Journals / Eurasian Journal of Family Medicine / 2019 / Cilt: 8 - Sayı: 4

The Relationship Between Primary Health Care Services and Pregnancy Diagnosis and Follow-Up

Birinci Basamak Sağlık Hizmetleri ile Gebelik Tanısı ve Takibi Arasındaki İlişki

Pages
175–181
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Improvement of family medicine pregnancy diagnosis and follow-up rates can be ensured by giving the necessary importance to the 15- 49 age group follow-up and with the applicability of the referral chain.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The aim of this study was to determine the effectiveness of family medicine in the detection of pregnancies, the status of pregnant women being registered to family medicine, the time of first contact with the family physician, and the rate of monitoring by family physicians.
📊
Key Findings & Data:The pilot study of the study was conducted with 15 participants.
💡
Conclusion & Impact:Improvement of family medicine pregnancy diagnosis and follow-up rates can be ensured by giving the necessary importance to the 15- 49 age group follow-up and with the applicability of the referral chain.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: The aim of this study was to determine the effectiveness of family medicine in the detection of pregnancies, the status of pregnant women being registered to family medicine, the time of first contact with the family physician, and the rate of monitoring by family physicians. Methods: This cross-sectional descriptive study was carried out at the pregnant follow-up polyclinic of a university hospital. The pilot study of the study was conducted with 15 participants. Data of 139 participants were analyzed. Results: The median of pregnancy detection week was 5.00 (IQR:4.00-6.00). For the first blood test 23.7% (n=33) of the pregnant women had applied to the family physicians. It was determined that all pregnant women received prenatal care from healthcare workers within the first 14 weeks. The rate of pregnant women who received prenatal care from family medicine at any time of pregnancy was 89.9% (n=125). Conclusion: It is seen that family medicine is not used effectively enough for pregnancy detection. The fact that knowing family medicine by almost all of the individuals, and informing the community will increase the rate and quality of application to family medicine. Improvement of family medicine pregnancy diagnosis and follow-up rates can be ensured by giving the necessary importance to the 15- 49 age group follow-up and with the applicability of the referral chain.

Özet

Amaç: Bu çalışmada Aile Hekimliği’nin gebelik tespitindeki etkinliğini, gebelerin aile hekiminekayıtlılık bilgi durumunu, aile hekimi ile ilk temas zamanlarını ve aile hekimi tarafından izlenmeoranlarını belirlemek amaçlanmıştır.Yöntem: Kesitsel tanımlayıcı olarak planlanan çalışma bir üniversite hastanesinin gebe izlempolikliniğinde gerçekleştirildi. Araştırmanın pilot çalışması 15 katılımcı ile gerçekleştirildi. Toplam139 katılımcının verisi analiz edildi.Bulgular: Gebelik tespit haftası ortancası 5,00 (IQR: 4,00-6,00) idi. İlk tetkik için gebelerin%23,7‘sinin (n=33) aile hekimlerine başvurduğu tespit edildi. Gebelerin tamamının ilk 14 hafta içindesağlık çalışanlarından doğum öncesi bakım aldığı tespit edildi. Aile hekimliğinden herhangi birdönemde doğum öncesi bakım almış gebe oranı %89,9’du (n=125).Sonuç: Aile Hekimliği’nin gebelik tespiti için yeterince etkin kullanılmadığı görülmektedir.Bireylerin tamamına yakınının Aile Hekimliği’ni bilmesi, topluma yönelik bilgilendirmelerin birincibasamağa başvuru oran ve kalitesini arttıracağını düşündürmektedir. 15-49 yaş izlemine gerekli öneminverilmesi ve sevk zincirinin uygulanabilir olması birinci basamak gebelik tanı ve takip oranlarındaiyileşme sağlayabilir.

🔖

Cite This Article

ATEŞ, E., KURT, A. K., SET, T. (2022). The Relationship Between Primary Health Care Services and Pregnancy Diagnosis and Follow-Up. Eurasian Journal of Family Medicine, Cilt: 8 - Sayı: 4, 175–181. https://ajindex.com/articles/508373

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (8)

  1. World Health Organization [Internet]. Reduction of maternal mortality: a joint WHO/UNFPA/UNICEF/Wor ld Bank statement [cited 2019 May 10]. Available from: https://apps.who.int/iris/handl e/10665/42191 2. Alkema L, Chou D, Hogan D, Zhang S, Moller A-B, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. The Lancet 2016
  2. 387(10017):462-74. 3. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü [Internet]. Türkiye nüfus ve sağlık araştırması [cited 2019 May 10]. Available from: http://www.hips.hacettepe.ed u.tr/tnsa2013/rapor/TNSA_20 13_ana_rapor.pdf 4. T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu [Internet]. Doğum öncesi bakım yönetim rehberi [cited 2019 May 20]. Available from: https://sbu.saglik.gov.tr/Ekutu phane/kitaplar/dogumonubaki m.pdf 5. Alexander GR, Kotelchuck M. Assessing the role and effectiveness of prenatal care: history, challenges, and directions for future research. Public Health Reports 2001
  3. 116(4):306. 6. Deb P, Sosa-Rubi SG. The labour supply of nurses in the UK: evidence from the British Household Panel Survey. Health Econometrics and Data Group Working Paper
  4. Report No:05/11. 7. Bastian L, Brown H [internet]. Clinical manifestations and diagnosis of early pregnancy [cited 2019 Jul 10]. Available from: https://www.uptodate.com/co ntents/clinicalmanifestations- and-diagnosisof- early-pregnancy 8. Erdem Ö, Erten Bucaktepe G, Kara IH. Aile hekimliği polikliniğine başvuran kadınlarda demir eksikliği anemisi ve gestasyon öyküsü ilişkisi. Dicle Tıp Dergisi 2009
  5. 36(2):123-6. 9. Tucker J, Hall M, Howie P, Reid M, Barbour R, du V Florey C, et al. Should obstetricians see women with normal pregnancies? A multicentre randomised controlled trial of routine antenatal care by general practitioners and midwives compared with shared care led by obstetricians. BMJ 1996
  6. 312(7030):554-9. 10. Durusoy R, Davas A, Ergin I, Hassoy H, Tanik FA. İzmir'de ikinci ve üçüncü basamak sağlık kuruluşlarına başvuran gebelerin aile hekimi tarafindan izlenme sıklıkları ve etkileyen etmenler. Turkish Journal of Public Health 2011
  7. 9(1):1. 11. Bastian LA, Nanda K, Hasselblad V, Simel DL. Diagnostic efficiency of home pregnancy test kits: a meta-analysis. Archives of Family Medicine 1998
  8. 7(5):465. 12. Durduran Y, Bodur S, Çakıl E, Filiz E. Konya il merkezinde sağlıkta dönüşüm öncesi ve