Tag Archives: pregnant women

IMPLEMENTATION OF NATIONAL STANDARTS OF ANTENATAL CARE FOR PREGNANT WOMEN IN THE WORK OF THE FAMILY NURSES

Aim. To analyze work of family nurses on the implementation of national standards of antenatal care for pregnant women.
Materials and methods. Analysis of family nurses work on antenatal management of 72 pregnant women was conducted from submitted family nurses reports, Form 111, pregnant women registration journal.
Results. Out of 72 observed women at the labor age 43 (59,7%) were pregnant women. Only 19 (26,4%) women were established first pregnancy. 34 (47,2%) of pregnant women were native inhabitants of the region, who timely on their own registered themselves on clinical account. 41,6% of pregnant women were identified by family nurses. All of them were settlers. Normal BMI had 63 (87,5%) of pregnant women, 8 (11,1%) had heightened, 2 (1,4%) lowered. It was established moderate intensity direct correlation (F=0,53±0,05; p<0,05) between BMI and gestation. 86,1 % women had anemia. Correlations between BMI and hemoglobin content in the blood of pregnant women had weak intensity (F=0,26±0,16; p<0,05) but between hemoglobin content in the blood of nulliparous and multiparous women strong intensity (F=0,99±0,17; p<0,05). Only 22,2% of pregnant women were observed by a doctor at the health center seven times. Conclusion. Study of nurses’ work on the implementation of national standards of antenatal care in the clinical practice has shown the need for timely registration on clinical account of pregnant women for tests and registration on Form-111, which allows to organize conditions for safe motherhood. Standard indicators - measuring BMI, blood (hemoglobin in blood plasma) allow family nurses systematically correct status of pregnant women in some cases together with the family physician. Obtained results of the correlation interdependency of BMI with pregnancy, hemoglobin levels in blood plasma of pregnant women allowed to see the importance of these standards and gives nurses the ability to prognosticate pregnancy flow and childbirth. The need of 7 visits of specialists in the center according the standard requires further study. In our case pregnant women, who have registered under 12 weeks of pregnancy were checked at the doctors only 5-6 times. Key words: national standards, antenatal care, pregnant women, family nurse

STUDY OF THE IMPLEMENTATION OF NATIONAL STANDARDS FOR ANTENATAL CARE FOR PREGNANT WOMEN

SAMADOVA G.A., MULLOEV A.M., DODOBAEVA B.S.
THE DEPARTMENT OF NURSE WORK IN FAMILY MEDICINE TIPGPMP
DEPARTMENT OF PUBLIC HEALTH, ECONOMY AND MANAGEMENT BY PUBLIC HEALTH WITH COURSE OF THE MEDICAL STATISTICS TIPGPMP
Over the past two years the birth rate in the Republic of Tajikistan ranged 29,3-by 28,7 per 1,000 popu¬lation. Along with high fertility, maternal mortality was 45,0 is 37,0 per 100,000 liveborns, the main reasons for which 25% of the cases considered bleeding, 15% and 12% – gynecological infections and eclampsia. The picture presented defined the purpose of the present research is to study the indicators of National standards of antenatal care for pregnant women with an analysis of the correlation between them. Under the supervision were 72 pregnant women aged from 17 to 40 years of age, living in one of the areas with a population of 1722 person. Analysis of work of specialists in antenatal care among women up to 12 weeks of pregnancy showed that only 47,2% of the total number of timely addressed to specialists and were taken to the dispensary registration. In the later stages of pregnancy 52,8% of women with repeated pregnancies are under dispensary observation. The majority of women in a timely manner became the dispensary reg¬istration pregnancy, were the original inhabitants of the area under study. The reason of late treatment of women with a long pregnancy, with a view to their taking on dispensary account that is linked with the arrival of hard-to-reach areas of the Republic. The obtained results allow to predict the state of pregnancy and timely to organize a correction of care for prevention of possible antenatal complications.