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:

Family planning

Safe abortion

Safe motherhood

Infant & child care

Male participation & responsible behavior

Adolescent reproductive health

Infertility

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.

  1. Preconception:

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

Contraception

  1. 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 –

  1. Specific preventive practices to protect pregnancy-Proper antenatal care.
  2. Treatment selected for sickness/ complications.
  3. 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 –

  • Home / hospital delivery

  Attendant selected for child birth –

              – Family

-Qualified midwife /physician

-Traditional birth attendants /skilled birth attendants.

  1. Postnatal:

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 .
  1. 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 .

  1. Peri-menopausal period (45- 55 yrs):

During this period women needs counseling & family support regarding her menstrual irregularities & menopausal syndrome.

  1. Infertility:

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.

Edit by, 

Sukanto Halder 

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