|- "A healthy baby"|
|Wpisał: Agata Robaczewska|
”A healthy baby – education, preventive medicine and refurbishment of wards in the Healthcare Centre in Chełmno in order to improve the quality of perinatal care in the region” constitutes a project being implemented within Operational Programme PL07 ”Development and better adaptation of health care to demographic and epidemiological trends”. The Project has been co-financed from the funds of the Norwegian Financial Mechanism 2009-2014 and the European Economic Area Financial Mechanism 2009-2014.
The title itself emphasises its focus and aim. An appropriate care for a pregnant woman and a newborn in the first days or months in the world often determines his or her entire future life. The Applicant – the Healthcare Centre [ZOZ] in Chełmno intends for all children in the region to have a chance for a normal life thanks to the access to a high quality medical care. The Project is being implemented within the first support area – Amelioration of perinatal care – preventive medicine services, diagnostics and treatment with a view to increase the number of live births.
The implementation of the investment will contribute to improving conditions, level and quality of medical services provided and enhancing living standards of patients and working conditions of medical personnel. All these actions will boost the development of the centre by providing top quality services. Refurbishment and modernisation of Gynaecology and Obstetrics Ward along with the Outpatient Clinic rooms as well as the purchase of medical devices and equipment for Gynaecology and Obstetrics Ward and Neonatal Ward will provide patients and their newborns with a proper medical care. The investment is aimed at the alteration and refurbishment of rooms so that they fulfil the requirements of applicable law and expectations of their Users – both employees of the Ward and ZOZ in Chełmno, all patients and families who visit them. The renovation will contribute to the full implementation of a rooming-in system in the Hospital, being a system which enables mother to stay with her baby.
The Project focuses also on education and preventive medicine of patients in the Wards. The following programmes will be implemented:
1. An educational programme for parents expecting a baby and after labour concerning baby care in hospital and at home.
When a new child is born, the whole world turns upside down. Young parents are torn by plenty of strong emotions, they are unsure of how to care for and feed the baby which gives them sleepless nights. Parents, before they begin copying with baby care successfully, learn to read their baby's needs for many days and nights.
The educational programme has been devised in such a way that it makes this time easier for parents, bearing the needs of young parents and their baby in mind. Within the Programme the issues related to baby care and his or her feeding in hospital and at home will be discussed. By participating in the educational programme, parents receive answers to numerous questions, enhancing their status as mum and dad.
The educational programme will include information based on specialist literature and individual experience of staff derived from maternity and many years of work in the ward. The Programme will promote baby care provided by parents together, which facilitates creating bonds between the baby and both parents.
The Programme is directed to pregnant women and newly delivered mothers in Gynaecology and Obstetrics Ward and Neonatal Ward in ZOZ in Chełmno as well as their families (mostly fathers of babies) and also to pregnant patients of the K Outpatient Clinic [for women].
2. Preventive medicine programme of newborns' hip joints ultrasound scan [USG]
The aim of the examination is to diagnose hip joints dysplasia, a malformation originating from disorders of development in foetal, perinatal, neonatal and infancy periods that enables fast treatment and prevents problems in the adult life. The clinical examination of a newborn results in the diagnosis of only one in four cases of congenital hip dislocations. The ultrasound scan to diagnose if the structure of a hip joint is normal should be performed as soon as possible for each baby. An early treatment is a chance for normalisation of a hip joint development and a normal development of the baby.
The examination is performed by a well-educated and an experienced doctor – an orthopaedist. According to recommendations of scientific societies, the examination should be performed two times: after birth, ca. 4-6 week of life and after ca. 12-16 week of life.
3. The USG TV preterm labour prediction programme.
The Programme allows diagnosing pregnancy at risk of preterm labour and giving a woman a specialist medical care.
Some preterm labours can be prevented effectively or delayed, thus reducing a potential number of complications. However, one has to diagnose adequately the symptoms of the pathology's risk. Currently, a commonly accepted test of the highest sensitivity and specificity is measuring the length of the cervix and a potential evaluation of its consistency in a USG TV examination.
The USG TA (with a transabdominal probe) is performed routinely in the case of a single, physiological pregnancy three times: in 11-14, 19-24 and 29-33. The programme covers performing an additional USG TV examination (with a transvaginal probe) during each routine USG TA examination in order to evaluate the length and consistency of the cervix and subsequently, giving treatment to a selected group of pregnant women at risk of preterm labour. The women, depending on the level of risk, will be treated in the Hospital in Chełmno or will receive a referral to a hospital of a higher reference number (e.g. in Bydgoszcz).
An aspect of the Project of utmost importance is also the continuous professional development and education of personnel employed in Gynaecology and Obstetrics Ward and Neonatal Ward as well as the K Outpatient Clinic. A field of medicine, being mother care and baby care makes constant progress, new treatment methods are developed, and as a result, it is essential to train the staff continuously in this area. Consequently, the following training has been planned within the Project:
• specialisation in the field of neonatal nursing;
• training of speakers during the Nationwide Convention of Antenatal Classes;
• training: the art of giving active antenatal classes;
• the National Convention of Nurses and Midwives of Neonatal Wards in Warsaw;
• training the personnel in labours in the tub – water immersion.
Owing to the EEA funds and Norwegian funds, Iceland, Liechtenstein and Norway contribute to reducing social and economic inequalities and strengthen bilateral relations with beneficiary states in Europe. Three states have been in close cooperation with the EU pursuant to the European Economic Area Agreement (EEA Agreement).
In the 2009-2014 period the sum of the EEA and Norwegian funds has amounted to EUR 1.79 billion. Norway provides about 97% of the total financing. The funds are available for non-governmental organisations, research institutes, universities and colleges, public and private sectors in 12 EU member states which recently joined the EU as well as in Greece, Portugal and Spain. Within their framework a broad cooperation with entities of donor states has been developed and the projects may be implemented until 2016.
The most important support areas include: environmental protection and climate changes, research and scholarships, civic society, healthcare and aid for children, gender equality, justice and cultural heritage.
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