A COMPREHENSIVE ACTION PLAN FOR REDUCTION OF MATERNAL AND CHILD DEATH
Antenatal Care (ANC) is “care before birth” and includes education, screening, counseling, treatment, monitoring and promoting the well-being of the mother and foetus . ANC is based on providing women and their families appropriate advices and information which may help them to be in a good health during pregnancy and delivery. Also, providing mothers with appropriate supplements such as folic acid and vitamins that needed during pregnancy, achieve the full life-saving potential that ANC promises for women and babies,
Four visits providing essential evidence-based interventions a package often called focused antenatal care are required. Good caring during pregnancy is so important for the health of the mother and the development of the unborn baby, it links the woman and her family with a formal health system which will increase the chance of using a skilled attendant particularly at birth and contributes to well health through the life cycle. At any health care delivery system, Antenatal care is considered as a backbone of obstetrical services, it is substantial for health of pregnant women and it is the way in which maternal and foetal complications are determined and managed. Roughly, a thousand mothers all around the world die daily due to pregnancy and delivery related causes, which resemble 25% of maternal deaths according to World Health Organization. Although, maternal mortality rates in the past 25 years has decreased by about 44%, it is still considered by WHO to be intolerably immense.
Though there have been significant changes in the reproductive health scenario of Sundergarh district over the past 10 year; of late, the diseases burden of non-communicable diseases is growing like hyper-tension, diabetes, stroke and chronic kidney diseases. NFHS – 4 data of the district, in the year 2015-16 reflects very high blood pressure among adult male which is about 1.4 % and 0.9% in case of women in total which indirectly affects the reproductive health scenario of this tribal district already burden with MMR and IMR.
Women die as a result of complications during childbirth. Most of the complications develop during Pregnancy and most are preventable and treatable. Other complications may exist before pregnancy but are worsened during pregnancy; especially if not managed as part of women’s care. The major complications that account for nearly 75% of all maternal deaths are:
- Severe bleeding (mostly after childbirth)
- Infection (usually after childbirth)
- High-blood pressure during pregnancy (pre-eclampsia and eclampsia)
- Complication from delivery
- Unsafe abortion
Hence screening of all Antenatal mothers at the 2800 plus organized VHND and UHND in the District is mandatory and every pregnant woman must go through USG checkups . District Administration wants to provide the Ultrasonography test to all antenatal mothers of the district through tagging of 66 Nos of private and public USG clinics and in the USGs avalibility at public hospitals in the district.