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NHS临床指南 Maternal and child health – a national and international perspective
Maternal and child health – a national and international perspective
Dr Hora Soltani
Health Social Care Research Centre
Sheffield Hallam University
;What factors influence Maternal Child Health (MCH):
Local National
Global
Current concerns priorities in MCH from a national and global perspective
Effective MCH promotion strategies – group activity
The role of health professionals in support of MCH
The role of communities
National and International Initiatives;Health promotion and preventive strategies/services to improve the health of mothers, infants, children and adolescents in order to maintain/enhance the health of families and communities as a whole.
It is multidisciplinary.
Objectives:
reduce maternal, neonatal and child mortality morbidity
the promotion of the physical and psychosocial health and well-being of mothers and children/families in:
reproductive health
the maternity cycle (preconception, pregnancy birth, PP)
nutrition
infection
;Local and national influences on maternal and child health;Changing Childbirth (1993)
National Service Framework (NSF) 2004: for Children, Young People Maternity Services
Healthcare Commission
Maternity Matters 2007
NICE guidance
Centre for Maternal and Child Enquiries (CEMACE) [formerly CEMACH]
Maternal and Perinatal Health:
National Maternal Perinatal Mortality Surveillance
Maternal Death Enquiry
Obesity in Pregnancy
Intrapartum Care
Diabetes in Pregnancy
Child death review [Jan-Dec 2006] (28 Children days-18yrs) (n=150)
Head injury
; Woman-centred care:
She must feel and be in control of what happens to her.
She must be able to make informed decisions about her care, based on her own needs.
She must have input into service planning and design (service user involvement).
Maternity services should be based in the community, sensitive to the needs of the local population and easily accessed by that population.
Women should have a choice of primary carer (NHS midwife, independent MW or Doctor) and place of b
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