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  2. INTRODUCTION • Death and disabilities from pregnancy can be prevented or treated. These can be achieved by a combination of interventions.
  3. 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.
  4. 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.
  5. 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
  6. 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
  7. 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
  8. 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
  9. Why do women die: Complications related to pregnancy occuring in the onset of labor, delivery, and puerperium Hypertension complicating pregnancy, childbirth, and puerperium
  10. Why do women die: Postpartum hemorrhage due to uterine atony, retained placenta Pregnancy related to abortive outcome Hemorrhage rt pregnancy ( ectopic preg, placenta previa
  11. 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
  12. Global Situation: More than 1 million of children are orphaned Children who have lost their mothers are 10x more likely to die early
  13. 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
  14. 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.
  15. Central Visayas: Only 4 in 10 births occur in health facility 70% of birth were delivered at home; 27% at hospital ; 3% others
  16. 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.
  17. High Risk Pregnancy can be group into two: • Women with pre existing or newly acquired illness • Women who develop complications of pregnancy
  18. High Risk Pregnancy Ways for Identifying client’s at Risk: Physiological Psychological Social
  19. A. Pre- Pregnancy
  20. A. Pre-Pregnancy
  21. B. Pregnancy
  22. C. Labor & Delivery
  23. 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
  24. Risk Factors: • Infants and children: 1. birth defects due to exposure to teratogens 2. malnutrition 3. illness 4. handicapped children 5. child abuse