• Obstetric first aid orientation
• Nyano Jhola Programme (2069-2070)
• Aama and Newborn programme( maternity Incentive
Scheme, user fees removal, Free newborn care)
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16. Strategies for Management
• Promoting Intersectoral coordination at different
levels of health system with a focus on poor and
excluded groups.
• Strengthening and expanding delivery by SBAs.
• Strengthening other human resources
• Encourage community based awareness activities
that raise the status of women in community.
• Establish functional referral system
• Promote research on safe motherhood.
Annual report, 2073/742/22/2018
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17. Programs and Policies
• National Safe Motherhood Programme,
• Skilled Birth Attendants Policy, 2006
• National Blood Transfusion Programme,
• National Abortion law, 2002
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18. THANK YOU
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