Children’s clinic and antenatal fetal protection
Article by Vladimir
Health care to the child health services begin long before his birth with observations on prekontseptualnom stage and continue during fetal development that carries mostly women’s consultation, which primarily addresses the pregnant woman. And from the time of the expectant mother on record in the process, connects children’s clinic, which experts will take care of her during the pregnancy. Regular visits to pregnant women in the community, meeting with her family to establish contact with her close relatives, which should support the woman, and thus – and her unborn child in this sensitive and difficult period of life – all this will help the expectant mother to prepare adequately Birth and positive impact on the effectiveness of future prevention activities to be carried in the postnatal period the child.For information on registration of pregnant women in antenatal clinics for children receives every two weeks: this information gathers senior nurse clinics – e-mail, telephone or during a personal visit to the antenatal clinic. In addition to passport details (surname, name a woman, date of birth, address) to the computer or make a special magazine: information on gestational age at the time of registration, number of previous pregnancies of the birth, an overall assessment of the possible risk to the health of mothers, for pregnancy and delivery, fetal health, the date of registration in the children’s clinic, as well as the date of transfer of information about pregnancy health nurses.The head nurse also conducts quarterly count of the number of pregnant women received health clinics under the supervision of children, depending on gestational age: up to 8 weeks and 11.8 weeks, 12-24 weeks total, 24-31 completed weeks, 26-40 weeks. Each ward nurse health visitor records in a special notebook of all pregnant women of the site.First meeting with the future mother (in her house or on call at the clinic) for a normal pregnancy and during pregnancy, low-risk health visitor holds a nurse. If, however, when registering, in consultation with the pregnant set medium or high risk, the nurse informs the district pediatrician, and he performs this patronage.Patronage should be implemented in the first, second and third trimesters of pregnancy, and every time it has its problems and peculiarities.Patronage first trimester of pregnancy
A nurse or physician familiar children’s clinic with a pregnant woman discovers her social status (married, lonely, divorced), professional responsibilities before and during pregnancy (with regard to the effects of hazardous conditions), financial security, living conditions (whether convenience as to whether housing hygiene requirements).Collects detailed information about the health of the pregnant woman, the presence of extragenital and other diseases, hereditary diseases. As a very important factor is the ratio of women to the fact of pregnancy, be sure to find out whether this is desirable pregnancy. After all, it will determine all future behavior of the mother, will depend on it, whether it will fully implement the recommendations of an obstetrician-gynecologist to ensure normal fetal development and preparation for childbirth. It is important to clarify the psychological climate in the family relationships between spouses and other family members, the future father of his wife’s pregnancy. In the process of communication and through a special survey of psycho-emotional nature of the pregnant woman is determined (calm, even-tempered, nervous, anxious, etc.).An important objective of the first patronage is to develop in the future mother and father’s sense of responsibility for a normal pregnancy and physiological development of the fetus, and hence the health of the person to be born.Fellow children’s clinics must ensure that his team does all prescription prenatal, in particular relating to the prevention of anemia during pregnancy, makes recommendations about diet, pointing to the influence of various nutrients on the formation of the placenta and fetal development, controls weight gain women. If the antenatal clinic is held the first fetal ultrasound, its data should be aware of children’s clinic.In its recommendations, much attention should be paid to physical activity pregnant, which should perform certain physical exercises needed to prepare for childbirth, often walking (preferably in a park area in a clean atmosphere). Be sure to explain that after eight o’clock needed rest and relaxation, it is necessary to limit television viewing, to completely eliminate Movies and the scenes of violence, cruelty, and others that can cause negative emotions. It should also warn pregnant from excessive sexual activity, abuse of baths. It is worthwhile to constantly remind of what could cause harm to even small doses of alcohol, drugs, smoking, including “passive”, ie stay in the room where the smoke, as well as self-medication. Pregnant should be aware that use of any medications (both internally and externally), including the herbal medicine and essential oils, only after consultation with an obstetrician-gynecologist, that you should be careful using household chemicals (detergents, means to fight pests, varnishes and paints), as well as to avoid contact with carriers of infectious diseases, because it may cause intrauterine infection of the fetus.