Odelia Keshev
Maccabi Health Services, Isreal
Title: Prenatal care in Israel : a doctor – nurse dual model
Biography
Biography: Odelia Keshev
Abstract
Background: Studies have shown significantly lower risk of complications during labour following prenatal care, allowing early detection, promoting normal pregnancy and birth. In May 2013 Maccabi Health Services launched "prenatal personal care" - a dual gynecologist and nurse follow up model . Goals:
Preserving and promoting physical and mental condition of pregnant women.
• Early identification of high risk situations and intervention. Method: The model is based on periodic visits provided by 150 designated nurses and 200 gynecologists working in collaboration. The follow up consists of 5-6 visits through pregnancy period. Additional visits provided according to woman's health state. The intervention includes information on recommended tests, abnormal conditions, preliminary screening for depression during pregnancy (Edinburgh questionere) and counseling. Various communication services such as, Facebook, email, phone, app and personal meetings are availiable. The model maintains interfaces with other health care providers such as dieticians, pelvic floor physical therapysts, social workers and others. A designated computerized record was developed allowing generate and transparent follow up.
Findings: Prenatal care was given to 22% of pregnant women. 58% of them were vaccinated for pertussis compared to 22% in standard care. Depression screening found 0.4% positive answers to tendency for suicide, 11.5% were suspected for depression. In adition, 85.6% performed GCT test versus 74.3% with standard care.