Le Tinier Bénédicte, Billieux Marie Hélène, Pfister Ricardo E, Martinez De Tejada Begona
Service d'obstétrique, Département Femme, Enfant et Adolescent (DFEA), HUG, Faculté de médecine, 1211 Genève 14.
Unité de néonatalogie, DFEA, HUG et Université de Genève, 1211 Genève14.
Rev Med Suisse. 2020 Feb 19;16(682):345-349.
Prenatal care allows early detection of risks and complications in the pregnant women in an attempt to minimize problems at birth and delivery. In Geneva, prenatal care is organized as a collaboration between private and liberal in-hospital network with a ranking in the pregnancy risk levels to adapt follow-up. The perinatal care structure should be built in a way to identify risks prompting professionals to adapt from the normal physiological care to a therapeutic escalation one appropriated to the detected risk level. Effective inter-professional collaboration around the mother-child dyad (and even the family) depends on a privileged multidisciplinary interaction platform in which, wide inter-professional communication, particularly between midwife-obstetrician-neonatalogist, is essential.
产前护理能够早期发现孕妇的风险和并发症,以尽量减少出生和分娩时的问题。在日内瓦,产前护理是由私立和自由执业的医院网络合作组织的,根据妊娠风险水平进行分级,以调整后续护理。围产期护理结构的建立应能够识别风险,促使专业人员从正常的生理护理转向适合所检测到的风险水平的治疗升级护理。围绕母婴二元组(甚至家庭)进行有效的跨专业协作依赖于一个特殊的多学科互动平台,在这个平台中,广泛的跨专业交流,特别是助产士、产科医生和新生儿科医生之间的交流至关重要。