IMPLEMENTATION OF NATIONAL STANDARTS OF ANTENATAL CARE FOR PREGNANT WOMEN IN THE WORK OF THE FAMILY NURSES
IMPLEMENTATION OF NATIONAL STANDARTS OF ANTENATAL CARE FOR PREGNANT WOMEN IN THE WORK OF THE FAMILY NURSES
Samadova G.A., Dadabaeva B.S., Sharipova Sh.T.
IMPLEMENTATION OF NATIONAL STANDARTS OF ANTENATAL CARE FOR PREGNANT WOMEN IN THE WORK OF THE FAMILY NURSES
Department of Nursing in Family Medicine of State Educational Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”
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
RESERENSES
1. National standards for antenatal care during physiological pregnancy. Dushanbe, 2008. — 109 p.
2. Achieving millennium development goals. Tajikistan, Dushanbe, 2003. 72 p.
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