Cost –Effectiveness of the nurses role in antenatal care programmer Implementation in Mosul city

Abstract

Pregnancy is not a disease, but it is a normal physiological process , it is associated with certain risks to health . Healthy survival of both the woman and the infant she bears is the aim of good antenatal care. Antenatal care is a preventive method of care it has been shown to be beneficial and cost effective for a pregnant woman who receives in an adequate antenatal care otherwise more complications and poorer outcomes of pregnancy will appear. The cost of no A.N.C provided to a pregnant woman is substantially high with increased rates of complena complications like pre-eclampsia low birth weight infants both premature and growth retarded and prenatal deaths. The present study aims to evaluate the cost–effectiveness of the current antenatal care provided by the nurse . A descriptive observational study was conducted in AL-Hadba primary health care center Mosul city from 1st of March to 30 April 2004, The study include 2 groups first (group A) examine by the doctor only ( antenatal care without nursel . The doctor completed all information on the pregnant assessment card and physical examination for (100 women) measuring the time need by the doctor to complete this information in first and follow up visit .While was (2-7) min second (Group B) in antenatal care unit the investigator completed the information of pregnant card, gave advice and prepared (50 pregnant women) for physical examination. The time needed for the nurse to complete the information of pregnant card was (2-7) min. Analysis of the information in (pregnancy assessment card) indicate non-significant differences in the information gained by both the doctor and the nurse , but the time spend by nurse could compensate that needed by the doctors for better services and (full pregnant assessment and healthily education). Aiming at reducing the complications such as hypertension which is most prevalent is one example of the cost –effectiveness of the squeal for missing a case of hypertension that will may be end in caesarean section is presented as (a case study). In conclusion antenatal care should be appointed to a specialized nursing college graduate Nurse should be appointed in every antenatal care clinic to fulfill their nursing role during the reception & follow up of pregnant women who consulted the antenatal care the investigator thinks that it is very cost effectiveness to fulfill