scholarly journals Pregravidary preparation

2021 ◽  
Vol 8 (2) ◽  
pp. 83-89
Author(s):  
Yu. S. Podilyakina ◽  
D. V. Kulov ◽  
Zh. T. Amirbekova

Preconception care is an essential component of promoting maternal and child health at the national and international levels. The term “preconception care” is found both in various recommendations of the World Health Organization and in practical recommendations for the protection of maternal and child health. Although programs and guidelines may differ depending on local needs (endemic diseases, financial security, educational level of the population, etc.), the general concept of preconception care is present in developing and developed countries within different health systems and does not depend on political, cultural or religious beliefs. In addition, the history of incorporating various preconception strategies and ideologies into international maternal and child health programs and policies spans nearly 30 years, demonstrating the long-term recognition of the relative importance of this approach as a means of optimizing pregnancy outcomes. However, at present there is a large proportion of women who do not know about the importance of preparing for pregnancy.The purpose of this review was to study international experience in the implementation of preconception care in the practice of practical health care professionals. The main tools were highlighted – motivated counseling and reflective practice. Since the United States of America is the world health leader in improving pregnancy outcomes, the information sources were selected from PubMed and the Centers for Disease Control. This review provides evidence of the importance of motivated counseling, identifies the main stages of establishing a trusting relationship between a doctor and a woman or a married couple.Conclusions. Correct pregravid behavior will improve the demographic indicators of the country, however, systematic work is needed with regard to the social responsibility of married couples and the interest of medical personnel in high-quality motivated counseling.

PEDIATRICS ◽  
1970 ◽  
Vol 46 (3) ◽  
pp. 448-455
Author(s):  
Cicely Williams

As a refreshing departure from our usual articles, we welcome the chance to publish these perceptions of an unusual pediatrician. In presenting Dr. Cicely Williams to her Baltimore audience, Dr. Nicholas J. Fortuin said: "Today we introduce to you a distinguished British woman of medicine. Though born in Jamaica, Dr. Williams received her early medical education in England, but later left for a tour with the colonial services in Ghana, where she began her life-long interest in tropical pediatrics and first described the disease we know today as kwashiorkor. After spending 7 years in Africa, Dr. Williams went to Singapore in 1936 as pediatrician to the College of Medicine and, after the second world war, became advisor in child health to the Federation of Malaya. Subsequently she became the first head of the World Health Organization's Department of Maternal and Child Health, and after some years of teaching and consulting work in England, Visiting Professor of Maternal and Child Health at the American University in Beirut in 1960. Dr. Williams returned to London to work with the Family Planning Association in recent years, where she has been able to pursue an interest in population control. Dr. Williams:" I'm sorry if my title is misleading. It's a bit pretentious because it isn't really that I've had spectacular experiences with witch doctors; but, in wandering about the world I've met various unorthodox sorts of medicine and, rather than calling it "unorthodox," it seemed quicker to call it "witch doctors." In every type of medicine we depend largely on confidence, on patient reaction, often on empiricism.


PEDIATRICS ◽  
1948 ◽  
Vol 2 (4) ◽  
pp. 499-504

The First World Health Assembly convened in Geneva, Switzerland, on June 24, 1948, and remained in session until July 24. Fifty-four nations sent delegates. The work of this First Assembly centered around the development of a program of action for the World Health Organization. After discussions of a long list of possible activities, the Assembly adopted a program which established certain priorities for the work of the Organization during the coming year. Malaria control, maternal and child health, tuberculosis and venereal disease control, nutrition and environmental sanitation were placed in the top priority. To carry out these priority programs the WHO authorized the appointment of expert committees and the establishment of appropriate sections of work in the secretariat of the Organization.


PEDIATRICS ◽  
1976 ◽  
Vol 57 (5) ◽  
pp. 741-743

Increasing interest in the utilization of human milk for the feeding of premature infants has been evident in the United States in the past few years and in the Scandinavian countries and several other parts of Europe for a longer time. Because premature infants exhibit even greater limitations of gastrointestinal and digestive functions and of immunologic status than do full-term infants, human milk may offer particular advantages. Such advantages include ready digestibility and absence of foreign proteins; in addition, it is possible that feeding of human milk may protect against enteric infections. In view of current interest in human milk for feeding premature infants, it seemed desirable to consider the possible associated benefits and risks. Such a consideration was undertaken on December 2 and 3, 1975, in Chevy Chase, Maryland, under the sponsorship of the Office for Maternal and Child Health, Bureau of Community Health Services, Health Service Administration, Department of Health, Education and Welfare. The meeting was attended by individuals believed knowledgeable about one or another area related to possible benefits and risks of feeding fresh or processed human milk by bottle or gavage to premature infants in hospitals. Participants in the workshop included representatives of two com- mittees of the American Academy of Pediatrics, two committees of the National Academy of Sciences-National Research Council, and representatives of the American College of Obstetricians and Gynecologists, the American Nursing Association, the Center for Disease Control, and the National Institute of Child Health and Human Development. Several representatives of the Office for Maternal and Child Health and of the Division of Clinical Services, Bureau of Community Health Service were also present.


Author(s):  
Ogunlade Joseph Olurotimi

This chapter is a critical review of the complexities of breastfeeding and its attending effects on the health of the Mother and Child. The researcher employs a historical research approach to gather both theoretical and empirical facts on this issue. It was discovered that in spite of the pragmatic and frantic efforts by different individuals, organizations, governments and non-governmental bodies in establishing a universal, healthy and safest method of breastfeeding through research, publications, workshops and so on, based on the unavoidable and uncompromising importance and benefits to maternal and child health, it is on record that the maternal behaviour is still obviously at variance to the acceptability of full breastfeeding as promulgated and declared by World Health Organization (WHO). A serious, dedicated, pragmatic and coordinated counseling approach is therefore recommended to be adopted to revive and strengthening a positive behaviour in women to foster positive attitude towards breastfeeding to guarantee 100% morbidity and mortality rate in Maternal and Child health.


2015 ◽  
Vol 33 (04) ◽  
pp. 329-338 ◽  
Author(s):  
Desi Peneva ◽  
Xiao Xu ◽  
Amelia Sutton ◽  
Elizabeth Triche ◽  
Richard Ehrenkranz ◽  
...  

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