Anne Ölümlerinin Önlenmesi: Uluslararası Bakım ve İzlem Modelleri

Yıl 2022, Cilt: 19 Sayı: 1, 1184 - 1191, 25.03.2022

Ayça Demir Yıldırım Nevin Hotun Şahin

https://doi.org/10.38136/jgon.842685

Cited By: 1

Öz

Anne ölümleri, sağlık hizmetlerinin kalitesinin değerlendirilmesinde kritik bir göstergedir. Tüm anne ölümlerinin çoğu gelişmekte olan ülkelerde ve önlenebilir ölümlerdir. Risklerin erken dönemde belirlenerek bireye özgü bakım modelleri ile önlenebilir ölüm nedenlerinin ortadan kaldırılması mümkündür. Anne ölümlerini azaltmaya yönelik küresel hedeflerin yanı sıra yeni bakım ve izlem modellerine ihtiyaç vardır. Dünyada anne sağlığının iyileştirilmesi ve geliştirilmesi için gebelerin bakım ve izlemlerinin sağlandığı farklı modeller bulunmaktadır. Bunlara örnek olarak Nurse-Family Partnership, mHealth, First Birn, MIECHV, ImTeCHO, Safe@Home, OB Nest, mCARE I literatürde yer almaktadır. Hem geleneksel yöntemler hem de teknolojinin sağladığı olanaklarla birey ve aile odaklı bakım modelleri ile gebe izlemlerinin sayısı ve kalitesi arttıracak, anne ölümleri azalacaktır. Yeni bakım ve izlem modellerinin test edilmesi için kanıt temelli daha fazla çalışmalara ve ulusal modellere ihtiyaç bulunmaktadır.

Anahtar Kelimeler

Anne ölümleri, Ev ziyaretleri, Nurse-Family Partnership, mHealth, First Born

Maternal Mortality Prevention: International Care and Follow-up Models

Öz

Maternal mortality is a critical indicator in evaluating the quality of healthcare services. Most of all maternal deaths are in developing countries and are preventable. With personalized care models, it is possible to eliminate preventable causes of death by identifying risks at an early stage. In addition to the global targets to reduce maternal mortality, new care and follow-up models are needed. There are different models in the world that provide care and follow-up of pregnant women in order to improve and improve maternal health. Examples of these are Nurse-Family Partnership, mHealth, First Birn, MIECHV, ImTeCHO, Safe @ Home, OB Nest, mCARE I in the literature. With both traditional methods and the possibilities provided by technology, individual and family-oriented care models will increase the number and quality of pregnant follow-ups and decrease maternal deaths. Further evidence-based studies and national models are needed to test new care and follow-up models.

Anahtar Kelimeler

Maternal deaths, Home visit, Nurse-Family Partnership, mHealth, First Birn

Kaynakça

• Tolera M, Teklu AM, Ahmed A, Hashi A, Oljira L, Abebe Z, Gezahegn W, Kidan KG. Use of a qualitative case study to learn lessons from severe preeclampsia causing a maternal near-miss: a case report. J Med Case Rep. 2018;12(1):277-283. doi: 10.1186/s13256-018-1821-x.
• Yılmaz T.D. Ana Çocuk Sağlığı. Ed; Erci B. Halk Sağlığı Hemşireliği Kitabı. 2. Baskı, Elâzığ, Anadolu Nobel Tıp Kitabevleri, 2016.
• Hacıalioğlu, N. Anne Sağlığı. In: Acar Vaizoğlu S. (Ed) Yeni Halk Sağlığı. 1. Baskı, İstanbul, Palme Yayınları, 2020.
• WHO. Maternal Mortality, 2019 Erişim: 16.11.2020. https://www.who.int/data/gho/data/themes/maternal-and-reproductive-health.
• WHO. Strategies toward ending preventable maternal mortality. 2018. http://www.who.int/reproductivehealth/topics/maternal_perinatal/epmm/en/
• Bora Başara B, Soytutan Çağlar İ, Aygün A, Özdemir TA. Sağlık İstatistikleri Yıllığı, 2018. Sağlık Bilgi Sistemleri Genel Müdürlüğü, Sağlık Bakanlığı, Ankara, 2019
• Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, ICON-INSTITUT Public Sector GmbH ve BNB Danışmanlık, Ulusal Anne Ölümleri Çalışması, 2005. Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü ve Avrupa Komisyonu Türkiye Delegasyonu, Ankara. 2006.
• Şencan İ, Engi̇n Üstün Y, Sani̇soğlu S, Özcan A, Karaahmetoğlu S, Keski̇n H, Uygur D, Kabasakal A, Esen M, Keski̇nkılıç B. 2014 Yılı Türkiye Ulusal Anne Ölümlerinin Demografik Verilere Göre Değerlendirilmesi. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi. 2016;13(2): 45-47.
• Nations United. Sustainable Development Goals. Erişim: 16.11.2020. https://www.un.org/sustainabledevelopment/sustainable-development-goals/
• World Health Organization. Maternal mortality. 2016 Erişim: 16.11.2020. http://www.who.int/mediacentre/factsheets
• World Health Organization. Millennium Development Goals (MDGs). 2011. Erişim tarihi: 02.12.2020. https://www.who.int/news-room/fact-sheets/detail/millennium-development-goals-(mdgs)
• Şahin NH, Kırıkkaleli Z. Kadın sağlığı ve sürdürülebilir kalkınma hedeflerindeki yeri. Arslan Özkan H, editör. Kadın Sağlığının Korunması ve Geliştirilmesinde Hemşirenin Rolü. 1. Baskı. Ankara: Türkiye Klinikleri; 2019. p.7-14.
• Kassebaum, N. J., Barber, R. M., Bhutta, Z. A., Dandona L., Gething P.W., Hay S.I., et al. Global, regional, and national levels of maternal mortality, 1990–2015: A systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 2016;388(10053):1775-1812.
• Brooten D, Youngblut JM, Brown L, Finkler SA, Neff DF, Madigan E. A randomized trial of nurse specialist home care for women with high-risk pregnancies: outcomes and costs. Am J Manag Care. 2001;7(8):793-803. Erratum in: Am J Manag Care 2001;7(9):855.
• Van Den Heuvel, J. F. M., Teunis, C. J., Franx, A., Crombag, N. M. T. H., & Bekker, M. N. Home-based telemonitoring versus hospital admission in high risk pregnancies: A qualitative study on women's experiences. BMC Pregnancy and Childbirth, 2020;20(1):77-86. doi:10.1186/s12884-020-2779-4
• Bloch, J. R., McKeever, A. E., Zupan, S. K., Birati, Y., Chiatti, B., Devido, J. A. et al. A practice-based research database to study perinatal nurse home visiting to pregnant women with diabetes. Worldviews on Evidence-Based Nursing, 2019;16(1):60-69. doi:10.1111/wvn.12340
• Issel LM, Forrestal SG, Slaughter J, Wiencrot A, Handler A. A review of prenatal home-visiting effectiveness for improving birth outcomes. JOGNN. 2011;40:157–165. doi: 10.1111/j.1552-6909.2011.01219.x.
• Fatori, D., Argeu, A., Brentani, H., Chiesa, A., Fracolli, L., Matijasevich, A., et al. Maternal parenting electronic diary in the context of a home visit intervention for adolescent mothers in an urban deprived area of são paulo, brazil: Randomized controlled trial. JMIR mHealth and uHealth, 2020;8(7):13686. doi:10.2196/13686
• Xydopoulos G, Perry H, Sheehan E, Thilaganathan B, Fordham R, Khalil A. Home blood-pressure monitoring in a hypertensive pregnant population: cost- minimization study. Ultrasound Obstet Gynecol. 2019;53(4):496-502. doi: 10.1002/uog.19041.
• Kalafat E, Benlioglu C, Thilaganathan B, Khalil A. Home blood pressure monitoring in the antenatal and postpartum period: A systematic review meta- analysis. Pregnancy Hypertens. 2020;19:44-51. doi: 10.1016/j.preghy.2019.12.001
• Fışkın, G., Şahin, N.H. Gebelikte diyabet: Bakım ve yönetim. Turkiye Klinikleri J Obstetwomens Health Dis Nurs-Special Topics, 2018;4(2):101-8.
• Bloch JR, McKeever AE, Zupan SK, Birati Y, Chiatti B, Devido JA, Maldonado LT, Geller PA, Barkin JL. A Practice-Based Research Database to Study Perinatal Nurse Home Visiting to Pregnant Women With Diabetes. Worldviews Evid Based Nurs. 2019;16(1):60-69. doi: 10.1111/wvn.12340.
• Cockcroft, A., Omer, K., Gidado, Y., Baba, M. C., Aziz, A., Ansari, U., et al. The impact of universal home visits with pregnant women and their spouses on maternal outcomes: A cluster randomised controlled trial in bauchi state, nigeria. BMJ Global Health, 2019;4(1): 001172. doi:10.1136/bmjgh-2018-001172
• Alaniz, K., Christiansen, B., Sullivan, E. T., Khalil, L., & Fiore, M. C. Helping low income pregnant women quit smoking: Improving the first breath program. Wisconsin Medical Journal, 2019;118(3):120-125.
• Greve, R. A., Braarud, H. C., Skotheim, S., & Slinning, K. Feasibility and acceptability of an early home visit intervention aimed at supporting a positive mother–infant relationship for mothers at risk of postpartum depression. Scandinavian Journal of Caring Sciences, 2018;32(4):1437-1446. doi:10.1111/scs.12589
• Jack SM, Boyle M, McKee C, Ford-Gilboe M, Wathen CN, Scribano P, et al. Effect of Addition of an Intimate Partner Violence Intervention to a Nurse Home Visitation Program on Maternal Quality of Life: A Randomized Clinical Trial. JAMA. 2019;23;321(16):1576-1585. doi: 10.1001/jama.2019.3211.
• Olds DL, Sadler L, Kitzman H. Programs for parents of infants and toddlers: recent evidence from randomized trials.J Child Psychol Psychiatry. 2007;48(3-4):355-391. doi:10.1111/j.1469-7610.2006. 01702.x
• Jack SM, Busser D, Sheehan D, Gonzalez A, Zwygers EJ, Macmillan HL. Adaptation and implementation of the nurse-family partnership in Canada. Can J Public Health. 2012 ;1:103(7 Suppl 1): eS42-8. doi: 10.1007/BF03404459.
• Hackmen J, Holland ML, Makino K, Pinto R, Roseles-Rioda M. An Analysıs Of The Memphıs Nurse-Famıly Partnershıp Program. Natıonal Bureau Of Economıc Research, sachusetts Avenue, Cambridge, MA 02138, July 2017, http://www.nber.org/papers/w23610
• Miller TR. Projected Outcomes of Nurse-Family Partnership Home Visitation During 1996-2013, USA. Prev Sci. 2015;16(6):765-777. doi:10.1007/s11121-015-0572-9
• World Health Organization. mHealth: New horizons for health through mobile technologies: second global survey on eHealth. 2011. ISBN 978 92 4 156425 0
• Mello, M. J., Gilbard, Z., Burstein, D., Baird, J., Zonfrillo, M. R., Flanagan, P., et al. Formative research to underpin a text messaging home safety intervention for young mothers. Health Education Journal, 2019;78(3):266-272. doi:10.1177/0017896918799799
• Nimmagadda S, Gopalakrishnan L, Avula R, et al. Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: protocol for a quasi-experimental mixedmethods evaluation. BMJ Open 2019;9:e025774. doi:10.1136/ bmjopen-2018-025774
• Kilburn, M. R., & Cannon, J. S. Home visiting for first-time parents: Community innovation. Future of Children, 2019;29(1):81-97. doi:10.1353/foc.2019.0004
• Condon EM. Maternal, Infant, and Early Childhood Home Visiting: A Call for a Paradigm Shift in States' Approaches to Funding. Policy Polit Nurs Pract. 2019;20(1):28-40. doi: 10.1177/1527154419829439. Epub 2019 Feb 21.
• Modi D, Dholakia N, Gopalan R, Venkatraman S, Dave K, Shah S, et al. mHealth intervention “ImTeCHO” to improve delivery of maternal, neonatal, and child care services—A cluster-randomized trial in tribal areas of Gujarat, India. PLoS Med 2019;16(10): e1002939.
• Van den Heuvel, J. F. M., Lely, A. T., Huisman, J. J., Trappenburg, J. C. A., Franx, A., & Bekker, M. N. SAFE@HOME: Digital health platform facilitating a new care path for women at increased risk of preeclampsia – A case-control study. Pregnancy Hypertension,2020; 22: 30-36. doi: 10.1016/j.preghy.2020.07.006
• Butler Tobah, Y. S., LeBlanc, A., Branda, M. E., Inselman, J. W., Morris, M. A., Ridgeway, J. L., et al. Randomized comparison of a reduced-visit prenatal care model enhanced with remote monitoring. American Journal of Obstetrics and Gynecology, 2019;221(6): 638.e1-638.e8. doi: 10.1016/j.ajog.2019.06.034.
• Jo, Y., LeFevre, A. E., Healy, K., Singh, N., Alland, K., Mehra, S., et al. Costs and cost-effectiveness analyses of mCARE strategies for promoting care seeking of maternal and newborn health services in rural bangladesh. PLoS ONE, 2019;14(10):e0223004. doi: 10.1371/journal.pone.0223004
• Marshall, J., Kihlström, L., Buro, A., Chandran, V., Prieto, C., Stein-Elger, R., et al. Statewide implementation of virtual perinatal home visiting during COVID-19. Maternal and Child Health Journal, 2020;24(10):1224-1230. doi:10.1007/s10995-020-02982-8.