BY : KRISTINE MAE R.

BELLEZA

Year 2010 2015

Expected MMR 112/100,000 live births 80/100,000 live births

Year 1987-1993 1998

Actual MMR 209/100,000 live births 172/100,000 live births

Complication Hypertension Postpartum Hemorrhage Pregnancy with abortive outcomes

Percentage of total maternal deaths 25% 20.3% 9%

The underlying causes of maternal deaths are delays in taking critical actions:
delay in seeking care, delay in making referral and delay in providing of appropriate medical management.

Other factors that contribute to maternal deaths includes: closely spaced births, frequent pregnancies, poor detection and management of high-risk pregnancies, poor access to health facilities brought about by geographic distance and cost of transportation

STRATEGIC THRUST
Basic Emergency Obstetric Care ( BEMOC ) Improve the quality of prenatal and postnatal care Reduce women s exposure to health risk Appropriate Allocation of Resources

Essential Health Service Package Available in the Health Care Facilities

A. ANTENATAL REGISTRATION
Prental Visits 1st visit Period of Pregnancy As early in pregnancy as possible before four months or during the first trimester

2nd visit 3rd visit Every 2 weeks

During the 2nd trimester During the 3rd trimester After 8th month of pregnancy till delivery.

 B. Tetanus Toxoid Immunization C. Micronutrient Supplementation

Nutrient Vitamin A Dose 10,000 IU Schedule Twice a week starting on the 4th month of pregnancy Remarks Do not give Vitamin A supplementation before the 4th month ofpregnancy. It might cause congenital problems in the baby.

Iron

60 mg/400 ug tablet Daily

C. Treatment of Diseases and Other Conditions

Difficulty of breathing Unconscious Post partum bleeding Intestinal parasite infection Malaria

D. Clean and Safe Delivery 1. Do a Quick check upon admission for emergency signs. 2. Make the woman comfortable.

3. Assess the woman in labor 4. Determine the stage of labor 5. Decide if the woman can safely deliver 6. Give supportive care throughout labor 7. Monitor and manage labor 8. Monitor closely with one hour after delivery and give supportive care 9. Continue care after one hour postpartum. 10. Educate and counsel on FP.

 Support to breast Feding Family Planning counseling.