Characteristics of obstetric’s care provided to pregnant woman qualified for invasive prenatal tests

Abstract

Nowadays prenatal diagnosis is an issue that concerns almost every couple expecting a baby. Desire for the participation in this screening is an individual issue. Prenatal examination should not be imposed or limited. Acting with accordance to patient’s rights is necessary for prenatal diagnosis to cater for the society needs and to serve the society in the right way. The objective in this article is focusing attention on the care given to pregnant women participating in prenatal diagnosis and with indication for continuing diagnosis with invasive methods. This paper presents a case study. Based on the interview with the patient, patient’s observation and analysis of documentation, the main problems were selected. These problems were experienced by the pregnant patient who was qualified for the amniocentesis because of the 1:300 risk score estimated in PAPP-A test in 13. week of pregnancy. The interview, observations and documentations were used for creating the care process which is the essential research tool in this case study. This article analyses biological, psychological and social problems which occur during this patient’s pregnancy. The paper discusses categories of problems concerning the patient’s psychological sphere, explaining the supportive and educational role of midwife. Proposed activities improve level of the pregnant women’s care and increase comfort of patients participating in the screening. The issue is undertaken mainly by psychologists of the procreation. Updating midwive’s knowledge in the topic of the prenatal diagnosis is necessary, because this issue is still marginally discussed in the medical community. It should change, if the midwives want to surround women with holistic care where all team members are cooperating with each other.