Not everyone knows what patronage is and what types of it there are. Patronage is one of the forms of medical and preventive examination and assistance in order to improve sanitary and hygienic and household norms and rules.
Prenatal
Antenatal care at home for a pregnant woman is carried out twice by a local midwife. The first time is at registration for pregnancy, preferably before 12 weeks, and the second time, immediately before childbirth, usually at 32 weeks.
The purpose of such patronage is to identify all adverse factors that may adversely affect the development of the fetus and the he alth of a pregnant woman.
The antenatal care provider pays attention to things like:
- age of future parents;
- living conditions;
- material we alth;
- was pregnancy planned;
- family relationships;
- presence of diseases;
- bad habits of a pregnant woman and her husband.
Women at risk:
- under 18;
- underweight or overweight;
- with multiple pregnancies;
- at risk of miscarriage;
- who have had more than five pregnancies.
WhenIn the second patronage, the nurse evaluates the implementation of recommendations to reduce risk factors and the degree of preparation for the birth of a child (the presence of a dowry and knowledge in the field of newborn care). The task of the obstetrician is also to inform the pregnant woman and her family members about the need for proper nutrition, keeping the house clean and visiting the doctor at the specified time. In addition, the obstetrician will help answer all the questions of the expectant mother.
Prenatal care
What is pregnancy patronage and what are its functions? This type of examination provides constant monitoring of the pregnant woman and control of her condition. Patronage also performs a number of other functions:
- monitoring the fulfillment of doctor's prescriptions;
- monitoring the use of benefits that are provided to pregnant women;
- help in solving social and legal problems;
- help with questions regarding the course of pregnancy, childbirth, the period after childbirth;
- consultation on pregnancy nutrition, personal hygiene and childcare;
- Psychological support for first pregnancy.
Who does pregnancy care?
What is pregnant patronage is already clear. But who is doing it? It is performed by nurses or midwives of the antenatal clinic. A he alth worker with the proper level of education is able to provide assistance and support to a pregnant woman in all aspects. The process is supervised by a doctor from the antenatal clinic. Information about the state of the pregnant womanare entered in the so-called patronage list, this document is regularly checked by a doctor. Carrying out patronage of pregnant women avoids such problems as:
- preterm birth;
- birth of children with pathologies;
- reducing the number of possible diseases in a born child.
When planning a pregnancy, a woman should take responsibility for the timely delivery of registration to the antenatal clinic, and also apply for this examination.
Medical patronage
Examination at the patient's home, a number of he alth-improving measures aimed at preventing diseases, supervision of hygiene in the home, monitoring the current state of the ward - this form of work is called medical patronage.
Tasks of this type of patronage:
- pregnancy care;
- supervision and childcare;
- care for the elderly;
- Surveillance of people with mental illness.
- treatment of patients with tuberculosis and other diseases.
Measures in the process of patronage are carried out by a doctor or nurse of the he althcare institution to which the patient is assigned.
Pregnant women are observed by an obstetrician - gynecologist, nurse of the antenatal clinic. The purpose of such care is the he alth of the pregnant woman and a successful birth. After childbirth, monitoring continues for the mother and child. In children's medical institutions, patronage is carried out for children under three years old, forhandicapped children with no age limit. The organizations of the Red Cross and Red Crescent pay great attention to the patronage of lonely patients, the elderly, and the disabled. This activity, in addition to medical, has a large social component.
Patronage functions
The functions of the patronage service are to provide assistance:
- pregnant;
- babies;
- children;
- for the elderly;
- disabled;
- persons with mental disorders;
- help in resolving a difficult life situation (family alcoholism and assault).
Patronage scheme
During the initial examination of the child, the nurse is guided by the following examination rules:
- Study of primary documentation (extract from the maternity hospital).
- Analysis of the course of pregnancy and childbirth.
- Evaluation of the general condition of the baby.
- Diagnosis of reflexes.
- Familiarization with the rules of care and feeding.
Studying the type and method of feeding
Children's patronage is carried out in the terms indicated below in the article:
- After discharge from the hospital - 1 time in three days.
- First week after birth - twice a week.
- Six months - once a month 1-2 years - once every three months 3 years - once every six months.
What is newborn patronage and what is its purpose?
- Prevention of postpartum complications in the baby.
- Analysis of everyday and social conditions.
- Helping a young mother to comply with hygiene standards and rules for caring for her baby.
- Familiarization with the rules of breastfeeding and the method of artificial feeding.
- Examination of the condition of the child after discharge from the maternity hospital.
- Caring for bedridden patients, carrying out the necessary medical and hygiene procedures.
- Familiarizing parents with methods of raising and educating children with disabilities.
- Adherence to basic treatment recommendations, control of necessary medications, assistance with food intake, analysis of mental state.
- Patronage must be carried out by a qualified he alth worker.
