Author/Editor		Demšar, Mojca; Assejev, Vladimira; Novak-Antolič, Živa
Title		Učinkovito sodelovanje med primarnim, sekundarnim in terciarnim nivojem perinatalnega varstva
Translated title		Effective collaboration among first, second and third level perinatal care givers
Type		članek
Source		In: Novak-Antolič Ž, editor. Prezgodnji porod in nedonošenček. Zbornik prispevkov 8. Novakovi dnevi z mednarodno udeležbo; 2001 maj 31-jun 2; Maribor. Ljubljana: Slovensko zdravniško društvo, Združenje za perinatalno medicino,
Publication year		2001
Volume		str. 162-8
Language		slo
Abstract		Background. Perinatal quality indicators are quite good in Slovenia but further improvement is a challenge to all of us. We should orient our efforts towards high-risk groups, which can be found by the proper recording of medical histories and aslo from screening tests. Pregnant women with low risk should be under the care of midwives. Methods. A new issue of the Maternity booklet, which is currently used in Slovenia in 95% of the cases - but a much lower percentage are properly filled-in - will bring check-list to remind the gynaecologist and pregnant women of a possible higher risk for some complications. We suggest booking-in to be introduced in the organization of perinatal care: the gynaecologist, who takes care of a pregnant woman, sends data from the first very thorough check-up to the maternity hospital, where the pregnant woman intends to give birth. The pregnancy surveillance plan regarding possible risks is made jointly with the doctors from the department. An OSCAR type of check-up is recommended. Questionnaires on wellbeing and dimensions of social quality discover groups with high risk in Slovenia. Expected results. The exponential curve with perinatal quality indicators on ordinate and input on abscissa shows nicely that maximal input is needed for minimal improvement. We want to lower the number of very early preterm deliveries and lower the stillbirth rate after 28 weeks of pregnancy. Midwives are to take over the care for those pregnant women who are considered low risk. In the near future, the midwives who take care of women during pregnancy should also take care of them during delivery. With a better collaboration of all involved the pregnant women and parturients will be more satisfied. (Abstract truncated at 2000 characters).
Descriptors		PRENATAL CARE PREGNANCY COMPLICATIONS LABOR, PREMATURE FETAL GROWTH RETARDATION ABNORMALITIES PREGNANCY DIABETES MELLITUS PRE-ECLAMPSIA MATERNAL WELFARE