J Korean Community Nurs.  2002 Jun;13(2):280-291.

A Study on the Evaluation of Maternal Child Health Services in Public Health Centers

• Kim YS
• Park JW
• Bang KS
• Jung SR
• Woo HS
• Lee HJ
• Jang HS

Abstract

OBJECTIVES
This study was conducted to evaluate the maternal child health services provided by public health centers in Pyungtaek city.
METHODS
Data were collected based on multiple sources of official records. A questionnaire survey was obtained from 50 mothers with premature babies, and 89 mothers with full- term babies, in order to compare their demographic factors, and physical, obstetrical, and emotional status. In addition, the investigators collected data on pre and post follow-up care for the remature group to evaluate the effects of home visiting services on them. Moreover, additional data were collected from 135 pregnant women and 315 mothers with infants, to assess their degree of satisfaction for prenatal education course and breast feeding practices.
RESULTS
1) The pregnant women's satisfaction for the prenatal education course, knowledge, and practices on self care were considered to be high. 2) Of the mothers with infants, 62.9% experienced breast feeding, but only 35.9% of them did it for six months. 3) Premature birth rate in the region was 5.6%, and 75.6% of all premature babies received follow-up care. 4) The mothers with premature babies experienced premature rupture of membrane, placenta previa, preeclampsia, and cesarean section more frequently than the mothers with full-term babies. 5) At the pre-intervention data collection point, mothers with premature babies experienced significantly less social support than mothers with full-term babies. In addition, mothers with premature babies reported higher levels of stress and care-giving burdens, and lower level of self esteem, than mothers with full-term babies, although the differences were not statistically significant. 6) In the premature group, stress, care giving burdens, and postpartum depression decreased after the intervention, whereas maternal self esteem, and the husband's support were increased after the intervention. Social support from significant others were somewhat decreased. 7) Satisfaction for the home visiting service in the mothers with premature babies was very high.
CONCLUSION
These results showed a possibility that the recently started maternal child health services provided by the public health centers may be efficient. Although statistically significant differences were not found, the investigators found a potential for changes in a positive direction. Long-term effects of the health services on maternal child health needs should be addressed in future studies.

MeSH Terms

Breast Feeding
Cesarean Section
Child
Child Health
Data Collection
Demography
Depression, Postpartum
Female
Follow-Up Studies
Health Services
House Calls
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Maternal-Child Health Services*
Membranes
Mothers
Placenta Previa
Pre-Eclampsia
Pregnancy
Pregnant Women
Premature Birth
Prenatal Education
Public Health*
Surveys and Questionnaires
Research Personnel
Rupture
Self Care
Self Concept