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Introduction of Women Health

Introduction of Women Health. Liqian Qiu Dept. Women’s Health OB/GYN Hospital, School of Medicine, Zhejiang University. What women’s health is studying. Definition: Maintaining and promoting women’s reproductive health. The target people are women population not individual.

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Introduction of Women Health

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  1. Introduction of Women Health Liqian Qiu Dept. Women’s Health OB/GYN Hospital, School of Medicine, Zhejiang University

  2. What women’s health is studying • Definition: Maintaining and promoting women’s reproductive health. The target people are women population not individual. • Purpose: To study the different health problem in women’s different life stage from childhood to ageing.

  3. Importance of Women’s Health 1.Half of Population 2.Women’s health will influence next generation; they have major responsibility of family planning in culture. 3.Women usually have lower social, economic status, less education, low employment rate, less health care. 4.Women have some special physiological periods: puberty, prenatal, labour, postpartum, breastfeeding, menopause.

  4. Women’s Health Study Task 1. Decrease mobility and mortality(降低发病、死亡率） 2. Control some genetic disease and STD spread 3. Promoting the women’s physical and psychological health.（促进心身健康）

  5. What progress we made so far • NEJM 2011, (Are we making progress in MMR?) • Diminishing STD, Cervical cancer • Increasing expectancy life time.

  6. Working method • There are some specific methods to study women’s health which is difference from basic and clinic medicine. This is a edge subject.(between clinic and prevent medicine) • Ternary net works, group people involving (administration, health work, medical specialist)

  7. Main Work 1．Health clinic for different reproductive stage women. 2．Investigation: the factors which influence women’s health. 3．Common gynecological disease prevention.(screening and treatment ) 4．Establishing all kinds of rules, regulations, procedure to protect women’s health 5．Education (all channels) 6．Maternal and child health information collection

  8. Methodology • Writing protocol, • Training (get training and training other health worker), • Education,(pamphlets, lecture, board, hotline, internet, broadcast….) • Either for population and individual.（人群和个体健康）

  9. MCH Administration Structure in China 1．Government administration from central of Health Ministry to county level Health Bureau 2．Professional institute：Ternary MCH hospitals, clinics and station.

  10. Study Subjects 1. women’s physical characteristic in their stage of life. 2.Health care issue for different phase

  11. Puberty Reproductive Health 1.WHO definition: 10-20 years

  12. Characteristics during Puberty 1. Weight and height：the 2nd fast growth period 2. Development of reproductive organs and the sexual characteristic appearing .

  13. Psychological Development 1．Individual thinking 2．Changeable emotion 3．Sexual attractive

  14. Health Guide ： 1. Balance nutrition 2. Personal hygiene habits 3. Psychological health and health behavior 4. Sexual education

  15. Pre-married health Health care before and after getting marry 1. Healthguide 2. Health consultation 3. Health examination For prevention medicine, it is given more attention from government and professional.It became free service in whole province since 2009.

  16. Prenatal Health Care Purpose：Prevent the pregnant complication Content ： 1. Identify the early pregnancy 2. Regular prenatal checking 3. Monitoring the fetal developing. 4. Treatment of pregnant complication 5. Health care, nutrition, genetic disease consulting, prenatal diagnosis

  17. About DoHaD • 1990’s Prof Barker (UK) gave hypothesis that most adult cardiovascular diseases developed from infant or fetus • Fetal original diseasetheory • Developmental Origins of Health and Disease(DoHaD)健康与疾病发展起源学说

  18. Health Care in labour Five protections: (1.prolong of labour, 2.infection, 3.trauma, 4.hemorrhage, 5.asphyxia) 1. Decrease Complication 2. Decrease abnormal delivery 3.Doula accompany delivery

  19. Postpartum health care 1．Body hygiene (vulva, skin, breast). 2．Nutrition ,rehibilitation，exercise. 3．Family planning。 4．Postpartum follow-up and postpartum check.

  20. Breastfeeding Period 1. The central issue of health care in this period is promoting breast milk feeding. 2. WHO/UNICEF launched the ten steps of successful breastfeeding in 1990s. 3. National target of breastfeeding is 85% exclusive breastfeeding in 4 month in all province.

  21. Ten steps of successful breastfeeding • Have a written breastfeeding policy that • Train all health-care staff • Inform all pregnant women about the benefits of breastfeeding • Help mothers initiate breastfeeding within a half-hour of birth. • Show mothers how to breastfeed and how to maintain lactation • Give newborn infants no food or drink other than breast milk • rooming-in 24 hours a day • Demand breastfeeding • Give no artificial teats or pacifiers • Establishment of breastfeeding support groups

  22. WHO Health Care in Life Cyclefor women

  23. Multiple external factors influence outcomes of the MCH cycle

  24. Main interventions during pregnancy and early life

  25. Main interventions in childhood, adolescence and reproductive period

  26. Nutrition interventions around the life-cycle – including just before pregnancy

  27. Menopause and Ageing time Characteristic The function of ovary is getting weak. Gradually no ovulation.

  28. Health Care Contents for old: 1 ．General health information ． 2 ．Nutrition 3．Exercise 4．Psychological problem adaption 5. Chronic disease, cancer screening

  29. 6．Health education 7．Hormone replacement therapy.

  30. Aging People Health Care 1．Living and working: Try their best to do some house working and exercise. The bottom line is fitting their capability. 2. Eating: high protein, low fat, high fibrinous products. 3．Regular living time schedule.

  31. Women common gynecologic disease screening Purpose early diagnosis 早发现 early treatment 早治疗 重大公共卫生项目（priority public health project) 两癌筛查

  32. Occupation health for women 1. Menstruation 2． Pregnant 3．Postpartum period 4． Nursing period 5．Menopause

  33. Family Planning consulting medical doctor 咨询 Information giving普及知识 Acceptable method 推广有效措施 Surgery quality 提高计划生育手术质量。

  34. Health Education • Scientific way to educate the health care knowledge宣传科学的保健健身方法，破除迷信， • Different methods 宣传多样化. • Acceptable for public通俗易懂.

  35. Information collection Basic data registering methods (簿、本、表、册等的登记管理工作)

  36. Common prenatal careindicator 孕产妇死亡率 MMR 　早期新生儿死亡率 early neonatal mortality 　围产儿死亡率 Prenatal death rate 　产前检查率 maternal check 　产后访视率 Pastpartum follow up

  37. 妊高征发病率 PIH incidence 　产后出血率 Hemorrhage incidence 　住院分娩率 hospital delivery rate 　妇女病普查率 women’s disease screening rate 人口出生率 = 出生人口/同年平均人口 birth rate 人口自然增长率 = 同年出生人口 –同年死亡人口/某地某年平均人口数 nature population growth rate

  38. Reference 流行病学： Dr. Daniel W. Cramer. Chapter 4, Sec 1, Novak’s Gymecology, 13th Edition Pg 49-65 妇女保健学： 丰有吉 沈铿 妇产科学 第2版 第30章妇女保健, 人民卫生出版社 2010.7

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