Topic: Concept of Reproductive Health
Subject: Reproductive Health.
4th year B.Sc in Nursing
Concept of Reproductive Health:
According to WHO-
Reproductive health is a condition in which reproduction is accomplished in a state of complete physical, mental & social well being & not merely the absence of diseases or disorders of the reproductive process.
Therefore reproductive health implies that people are able to have satisfactory & safe sex & that they have the capability to reproduce & freedom to decide if when & how often to do so .Implicit in this last condition are the right of men women to be informed & to have access to safe , effective , affordable methods of family planning of their choice , as well as other methods of their choice for regulation of fertility which are not against the low , & the right of access to appropriate health –care services that will enable women to go safely through pregnancy & children & provide couples with the best chance of having a healthy infant.
Elements of reproductive health:
The basic elements of reproductive health can be grouped as:
Infant & child care
Male participation & responsible behavior
Adolescent reproductive health
Reproductive tract infection & sexually transmitted diseases.
HIV / AIDS
Cancer of reproductive tract.
Reproductive health needs of disables
The role of women in reproductive health:
Women’s are vulnerable to during her reproductive life while going through the following events.
It includes adolescents & women, married or unmarried who are sexually active. In Bangladesh early marriage is prevalent & women are prematurely exposed to sexual activities & thus leading to adolescent pregnancies increasing health risk of both mother & newborn. During preconception period the problem can overcome by taking following measures.
Conception delaying action:
Postponement of marriage
Birth spacing behavior
- Conception /pregnancy :
In our country majority of the women have to pass through this stage several times in their lives, exposing her to the risks & hazards of pregnancy each time.
This hazard can be avoided by –
- Specific preventive practices to protect pregnancy-Proper antenatal care.
- Treatment selected for sickness/ complications.
- Child birth:
It includes the process of labor & childbirth itself. Many factors are involved in a safe child delivery both for mother & the infant.
The problems can be overcome by practicing following –
selecting safe hygiene & competent place for child birth like –
Attendant selected for child birth –
-Qualified midwife /physician
-Traditional birth attendants /skilled birth attendants.
It includes the period after delivery up to 6 weeks. Here the mother gradually recovers from the injuries of child birth both mentally & physically & regains her normal health while nursing & taking care of her newborn at the same time .
The outcome of this period can be improved by –
- Increasing breast feeding practices.
-use of colostrum
– Partial breast feeding.
- By giving proper attention like nutritious food & rest to the mother .
- Inter- conception:
Is the period of spacing between two consecutive pregnancies .Adoptions of family planning method is the best way to regain mothers health during this period .
- Peri-menopausal period (45- 55 yrs):
During this period women needs counseling & family support regarding her menstrual irregularities & menopausal syndrome.
Infertility means inability to conceive. It is the problem where both partners are responsible but in most of the societies the social & psychological burden is born by the women. This problem can be minimized by timely interventions by family, social & psychological supports.