产科与新生儿综合服务对产后孕产妇保健服务利用情况的影响。

The impact of integrated obstetric and neonatal services on utilization of postpartum maternal health care services.

作者信息

Vural Fisun, Yildirim Filiz, Vural Birol

机构信息

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.

出版信息

North Clin Istanb. 2015 Sep 25;2(2):128-135. doi: 10.14744/nci.2015.23865. eCollection 2015.

DOI:10.14744/nci.2015.23865

PMID:28058353

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5175090/

Abstract

OBJECTIVE

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.

METHODS

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.

RESULTS

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.