Модел на акушерски профилактичен център приноси на самостоятелна акушерска дейност

Abstract

Introduction: Cervical cancer is one of the most common oncological diseases worldwide. Data show that each year 60,000 new women develop cervical cancer and almost half of them die from the disease. Behind these overall figures, the analysis reveals drastic differences in morbidity and mortality rates across countries.

Involvement of the midwife at different levels of prophylaxis may lead to a reduction in the number of annually diagnosed cases of cervical cancer and to its detection at an early stage.

Aim: The aim of this article is to investigate the possibility of creating a model of an obstetric prophylactic center, the factors that would create difficulties and the contribution of independent obstetric activity.

Materials and Methods: An anonymous survey was carried out between February and March 2017 among 20 midwives working at the Shumen Hospital in Gynecology, the Maternity Ward and the Pathological Pregnancy and Maternity Department.

Results and Discussion: Regarding the age distribution of midwives interviewed, it was noted that a significant proportion (50%) of the respondents were aged 46-55 years. The minimum work experience in a hospital was 25 years and the maximum - 55 years.

The contributions to the creation of an occupational prophylactic center were ranged from 1 /most significant/ to 4 /least significant/. The interviewed indicated as the most significant the increase in health culture. Second place was for the availability of health services to health-uninsured. The model would also allow midwives to prove their autonomous functions. To date, in Bulgaria there is no alternative form associated with the prevention of cervical cancer performed in autonomous obstetric practice. Nevertheless, the midwives' opinion that such an occupational prophylactic center in Bulgaria could become a reality was positive in 61%, a small part responded that they cannot estimate (10%) or that this cannot be achieved (15%).

Conclusions: Raising the level of health culture, awareness and motivation of women to participate in screening programs will lead to behavior that will inevitably move Bulgaria from the first places of PML morbidity and mortality.