Issue: 2015, Vol. 20, No. 4
MANAGEMENT ASPECTS OF PROPHYLACTIC CONSULTATION IN PREGNANT WOMENIN PRIMARY LINK OF PUBLIC HEALTH SYSTEM
- Keywords
- medical personnel, pregnant women, antenatal prevention, management, knowledge level, efficacy, adherence, healthy life style, risk factors, consultations, laws, rules and standards
- Abstarct
- Aim - to study the efficacy of prophylactic work with pregnant women and to reveal the shortcomings in its management.Materials and methods. 600 medical workers of obstetric-therapeutic-pediatric complexes (OTPC) were enrolled in the first stage of the study. Their questionnaires were analyzed and the authors determined both their knowledge level upon the problems of health status and their opinion of possible problems in the management of prophylactic measures for pregnant women. 600 pregnant women were enrolled in the second stage of the study. Their questionnaires were analyzed and the authors defined the following indices: knowledge level of the pregnant women20 Профилактическое консультирование беременных в условиях АТПКupon perinatal risk factors, level of their satisfaction by medical information which they received from OTPC specialists, their opinion of own life style. Third stage of the study included the analysis of the laws, rules and standards of the Russian Federation which regulated prophylactic work of medical workers with pregnant women. Results. Medical personnel of OTPC underestimated the influence of man life style on its health status. The specialists pointed out the deficiency of work time for carrying out qualitative prophylactic consultation for pregnant women. The dissatisfaction with present documentation turn-over was stated particularly in the information change upon prophylactic measures in antenatal protection of future infant health. Insufficiently high knowledge level of medical personnel upon the problems of health formation and healthy life style was revealed. Low adherence of pregnant women to healthy life style conducting was determined; they considered the recommendations of medical personnel to be uncomfortable, incomprehensible and incomplete. The authors detected the shortcomings of laws, rules and standards in the sphere of prophylactic work with pregnant women: measures upon antenatal infant health protection was not included in the specialist skills, management aspects of OTPC specialists interaction in the process of pregnancy treatment were not specified.Conclusions. The obtained results testified to insufficient efficacy of preventive work with pregnant women and this fact dictated the necessity of the prophylactic consultation optimization in pregnant women and that of their treatment program development in OTPC.
2 Баклушина