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[Systematization of regional maternal and child health care].


 Systematization of regional maternal and child health care is discussed. At present regional maternal and child health care is mainly carried out by public health nurses, midwives, and maternal/child health promotor volunteers. Administrative measures taken so far in connection with maternal and child care are: early notification of pregnancy, issuance of mother/child health memo book, frequent check-ups during pregnancy, expectant mothers' education, baby check-ups, inoculation, and a special care of premature babies. 2 models for the systematization are proposed. According to the 1st model, a public health nurse starts to function whenever one or more of the following occurs. Birth registration and request for counseling from a nursing mother have been filed at the public health office. The notice of release of a nursing mother and request for home visiting from the medical institution arrive. Maternal and child health promotors advise guidance through home visiting. Midwives will play an important role among the patients with postpartum complications. Another model emphasizes the importance of the patient's continuing relationship with the medical institution where the birth took place. A midwife and a public health nurse interested in regional maternal and child care will be placed in the medical institution to engage in home visiting after the release of the patients. In addition to the usual 1 month baby check-up, one at 2 weeks is given for the benefit of nursing mothers. Regional public health nurses concentrate on the care of high risk patients, premarital pregnancy, and family planning. As systematization progresses, it becomes necessary to have a liason department of obstetrics and an information exchange system to achieve better communication between medical institutions and an administrative body.
