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Volume 5, Issue 8(Suppl) J Nurs Care 2016
ISSN: 2167-1168 JNC, an open access journal
Page 117
Notes:
Euro Nursing 2016
October 17-19, 2016
conferenceseries.com
15th Euro Nursing & Medicare Summit
October 17-19, 2016 Rome, Italy
Prenatal care in Israel: A doctor – nurse dual model
Odelia Keshev, Rachel Fish, Yaacov Segal, Yulia Nigel and Galit Kaufman
Maccabi Health Services, Israel
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: The goals of this study include: Preserving and promoting physical and mental condition of pregnant women; and 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 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.
Conclusions: The model contributes to higher health outcomes and higher satisfaction among docters, nurses and pregnant
women. The service will be expanded to telehealth prenatal care allowing broader availiability and accessability for service
nationwide.
Biography
Odelia Keshev is a Nurse and has completed her Master’s degree from the Hebrew University. She workes at Maccabi Health Services Headquarter since 2012
and Coordinate woman’s health nationwide.
Odelia Keshev et al., J Nurs Care 2016, 5:8(Suppl)