The role of patronage nurse in education, care and treatment of woman after giving birth

Stojkovska, lidija and Panova, Gordana (2018) The role of patronage nurse in education, care and treatment of woman after giving birth. Knowledge - International Journal, Scientific Papers, 28.2. pp. 248-254. ISSN 2545-4439

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Not long ago, mothers for the care of their newborns were prepared to listen to the advice of experienced women from their immediate surroundings. But today, modern society offers many opportunities such as parenting schools, baby programs, radio and TV shows and magazines. But regardless of the degree of preparation for the first days with the baby, for each mother, the most important is the visit and the help it receives from the patronage nurse. The patronage service is an important segment of the primary health care, that is, they have all health care homes in the Republic of Macedonia. The work of the patronage nurse with mothers and babies takes place in such a way that on average it covers about 5,000 to 6,000 inhabitants. When the patronage nurse receives official information that a mother with a newborn baby has appeared in her region, she goes on that day on her first visit. The first visit usually lasts about two hours, and during that time, the patronage sister first examines the mother and the possible side effects after delivery, which includes a breast examination, an examination of the uterus cavity and a review of the episiotomy, examines the psychological state of mother and the possible occurrence of mental illness, gives advice to the mother in terms of hygiene and personal nutrition. The second step is the mother's explanation of how the baby is bathing (the nurse baths the baby for the first time in the home), how to handle the navel, how to change the newborn baby, dress, etc. The next day, if the mother is ready to bathe her baby, she does so, but under the supervision of the patronage nurse, which helps her. It happens that the mother for this act (the bathing of the baby) gets freedom in doing it even the third, fourth day. But the patronage sister is here to patiently explain and encourage her mother, and this is part of her work. The patronage sister strives to train the mother of everything she needs to do about the baby, but also for herself. While the patronage nurse visits the family, she monitors the relationship between the mother and the baby and their health, but also the relationships in the whole family, showing what is important and gradually removing the perceived irregularities. For this, the standards of "Good Practice" are especially important, which the nurses have in their guides, and on the basis of which they record the program of work in each family. The responsibility of the patronage nurse for the mother and her newborn child does not end after the fifth visit, or the greater number of visits to which she goes to one family. Standards oblige two more visits during the year, although research shows that such visits are more frequent. Often, mutual trust and friendship are established between the family and the patronage nurse, and so often the other members of the family, not just the mother and the baby, count on her help. Keywords: Mother; Newborn; Breastfeeding; Patronage;

Item Type: Article
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Divisions: Faculty of Medical Science
Depositing User: Gordana Panova
Date Deposited: 26 Feb 2019 10:44
Last Modified: 20 Aug 2019 09:48

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