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ORGANIZATION OF OBSTETRIC AND GYNECOLOGICAL CARE IN RUSSIA

Maternal mortality (a leading indicator)

- calculated on 100,000 live births



In 1992 in Russia it amounted to 56-60,

in the Stavropol Territory - 90-100.

In the USA - 10-12,

in Western Europe - 6-8,

in Africa, 300.

In 1998 in Russia, maternal mortality amounted to

44-46,

in the Stavropol Territory –26-28.

In the USA - 8-10,

in Western Europe, Japan - 6-8.



Perinatal mortality - includes:

- antenatal
mortality is the death of a fetus during pregnancy,



- Intranatal mortality is the death of the fetus during childbirth



- neonatal mortality - this is the death of the fetus in the first 7 days after birth.



In Russia, it is 14-16 ppm,

In the Staropol region - 13-14 ppm,

in the USA - 6-8 ppm.



Financing is the percentage of gross income allocated to healthcare.

In Russia, it is 1.5-3%,

in the USA –11%,

in Western Europe - 6-8%.
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ORGANIZATION OF OBSTETRIC AND GYNECOLOGICAL CARE IN RUSSIA

  1. FORMS OF OBSTETRIC AND GYNECOLOGICAL CARE ORGANIZATION IN RUSSIA
    Construction of maternity hospitals as part of multidisciplinary medical institutions. Positive aspects: a) the provision of medical care by other specialists b) a powerful laboratory service c) a large intensive care unit d) centralization of funds. 2) The creation of perinatal centers was first carried out in the years 60-70 in the United States and
  2. Protection of motherhood and infancy in Russia. Organization of outpatient obstetric and gynecological care. Women's consultation, tasks, structure, performance indicators.
    LESSON PURPOSE: to study the organizational basis of the system of maternity and infancy protection, the stages of the provision of therapeutic and preventive care to women. To be able to formulate the tasks of antenatal clinics, to know the structure, staff, the contents of the work of all departments of this institution, the organization of medical examination of pregnant women and gynecological patients, the functional responsibilities of the district
  3. ORGANIZATION OF MEDICAL ASSISTANCE TO WOMEN. Ambulatory-polyclinical obstetric and gynecological care
    Women's consultation is a healthcare organization that provides outpatient obstetric and gynecological care using modern medical technologies, family planning and reproductive health services. Tasks: 1. providing obstetric care during pregnancy, the postpartum period, preparation for pregnancy and childbirth; 2. Outpatient care for women
  4. ORGANIZATION OF OBSTETRIC AND GYNECOLOGICAL CARE
    The system of organization of obstetric and gynecological care should be built in such a way as to provide medical and preventive care for pregnant women, women in childbirth, puerperas and gynecological patients, to help maintain the reproductive health of women; in addition, family planning services should be operational. Currently, the main tasks of obstetricians and gynecologists are:
  5. Organization of obstetric and gynecological care for girls
    Stage 1 - primary health care (pediatricians, adolescent doctor). Stage 2 - pediatric and adolescent gynecologist (1 position for 50 thousand children, admission to children's clinics). Stage 3 - centers of reproductive health, Russia (youth centers, medical and pedagogical centers). State: obstetrician-gynecologists, venereologist, psychologist, social worker, teacher. Activities:
  6. Organization of inpatient obstetric and gynecological care. Maternity hospital. Tasks, structure, performance indicators.
    PURPOSE OF THE LESSON: to study the general provisions on the organization of inpatient obstetric and gynecological care in the Russian Federation, to know the tasks, structure and organization of work of the maternity hospital. To study the features of the organization of work in various departments of the hospital of the maternity hospital (pathology of pregnancy, obstetric, newborns, gynecological), the functional responsibilities of medical personnel. Master the technique
  7. ORGANIZATION OF OBSTETRIC AID IN RUSSIA
    ORGANIZATION OF OBSTETRIC AID IN
  8. Ambulatory obstetric and gynecological care
    Women's consultation, being the main outpatient institution providing obstetric and gynecological care, is part of the structure of the clinic, medical unit or maternity ward, less often it is independent. Women's clinics carry out preventive measures aimed at maintaining the health of women, preventing pregnancy complications. An important section of women's work
  9. BASIC PRACTICAL SKILLS WITH EMERGENCY OBSTETRIC AND GYNECOLOGICAL CARE
    BASIC PRACTICAL SKILLS IN EMERGENCY OBSTETRIC AND GYNECOLOGICAL
  10. Organization of perinatal care and principles of medical care for newborns in the obstetric hospital
    The problem of hereditary and congenital pathology is still relevant and in recent years has acquired serious socio-medical significance. Medical and rehabilitation measures are not effective enough, therefore, the prevention of this pathology, based on the modern achievements of medical genetics, obstetrics and perinatology, occupies a priority position. Most hereditary
  11. Obstetric and gynecological examination
    Obstetric and gynecological medical examination - a set of planned diagnostic, therapeutic and preventive measures aimed at preventing, early detection and treatment of genital diseases. Obstetric and gynecological medical examination includes 4 varieties: main, seasonal, current, early. Early medical examination is obstetric, others - gynecological.
  12. STRUCTURE AND ORGANIZATION OF WORK OF OBSTETRIC HOSPITAL SANITARY AND ANTI-EPIDEMIC MODE IN OBSTETRIC HOSPITAL
    The main functions and tasks of the obstetric hospital (AS) are the provision of qualified in-patient medical care for women during pregnancy, childbirth, the postpartum period, and gynecological diseases; the provision of qualified medical care and care for newborns during their stay in the maternity hospital. Organization of work in the nuclear power plant is based on a single principle in accordance with
  13. STRUCTURE AND ORGANIZATION OF WORK OF OBSTETRIC HOSPITAL SANITARY AND ANTI-EPIDEMIC MODE IN OBSTETRIC HOSPITAL
    The main functions and tasks of the obstetric hospital (AS) are the provision of qualified in-patient medical care for women during pregnancy, childbirth, the postpartum period, and gynecological diseases; the provision of qualified medical care and care for newborns during their stay in the maternity hospital. Organization of work in the nuclear power plant is based on a single principle in accordance with
  14. ORGANIZATION OF Outpatient care. CITY POLYCLINIC. ITS LEADING VALUE IN THE SYSTEM OF ORGANIZATION OF PRIMARY HEALTH CARE FOR ADULT POPULATION
    LESSON OBJECTIVE: to know the healthcare systems in Russia, the basic principles of the organization of primary health care for the urban population. To analyze in detail the structure, tasks and organization of work of the city clinic, master the methodology for calculating and evaluating the general performance indicators of the clinic, use the information obtained to analyze and plan the activities of healthcare institutions. Know the forms
  15. The main directions of reforming the healthcare system in Russia. Organization of primary health care on the basis of a general practitioner (family doctor)
    LESSON OBJECTIVE: to study the main directions of the reorganization of the medical care system for the population of the Russian Federation. To study models of the organization of work of a general practitioner, the functional responsibilities of medical personnel working on the principle of general practice, and criteria for evaluating the performance of a general practitioner. Master the technique of analysis of the activities of a general practitioner. METHODOLOGY
  16. Obstetric and gynecological bleeding
    Types and clinical picture The causes of bleeding encountered in emergency care in patients with obstetric and gynecological pathology can be: 1) uterine bleeding with ovarian dysfunction (juvenile bleeding in girls and menopause in older women; with appendage tumors); 2) impaired ectopic pregnancy, rupture of the ovary; 3) spontaneous or
  17. EMERGENCY OBSTETRIC AND GYNECOLOGICAL CONDITIONS
    Abortion Termination of pregnancy for up to 22 weeks can be spontaneous (spontaneous abortion) and induced (artifact, criminal abortion). D - ka: Threatening and beginning abortion - bloody discharge from the genital tract, pain in the lower abdomen of aching and cramping nature. Abortion “on the go”, incomplete abortion - spotting up to profuse, growing symptoms
  18. Occupational safety issues in the work of the obstetric and gynecological service
    In the work of the obstetric and gynecological service in the village at all its stages, a lot of space is occupied by the issues of labor protection of agricultural workers. Agricultural work has its own characteristics, the main of which are seasonality, the implementation of various production operations in a short time under any weather conditions, etc. This requires considerable effort from a person and
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