Children's clinic and antenatal care in pregnancy

Care of the child health medical 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, where experts will take care of her throughout the pregnancy.

Regular visits to the pregnant woman's place of residence, familiarity 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 preventive measures to be undertaken by a child in the postnatal period.
For information on registration of pregnant women in antenatal clinic for children clinic receives every two weeks: this information gathers senior nurse clinics - e-mail, by phone or during personal visits to the antenatal clinic. In addition to passport data (name, name women, year of birth, address) to the computer or a special journal making: information on gestational age at the time of registration, number of previous births this pregnancy, overall assessment of the possible risk to the health of mothers, for pregnancy and childbirth, the health of the fetus, the date of registration at the children's clinic, as well as the transfer date information about pregnancy health nurses.
The head nurse also maintains quarterly count of the number of pregnant women, admitted under the supervision of children's outpatient clinic, depending on gestational age: up to 8 weeks and 11.8 weeks, 12-24 weeks total; 24-31 full week, 26-40 weeks. Each ward nurse, health visitor records in a special notebook of all pregnant my site.
First meeting with the future mother (in her house or on call in the clinic) for a normal pregnancy and pregnancy with a low risk carries patronage nurse. If, however, when registering, in consultation with the pregnant set medium or high risk, the nurse informs the district pediatrician, and he executes 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 of the first trimester of pregnancy
A nurse or a doctor of child health clinics met with a pregnant woman who learns her social status (married, lonely, divorced), professional responsibilities before and during pregnancy (with the influence of adverse conditions), financial security, living conditions (whether convenience, whether the 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 pregnancy desired. Because it will determine all future behavior of the mother, will depend on it, will we see it to 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 to his wife's pregnancy. In the process of communication and through a special survey determine the psycho-emotional nature of the pregnant woman (calm, even-tempered, nervous, anxious, etc.).
An important objective of the first patronage is the formation of a 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 clinic to make sure that his players perform all prescription women's clinic, in particular concerning the prevention of anemia in pregnant women, gives advice on nutrition, pointing to the influence of different nutrients on the formation of the placenta and fetal development, controls weight gain women. If a women's 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 a certain set of 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 in the evening needed rest and relaxation, it is necessary to restrict viewing of TV programs, movies, and completely eliminate transmission with scenes of violence, brutality, and others, which could 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 woman 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, lacquers and paints), as well as to avoid contact with carriers of infectious diseases, because it can be a source of intrauterine infection of the fetus.
In the history of the development of the child record to hold the patronage of the (form number 112) with the date of patronage, gestational age, the characteristics of living conditions and health status of parents. Patronage of the second trimester of pregnancy
The representative of the Children's polyclinic primarily explores how pregnancy occurs, there are no complications, not whether there were signs of new risks to mother and fetus - health, hygiene, social, psycho-emotional, and others. And if there - what is being done to address them. Need to ask what advice and laboratory examination was pregnant and what are their results, paying particular attention to measurements of blood pressure, blood and urine tests. Make sure that pregnant receives counseling therapist, dentist, otolaryngologist, and possibly other specialists if there was such a need. Learn the results of ultrasound examination, conducted during the second trimester of pregnancy, among which are important data on the compliance value of fetal gestation, the amount of amniotic fluid, fetal movements, absence of any signs of congenital malformations. It should be noted weight gain pregnant, specifying, if necessary, at its excess or deficiency and, noting that this growth for the entire period of pregnancy should reach an average of 10.11 kg. It is also desirable to find the presence or absence of preeclampsia during pregnancy.
It will be recalled for future mothers that need to respect, adequate motor activity, to ensure adequate sleep and rest, especially in the evening, about the necessity of emotional equilibrium in its environment.
In the second trimester of pregnancy, a woman is already largely feels the mother, the fetus in her view more clearly acquires the features of a newborn baby. In this connection, to draw her attention to the fact that the unborn child must from time to time to talk - out loud or mentally. Thus, a close psycho-emotional bond of mother and child is vital, not only for harmonious fetal development, but also for future relations between them. The same advice should be given and the future of his father, recalling also that the affectionate attitude toward his pregnant wife contributes to the formation of her sense of security, and that the medical aspect can be defined as the prevention of stress, the destructive power of which has negative consequences for both mother and fetus.
Data on patronage held must be recorded in the same way as in the first patronage. Patronage of the third trimester of pregnancy
Third trimester of pregnancy, as is known, is of particular importance in ensuring an enabling environment for the completion of physiological fetal development and normal course of childbirth. Patronage during this period, at the 37 th week of pregnancy, the pediatrician conducts a district - at home or in the clinic. Its main goal - help to ensure that pregnant women attending antenatal clinics regularly - this provides greater control over its health and fetal development in the most crucial period prior to delivery, and training to the process of childbirth.
But first, it is expedient to repeat all the previous recommendations. The doctor pays attention to the pregnant woman is to increase the mass of her body did not exceed 450 grams per week, stresses the need for weekly blood pressure monitor, restrict salt intake, avoid physical activity, specifies whether the expectant mother attended classes on psycho-prophylactic preparation for childbirth, which have to facilitate their flow and reduce pain in vain attempts; interested in the alleged weight of the child; recommends to refrain from sexual intercourse in the last 6 weeks of pregnancy, as well as maintain the purity of the vagina - in order to avoid intra-uterine infection of the fetus.
Particular attention should be paid to the need of natural infant feeding, pointing out its advantages, not only for children but also for the mother (including long-term positive consequences for women's health). To give advice on the preparation of the mammary glands of lactating and stressed that the success of lactation is largely dependent on the woman, which must adhere to a particular diet, have a restful sleep and relaxation, good, calm mood and mental state, etc., will be useful information about what value has a first attachment of the infant to the chest - directly in the delivery room, in the first 30 minutes after birth.
The physician should make sure his players know how to recognize the harbingers of premature delivery, and how dangerous to delay hospitalization in premature rupture of fetal membranes and amniotic fluid, a discharge or spotting prior to delivery, what other symptoms are threatening to mother and fetus before birth.
Of particular importance, this information gets in modern conditions: Many women have variations in health status, which negatively impact on pregnancy. If a women's clinic in a pregnant woman revealed the possibility of a particular risk during childbirth, the admission to the maternity hospital should take place well in advance.
Ends patronage to check the readiness to accept a newborn at home. The doctor tells you where best to put a cot (with the most favorable light, aeration, heating) checks for clothes for the child and the objects of his care, interviews with all family members. All this will help create an atmosphere of trust in professionals from child health clinics and their recommendations, which in turn have a positive impact on child health, will contribute to its harmonious development.
These patronage of the district pediatrician in a prenatal epicrisis fills in the story of a child's development, presenting their findings on medico-social aspects of the life of the parents, ready for a baby, for this event all the family members. Fixes it and your assumptions as to whether the child will be born healthy or with any deviations.
Bona fide occupational prenatal care specialists child health clinics increases the effectiveness of all interventions on perinatal fetal protection, and thus increases the chances of birth to a healthy baby.