2.

The Impact of Factors affecting the Reproductive Health of the Family on MCH
1. Socioeconomic status
Lower Class:
asks fewer questions, therefore at risk of noncompliance due to lack
of
understanding.
lower fertility control, therefore repeated pregnancies and at
shorter intervals, which may impact health status and general
well-being.
subjected to limitations of public services, which may result in
delays of certain
reatment, referral and services thus affecting management of
client.
Elite Class:
Active participants in health care therefore increased
probability of compliance.
Higher of fertility control, thus decreasing number of
pregnancies.
Options of services available due to insurance etc, thus allowing
prompt referral and improved management.

2. Health Care
Organizations
Public vis
Private

 Massiveness in public sector may result in impersonal management;

therefore
there is limited communication which may result in factors being missed.
There is an increased level of communication in the private sector, which
may
result in more opportunities for questioning.

3. Ethnicity
Studies have shown that Caucasian mothers receive care earlier than nonCaucasian; therefore this may result in early detection of complications and

prompt referral which enhances the management of the mother thus

improving

4.Age:
Older women are at risk g\for complications and poor
reproductive outcomes
This impact MCH as there may be increase in mortality and morbidity
rates
among this age group.
Younger mothers have less fertility control, resulting in higher illegitimacy
rates.
Therefore supportive services need to be available to assist these

women.
Additionally younger mothers tend to book earlier in clinics which facilitates
early detection of complications and prompt referral which enhances the
management of the mother thus improving reproductive outcomes.

5. Parity
Multiparous women usually have poor reproductive outcomes and
higher mortality and morbidity, therefore additional medical services and
advanced management is needed to ensure the well being of the
mother and fetus.

6. Health Status
Medical studies have shown and proven that persons with
certaindisorders/diseases should not have children ex, SCD.
This category of women is high risk and has poor reproductive outcomes and
high mortality and morbidity rates.
Therefore additional support services need to be in place for this category. In
addition education of this group is crucial and the nurse must be knowledgeable
to provide information re: Family Planning and risks associated with
pregnancies.

7. Geographic: Family island vs. Nassau

Family island residents have a lower fertility control rate, thus leading to
recurrent pregnancies in a short interval.
MCH must promote education re: Family planning and increase the

awareness of risk factors associated with short pregnancy intervals, myths

and folklores which may result in complications.
Persons in Family Island due to placement may experience delays in
management because of time that may be needed to travel
Resources will need to be in place to provide assistance re travel
expenses especially in emergency cases.
The management of clients on FI usually is collaborative and all high risk
patients are sent to Nassau to prevent being delays in case of an
emergency.