NCM 33 Lec

Asst. Prof. Ida Olga R. Vidal SEXUALITY

Prepared by: Asst. Prof. Zillah R. Tobongbanua - is a multidimensional phenomenon that
includes feeling attitudes and action

REPRODUCTIVE AND SEXUAL HEALTH THE SEXUAL RESPONSE CYCLE

REPRODUCTIVE HEALTH
- Is a state of complete physical, mental, and
social well-being and not merely the absence of
infirmity or disease, in all matters relating to the
reproductive system and to its functions and
processes (WHO).
COMPONENTS OF REPRODUCTIVE HEALTH
1. Family-planning counseling, information,
education, communication and services.
2. Education and services for prenatal care, safe
delivery, and postnatal care, especially
breastfeeding, infant and women's health care.
3. Prevention and appropriate treatment of
infertility; abortion; sexually transmitted
diseases; and reproductive tract infections.
4. Information, education and counselling, as
appropriate, on human sexuality, reproductive
health and responsible parenthood.entations
are tools that can be used as demonstrations.
REPUBLIC ACT 10354
AN ACT PROVIDING FOR A NATIONAL POLICY ON
RESPONSIBLE PARENTHOOD AND REPRODUCTIVE
HEALTH
A national policy that mandates the Philippine
government to comprehensively address the
needs of Filipino citizens when it comes to
responsible parenthood and reproductive
health RH Law guarantees the following:
 Access to services on Reproductive
Health and Family Planning
 Maternal health care services
 RH and sexuality education for the
youth
 Regular funding
SEXUAL HEALTH
- In 1975, WHO defined sexual health as,
“integration of somatic, emotional, intellectual
and social aspect of sexual being, in ways that
are positively enriching and that enhances
personality, communication and love.
- excitement
- plateau
- orgasm
- resolution
THE INFLUENCE OF THE MENSTRUAL CYCLE ON SEXUAL
RESPONSE
- excitement- vasocongestion is already present
- plateau- reach more quickly
- orgasm- achieve more readily
- resolution- more interested in initiating sexual
relations
THE INFLUENCE OF THE PREGNANCY ON SEXUAL
RESPONSE
- excitement
- plateau-
- orgasm
- resolution-
-increased sexual interest
-not contraindicated unless with history of premature
labor
MASTURBATION
- is self-stimulation for erotic pleasure; it can also
be a mutually enjoyable activity for sexual
partners. It offers sexual release, which may be
interpreted as overall tension or anxiety relief.
Masters et al. (1998)
EVIDENCED BASED PRACTICE IN MATERNAL AND CHILD
NURSING
- What is an Evidence-based practice?
 It is the conscientious, explicits and
judicious use of current best evicdence
to make decisions about the care of
patients (Falk, Wongs, Dang, et al.,
2012).
- Evidence: research, clinical expertise, patient
preferences or values
COMMON STATISTICAL TERMS USED TO REPORT - Health information must be kept confidential
MATERNAL AND CHILD HEALTH from others (Duffy, 2011).
1. Birth Rate - Understanding the scope of practice and
 no. of births per 1000 population standards of care.
2. Fertility Rate - Documentation is essential for justifying
 no. of pregnancies per 1000 women of actions.
childbearing age - Be conscientious of obtaining informed consent.
3. Fetal Death Rate
 no. of fetal deaths weighing more than
500 g or more per 1000 live births
4. Neonatal Death Rate
 1st 28 days of life
 Infant is called Neonate
5. Perinatal Death Rate
 the number of deaths during perinatal
time period.
 Perinatal Period – 6 weeks before
conception and 6 weeks after childbirth.
 No. of deaths of fetuses weighing >500g
and within the first 28 days of life per
1000 birth.
6. Infant Mortality Rate
 no. of deaths per 1000 live births in the
first 12 months of life.
7. Childhood Mortality rate
 no. of deaths per 1000 population in
children
 1 – 14 y/o.
8. Maternal Mortality Rate
 no. of maternal deaths per 100,000 live
births that occur as direct result of
reproductive process.

TRENDS IN THE HEALTHCARE ENVIRONMENT

1. Initiating Cost Containment
2. Changes in Health Insurance Coverage
3. Increasing Alternative Settings and Style for
Health Care
4. Increasing Use of Technology
5. Meeting Work Needs of Pregnant and
Breastfeeding Women
6. Regionalizing Intensive Care
7. Increasing Use of Alternative Treatment
Modalities
8. Cards and Packaging Companies
9. Increasing Reliance on Home Care

LEGAL CONSIDERATION OF MATERNALCHILD PRACTICE