Dr. Muhammad Mahtab Hossain Mazed

Today is Saturday, May 28, World Safe Motherhood Day 2022. The taste of motherhood brings fulfillment in a woman's life. Safe motherhood was proclaimed at the Nairobi Conference in Kenya in 1987 to raise awareness of the importance of safe motherhood. Its main objective was to reduce maternal mortality by 50% by the year 2000.

In 1997 , Bangladesh gave its approval in this regard. In 2015, the World Health Organization included this initiative in sustainable development. Like every year, Safe Motherhood Day is being celebrated on 28 th May all over the world.

A pregnant mother has the right to receive health care from conception until the child is born. Not only the mother, but also the child growing in the mother's womb needs care, which is called gestational care. The goal of this pregnancy care is to ensure the health of the mother and baby and to prevent or treat any complications of pregnancy. In a word, giving a healthy baby to the family, society and country without any deterioration of mother's health. And so the purpose of celebrating Safe Motherhood Day is to ensure safe maternal health, reduction of maternal mortality rate and health of newborns.

According to the Department of Health, according to various statistics, 574 people per lakh in 1986-90, 485 people in 1991-95, 448 people in 1198, 322 people in 1998-2000, 298 people in 2007, 194 people in 2010 and 16 people in 2015. John, 179 pregnant mothers died in 2018 and 165 in 2019.

According to a study by the National Institute for Population Research and Training (NIPORT), the maternal mortality rate has dropped by about 94 per 100,000 live births in the last 10 years. Although there has been some improvement in the last 10 years, the government is working to bring the maternal mortality rate below 70 per lakh live births. To this end, health services have reached all over the country through about 14,000 community clinics. Field level health workers are working to discourage mothers from home delivery.

Delivery of mothers to various and unhealthy clinics is being stopped. According to the Niport study, the leading causes of maternal mortality in the country are 31 per cent due to hemorrhage, 24 per cent to eclampsia, 20 per cent to indirect causes, 6 per cent to unspecified causes, 8 per cent to abortion complications, 8 per cent to other causes and 3 per cent to inhuman labor. The concerned government departments are working day and night to change the situation.

The family planning index has also changed. In 2019, the population growth rate in the country came down to 1.32 percent. In 2015 it was 1.37 percent. Apart from this, the rate of drop and incomplete need has also come down considerably. Which was 37 percent and 12 percent respectively. Satisfaction rate of family planning method among fertile (15-49 years) women is 7.4 percent. Which was earlier 72.6 percent (SVRS-2014).

Not only the economic index, Bangladesh has also made significant progress in the human resource index in the last fifty years. In this case, the score of Bangladesh in the UN index is 73.2 percent. Improving child and maternal health has played an important role behind this indicator. According to the Bangladesh Bureau of Statistics (BBS), the number of child deaths per thousand in Bangladesh in 1974 was 153. Which came down to only 22 people per thousand in 2018. In addition, BBS gave the number of deaths of children under the age of five as 212 per thousand in 1971. Which was 29 per thousand in 2018. In 1991, the maternal mortality rate was 4.78 percent. It has now come down to 1.69 percent.

In 1987, a meeting of development partners in Nairobi, Kenya, adopted a plan for safe motherhood in the international arena. At a meeting in Colombo, the capital of Sri Lanka, in 1996, various international organizations reviewed the issue and emphasized the need to move this activity forward. Its main objective is to reduce maternal and neonatal mortality by establishing safe motherhood as a woman's right.

Dr. MM Mazed, the founder and eminent researcher of jatio rogi kallan Society writes in his column about today's topic ...Pregnancy, although one of the happiest stages of a woman's life, can apply a bunch of emotional, physiological stress. It is therefore important for pregnant women to take care of themselves at this stage of their lives.

In terms of care, diet and nutrition, it is especially important to know what foods to eat during pregnancy. Pregnant women need to eat for both themselves and their babies to meet their nutritional needs. Studies have shown that pregnant women need three to five hundred extra calories per day. These extra calories require one thousand two hundred milligrams of calcium, six hundred to eight hundred micrograms of folate and twenty-seven milligrams of iron.

Meeting all of the above nutritional requirements through a diet can seem daunting; The good news is that getting extra nutrition is not as difficult as it may seem. Our nutritional intake largely depends on the food we choose.

> Food: - Pregnant mother needs a balanced diet, it is possible to ensure the necessary nutrition and eliminate food deficiencies. Adequate amount of fish, meat, eggs and milk are required at this time. Also eat plenty of seasonal fruits and vegetables. It is possible to avoid the risk of formalin by soaking the purchased vegetables and fruits in water for half an hour after bringing them from the market. At this time you need to drink plenty of pure water. It is better not to eat extra oily food.

> Moderate light type work: -

Women should take light walks during the first two to three months of pregnancy and the last three months without extra work. Heavy objects cannot be carried or lifted. You can't walk in slippery places and you have to be extra careful while climbing stairs.

> Sleep: This requires at least two hours of sleep or rest during the day and at least eight hours of sleep at night. It is better to lie on your back while sleeping or resting.

> Wear: -

Pregnant mothers must wear clean, comfortable, easy-to-wear and loose clothing. Wear the right size and soft shoes. Heels should be avoided in this case.

> Travel: -It is better not to go on long journey for first three months and last three months of pregnancy. Traveling on high and low roads or in vehicles that are prone to tremors is harmful to health. Traveling in a healthy and pleasant environment for some time in the morning and afternoon is good for pregnant mothers, it keeps the body healthy and the mind cheerful. So flower gardens, lake shores, parks - all these places should be visited.

> Taking special care of the body and taking preventive measures against diseases: -

At this time, you should take a good bath with soap every day and keep your fingernails and toenails short. Mother's teeth become very soft during pregnancy, so special care should be taken for teeth and gums. The tetanus vaccine must be given within four to eight months. At this time the body's resistance to disease is less than normal. Therefore, patients infected with influenza, measles, chicken pox and now the new virus monkeypox should be kept away.

> Special Warning: -

Excessive emotions, stress, anxiety, fear, disease, grief, etc. are harmful to the health of the pregnant mother, so it is important to avoid these. The husband should abstain from sexual intercourse for the first three months and the last three months. Medication should not be taken without the advice of a doctor. To prevent dehydration, you need to drink more water than usual. The advice of a specialist doctor must be taken to avoid all kinds of risks.

> Homoeo Solution: -Homeo Medical Scientists are not in favor of compulsorily taking any medicine (Vitamin, Iron, Calcium) during pregnancy. Especially those who have good digestion and can afford to buy fish-meat-vegetables-fruits-roots etc., they do not need to take any (vitamin) medicine. However, pregnant mothers who suffer from physical and mental weakness, anemia, etc., or who cannot afford to buy nutritious food due to deficiency, or who cannot afford to buy nutritious food due to physical defects, are more likely to get calcarea. Feram Foss,Homoeo Vitamin / Tonic medicines like Callie Fos etc. are recommended to be taken in low doses (6X). These medicines provide much needed calcium, iron, potassium and phosphorus to the human body. At the same time, these medicines build our body in such a way that our body is able to absorb / absorb the nutrients required for it in our daily diet.

These medicines will help your fetus to build bones, teeth, nose, eyes, brain, etc. in a very good and perfect way while playing during pregnancy. From being born with skin diseases, kidney diseases, etcWill be saved.For this reason, those who have a family history of physical or mental retardation should take these medicines during pregnancy.

These homeopathic remedies are so good for pregnant mothers that they can cure high blood pressure, asthma, diabetes, headaches, nausea, minor fevers, coughs and other ailments for several months. On the other hand, those who do not have diseases like high blood pressure, asthma, diabetes, tetanus, tetanus, etc., can also avoid getting infected with all these diseases by taking these three medicines.

Medication three should not be taken together; Rather one should eat one by one. For example- Calcarea foss fifteen days, then ferrum foss fifteen days, then calli foss fifteen days- thus eat one by one in cycles. Generally 1X, 3X, 6X, 12X etc should be eaten on low energy; Which is available in the market.

Take 10 pills twice a day in the morning and afternoon. If necessary, you can eat the whole ten months of pregnancy and two years of breastfeeding. However, sometimes it is a good habit to eat with a break between seven days or fifteen days.

It is one of the best medicine to protect the fetus. This keeps the amount of water around the fetus and does not allow the amount of water to decrease, so that most babies are born normally without a caesarean section. Colophyllum is also a good medicine for abortion, so it should be applied in case of fake labor pains. Every time (3rd month, 5th month, etc.) miscarriage occurs at a certain time, they can start taking this medicine one month in advance with the advice of an experienced doctor. Can Finally, a special condition during pregnancy.

Every woman needs special care at this time. This is because the more times a woman gets pregnant, the more likely she is to have complications and risk her life. Therefore, if a woman becomes pregnant, she and her family members should take care of her body and plan ahead for delivery.

Author, Founder, jatio rogi kallan Society