Maternal Care

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**Post-Partum** 

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* Specific Body Changes on the Mother
*  Psychological Changes on the mother
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* Monitoring of Vital signs, uterine involution, amount & pattern of lochia, emotional responses, responses to drug therapy, episiotomy healing

What is the 4 Phases of Puerperium

* “Taking In” 


* “Taking Hold”


* “Letting Go”

What is the Philosophy of MCN

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* MCN is family centered 
* MCN is community centered
* MCN is research oriented
* MCN protects the rights of all family members, including the fetus
* Includes high degree of independent nursing interventions
* Important for helth promotion

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**FOUR (4) PHASES OF HEALTH CARE**:

Health Promotion

Health Maintenance

Health Restoration

Health Rehabilitation

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**Family**

group of people related by blood, marriage or adoption living together.

* consist of those individuals male or female, youth or adult, legally or not legally or not legally related, genetically related, who are considered by the others to represent their significant people.

2 Basic Type of Family

1. Family of Orientation
2. Family of Procreation

Family of Oriented

the family one is born into, or oneself, mother, father and siblings.

Family of Procreation

a family one establishes, or oneself marriage etc..

Dyadic Family

consist of two people living together, usually a woman and a man **without children.**

Nuclear Family

composed of a husband, wife and children.

Cohabiting Family

are composed of **heterosexual couples** who live together like a nucelear family but r**emain unmarried.**

Extended Family

includes not only the nuclear family but also ther family members such as grandmothers, grandmothers, uncles, aunties, cousins and grandchildren.

Blended family

a divorced or widowed person with children marries someone who also has children.

Communal family

comprises of groups of people who have chosen to live together as an extended family. They are also motivated by “social or religious values”

LGBT family

individuals of the same sex live together as partners for companionship, financial security, and sexual fulfillment.

Foster family

children whose parents can no longer care for them may be placed in a foster or substitute home by a child protection agency.

Adoptive family

Methods of adoption

*  Agency adoption
* International adoption
* Private adoption 

8 tasks for a family to survive as a healthy unit (Duvall and Miller 1990)

* Physical maintenance
* Socialization of family members
* Allocation of resources
* Maintenance of order
* Division of labor
* Reproduction, recruitment and release of family members
* Placement of members into the larger society
* Maintenance of motivation and morale

STAGES OF FAMILY DEVELOPMENT

* Marriage and family
* The early childbearing family
* The family with preschool children
* The family with school age children
* The family with adolescent children
* The launching center family
* The family of middle years
* The family in retirement or older age

Cost containment

refers to systems of health care delivery that focus on reducing the cost of health care by closely monitoring the cost of personnel, use and brands of supplies, length of hospital stays, number of procedures carried out, and number of referrals requested. (Schawartz, 2003)

Scope of practice

the range of services and care that may be provided by a nurse based on state requirements.

LEGAL CONSIDERATIONS OF MATERNAL-CHILD PRACTICE

* Scope of practice
* Documentation
* Informed consent
* Negligence
* Malpractice