Wybrane zagadnienia położnicze: stosowanie leczenia tokolitycznego po przedwczesnym przerwaniu błon płodowych oraz znaczenie oceny długości szyjki macicy w przezpochwowym badaniu ultrasonograficznym

Abstract

In our health care system, family doctor is the first physician that patients have contact with. Family medicine provides basic health care. In his daily work, family doctor independently consults both children and adults regardless of the reason of visit, if necessary, cooperating with consulting physicians working in outpatient specialist centers or referring patients for diagnosis and treatment in specialist centers (hospitals). This also applies to pregnant women. Two specific issues requiring consultation with gynecology clinics are discussed: tocolytic treatment after premature rupture of membranes and the importance of assessing cervical length in transvaginal ultrasound. When discussing obstetric problems from the family doctor’s perspective, the importance of education should be emphasized. The basis of prenatal education for pregnant women, including high-risk pregnant women, consists of an education plan developed by a midwife working in the Primary Health Care Center. The plan is an integral part of the patient’s medical record and includes both practical and theoretical preparation for childbirth, puerperium, breastfeeding and parenting (also in case of group services).