The first message, Pregnancy before age 18 years or above 35 years will increase the health risks for mother and baby.
Direct causes of maternal mortality include haemorrhage, pregnancy poisoning and infections. Indirect causes of maternal death include chronic low energy in pregnancy and anemia in pregnancy. The incidence of anemia in pregnant women this will increase the risk of maternal mortality compared to mothers who are not anemic.
Delaying the first pregnancy until at least 18 years old mother to help ensure pregnancy and childbirth safer. This prevents the risk of premature birth and babies born with low birth weight (LBW). As for the mother, the process of pregnancy and childbirth even more smoothly in terms of both physical and mental. This becomes important especially in areas where early marriage is the custom, and teenagers are facing pressure to get pregnant.
It should be underlined that the teenage pregnancy have a higher risk of complications, including the poisoning of pregnancy, premature birth, birth through time, birth complications, less blood and died. Meanwhile, for the baby, there is a greater risk such as premature birth, low birth weight, and a variety of health problems and death.
For girls who become pregnant under 15 years, this risk increases with the very meaningful.
Gave birth to a teenage daughter would be more dangerous and more difficult than with adult women. Babies who are born to a mother who was very young tend to die in the first year of life. Girls generally do not have fully developed hips. Thus pregnancy for this group will be serious consequences, such as the poisoning of pregnancy, premature birth, birth through time, birth complications, anemia (lack of blood) or even the death of the mother and baby.
The younger of the mother, the greater the risk for mother and baby. For girls under the age of 15 years, the risk of death increased sharply. Girls who give birth before age 15 years had a five-fold risk of death compared with maternal age of 20 years.
Every woman of childbearing age, married or unmarried, need help to delay pregnancy. All parties involved in the issue of early pregnancy both girls and young mothers, boys and men and their families, should be aware of the risks that may occur and how to avoid them. This information should also include guidance on how to prevent sexually transmitted infections (STIs), including HIV.
After age 35, the risks associated with pregnancy and childbirth for women to rise again. The risks include high blood pressure, bleeding, miscarriage and diabetes during pregnancy and birth defects in babies.
The second message
To maintain the health of mother and child, a mother should delay the next pregnancy until her last at least two years old.
The risk of death for newborns (0-28 days) and infants under one year increased if the spacing is too close (less than two years). Besides the risk of premature birth and low birth weight are also higher. Babies born with LBW difficult to grow well, more easily hurt, and had likely died four times greater in the first year of age compared with babies born with normal weight.
One of the threats to the health and growth of children under two years of age is the birth of his sister. For older children breastfeeding stopped possibilities, so that her mother lacked the time to prepare meals and provide care and services needed by all children.
By the time a baby in the middle of the family, it is very important for a father to help the mother to take care of infants and other children. Both parents or guardians must give the same attention and care to the boys and girls.
A mother's body needs time to recovery after pregnancy and childbirth. For a mother before pregnancy again, it requires health and good nutritional status. If a mother had a miscarriage, she should wait at least six months to get pregnant again so that the risk to themselves and their babies is reduced.
To protect the health of their families, both parents must be aware of the importance of (1) a distance of two years between the birth of the last child at the beginning of the next pregnancy and (2) limit the number of pregnancies.
The third message
Health risks during pregnancy and childbirth will increase, if a mother is too often pregnant.
A mother's body will easily become weak because pregnant repeatedly, childbirth, and care for young children. After experiencing repeated pregnancy, a mother will face the risk of increasing health problems, such as anemia and bleeding.
The fourth message
Family planning services give couples the knowledge and ability to plan when to begin having children, how many children to have, how many years the distance between the child's age, and when it will stop giving birth. There are many choices of contraceptives are safe, effective and acceptable to prevent pregnancy.
Trained health personnel and health care facilities must provide information and advice to empower women in order to make decisions about family planning and help to choose the family planning method that is acceptable, safe, fun, effective and affordable.
Trained health personnel and health-care facilities should also provide information to girls and son on reproductive health and family planning services (1) sensitive to adolescents (2) encouraging them to develop skills in order to maintain health and make decisions about responsible life.
Specific communication medium to reach out to girls should be developed in order to assist them through counseling, provision of contraception, pregnancy care, and postnatal.
Husband had an important role in preventing unplanned pregnancy, so it is important for the husband to obtain information and services related to reproductive health.
Teenage boys and adult men have an important role to prevent unplanned pregnancies. Becomes very important for them to have access to a wide range of information and services related to sexual and reproductive health.
The higher level of formal education a teenage daughter, he is likely to choose a more permanent family planning methods, delay marriage and child care, have better economic conditions, have fewer children and healthier. Thus, seeking the child to school is very important for the health of mothers and children, in addition to other benefits of education.
Teenage sons and daughters need to acquire knowledge about reproductive health of unwanted pregnancies, including abortion hazards, as well as knowledge of dual protection of condoms as a contraceptive and a means to prevent sexually transmitted infections including HIV and AIDS. Among the many contraceptives, condoms are a tool that can provide protection against pregnancy and infections are transmitted through sexual intercourse, including HIV.
In some countries, the number of deaths associated with abortions among girls is very high. Girls, young mothers and their partners should get information about pregnancy prevention, and various other risks associated with abortion.
A mother who exclusively breastfed for six months, can delay the menstrual period so as to prevent pregnancy. Delay pregnancy can be fulfilled on condition that the mother is not menstruating, infants aged less than six months and breastfed infants without feeding or any other beverages (lactation amenorrhea method). The effectiveness of this birth control method is equivalent to 98% of other contraceptive methods.
Is it difficult to motivate young mothers to want to use contraceptives?
Motivate young mothers to want to use contraceptives could be done and successful, but certainly there is a condition. The key is how to involve doctors and midwives who are at the forefront of service lines that they are willing to help this population program in earnest. It is they who provide postpartum care, and they are earnestly carry out socialization, communication and motivation about the need and importance of the use of contraceptives to achieve quality family life, and prosperity to mothers who just do labor.
The fifth message
Every man and woman of childbearing age are entitled to information and family planning services and is responsible for planning. They need to know about the health benefits of family planning and the various options available.
Couple including adolescent sons and daughters take responsibility for preventing unplanned pregnancies, including gaining access to information about the various methods and benefits of family planning from trained health personnel. Information on family planning can also be obtained from a doctor, nurse, midwife, MCH clinics or family planning clinics, teachers, and youth organizations / women.