Quality development in maternal care - Special Cardioobstetrical Department

Abstract

Special Cardioobstetrical Department (SCD) was organized in Samara region in 1994 aimed at improving the quality management in obstetrics, associating with cardiovascular pathology. Collaboration obstetrician with other specialists (cardiologist, cardiosurgion, neonatologist) and rational use of modern medical technology and equipment gave the possibility to achieve good results in medical, social and economic fields.

Full Text

Our main efforts were concentrated on 3 directions:

1.     Preconception rehabilitation, including formation and development of date-base about female population, suffering from cardiac disease; assessment of initial cardiac system’s state and risk of adverse outcome or prognosis of potential pregnancy; selection time for conception, according with previous surgical and pharmacological treatment; choice of contraception method, if pregnancy lead to life-threatening status.

2.    Management pregnancy.

3.     Perinatal care, accented on screening for congenital cardiac anomalies, prevention and therapy of perinatal asphyxia and intrauterine growth retardation.

The introduction of SCD in Health Care System not only significantly improved the quality in Maternal Care, but also contributed to the lowering of perinatal mortality and morbidity in Samara region.