Vural Fisun, Yildirim Filiz, Vural Birol
Department of Obstetrics and Gynecology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
Department of Health Care Management, Golcuk Necati Celik State Hospital, Kocaeli, Turkey.
North Clin Istanb. 2015 Sep 25;2(2):128-135. doi: 10.14744/nci.2015.23865. eCollection 2015.
Postnatal care is an important issue in maintaining and promoting maternal and neonatal health. However, utilization of postpartum maternal health care services is at a low rate in many countries. This study was aimed to investigate the impact of integrated obstetric and neonatal services on utilization rates of postnatal health care service among mothers.
This study was performed among a total of 4193 mothers who gave birth at Maternity Unit of Golcuk Necati Celik State Hospital of Kocaeli Province between 2010 and 2013. All mothers were called back to postnatal care clinic (PNC) for newborn hearing test (NHT) screenings, neonatal and maternal care within two weeks after delivery. The deliveries after, (n=3093) and before (n=1100) utilization of integrated services were compared as for postnatal service utilization rates.
Utilization rates of neonatal health care, NHT and postpartum maternal health care services significantly increased after implementation of integrated services (p<0.0001). Especially maternal service utilization rates increased from 34% to 99 percent.
Integration of newborn and maternal health care services as a unit increases the utilization of PNC services.
产后护理是维持和促进孕产妇及新生儿健康的重要问题。然而，许多国家产后孕产妇保健服务的利用率较低。本研究旨在调查产科和新生儿综合服务对母亲产后保健服务利用率的影响。
本研究对2010年至2013年间在科贾埃利省戈尔库克·内卡蒂·切利克州立医院产科分娩的4193名母亲进行。所有母亲在分娩后两周内被召回产后护理诊所（PNC）进行新生儿听力测试（NHT）筛查、新生儿和孕产妇护理。比较了综合服务实施后（n = 3093）和实施前（n = 1100）的产后服务利用率。
实施综合服务后，新生儿保健、NHT和产后孕产妇保健服务的利用率显著提高（p < 0.0001）。尤其是孕产妇服务利用率从34%提高到了99%。
将新生儿和孕产妇保健服务整合为一个单元可提高产后护理服务的利用率。
