Features of admission of women entering the admission office

At hospitalization the pregnant woman or the woman in childbirth enters the admission department of the obstetrical institution. In the reception( lobby), the woman must take off her outer clothing and shoes and go to the filter room. In the filter, the nurse measures the temperature, counts the pulse, examines the skin and the pharynx( using a spatula).The doctor or midwife gets acquainted with the woman's exchange card, find out what diseases she suffered before and during this pregnancy, whether there was contact with infectious patients. After that, decide the question, in which department( physiological or observational) should be sent to a woman. If signs of infection and contact between the parturient woman and infectious patients are absent, she is placed in the physiological ward, and pregnant women are admitted to the department of pregnant women.

In the event that the pregnant and maternity wards have signs of infectious and purulent-inflammatory diseases or if they are found to have contact with infectious patients, these women are sent to the observatory department. Based on the results of the conversation with the woman and her brief survey, the midwife should transfer her to the physiological or observational department examination room. In the observation room, the midwife registers incoming women in the "Journal of taking pregnant, parturient women and puerperas"( f-002 / y) and filling in the passport part of the history of childbirth( f-096 / y).After that the midwife together with the doctor on duty gets acquainted with the exchange card of the maternity hospital, the maternity ward of the hospital( f-113 / y), collects an anamnesis for clarifying the features of the course of previous and present pregnancies. Further, it is necessary to conduct a general and special obstetric examination of a woman: weighing, measuring the growth, determining the size of the pelvis, the abdominal circumference, the height of the standing of the uterus, the position and presentation of the fetus, listening to the fetal heartbeat, measuring blood pressure on both hands.

The examination physician performs a general examination of the incoming body, external obstetric examination, if necessary, examination of the cervix by mirrors, according to indications - vaginal or rectal examination in parturient women;determines the presence and nature of labor. All data the doctor writes down in the history of childbirth. The midwife of the examination room helps the doctor.

The women entering the maternity hospital are examined on a special couch covered with oilcloth and sheets. After taking each woman in labor( pregnant woman), the oilcloth must be wiped with a rag moistened with disinfectant solution and changed the sheet. After the examination, the midwife of the admission department subjects the pregnant woman( pregnant) to sanitation: shaving the pubic hair, the perineum and the armpits, and cutting the nails on the arms and legs. Each infants in the absence of contraindications put cleansing enema. Women who enter a preventive bunk are not given an enema. After the enema, the woman must go to the shower, where the nurse helps her wash the body and head. Nipples of the mammary glands are lubricated with brilliant green, and the nails are treated with 5% iodonate. From the physiological examination department, the mother gives birth to the prenatal ward of the same department, and the pregnant woman goes to the department of pregnancy pathology. From the observation observatory, all women are sent only to the observatory.

The equipment of the receiving and viewing unit includes: a medical table, a clerical desk, a couch covered with oilcloth, one or two medical cabinets, an adult scale, a rostometer, a tonometer, a phonendoscope, a tazomer.a centimeter tape, an obstetric stethoscope, 2-3 Esmarch mugs, an anesthesia machine or an ether mask, etc. Sometimes situations arise in the reception and viewing unit that require emergency care, therefore, in one of the medical cabinets, the appropriate medication should always be:a bottle of ether for anesthesia, ammonia, camphor, cordiamine, korglikon, aminazine( 2.5%), glucose( 40%), novocaine( 0.5%), ornid( 5%),nitrous oxide, viadryl, oxygen, sodium oxybutyrate( 20%), pipolfen( 2.5%), promedol( 2%), propazine( 2.5%), pituitrin, oxytocin, methylergometrine, etc., as well as all the necessary tools for urgent intubation and tracheotomy.