{"id":3809,"date":"2016-05-21T16:57:03","date_gmt":"2016-05-21T14:57:03","guid":{"rendered":"https:\/\/www.cidsr.mihaisiscanu.com\/?page_id=3809"},"modified":"2018-04-25T15:10:33","modified_gmt":"2018-04-25T13:10:33","slug":"al-treilea-training-servicii-de-avort-integrate-cadrul-serviciilor-de-sanatate-reproductiva-transnistria","status":"publish","type":"page","link":"https:\/\/cidsr.mihaisiscanu.com\/ro\/sanatatea-reproductiva-transnistria\/activitatile-din-cadrul-proiectului-cresterea-calitatii-serviciilor-de-avort-integrate-cadrul-serviciilor-de-sanatate-reproductiva-transnistria\/al-treilea-training-servicii-de-avort-integrate-cadrul-serviciilor-de-sanatate-reproductiva-transnistria\/","title":{"rendered":"Al treilea training \u00een servicii de avort integrate \u00een cadrul serviciilor de s\u0103n\u0103tate reproductiv\u0103 \u00een Transnistria"},"content":{"rendered":"<img decoding=\"async\" class=\"wp-image-3813 alignleft\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2017\/11\/13228067_10206185737462856_402203702_n.jpg\" alt=\"\" width=\"401\" height=\"225\" srcset=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2017\/11\/13228067_10206185737462856_402203702_n.jpg 800w, https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2017\/11\/13228067_10206185737462856_402203702_n-300x169.jpg 300w, https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2017\/11\/13228067_10206185737462856_402203702_n-768x432.jpg 768w\" sizes=\"(max-width: 401px) 100vw, 401px\" \/>\u00cen perioada 16.05.16\u2013 20.05.16 \u00a0\u00een incinta Centrului de S\u0103n\u0103tate Reproductiv\u0103 de pe ling\u0103\u00a0Centrul Republican al Mamei \u0219i Copilului, or. Tiraspol a avut\u00a0loc cel de-al treilea training de instruire \u00een servicii de avort integrate \u00een cadrul serviciilor de s\u0103n\u0103tate reproductiv\u0103 \u00een Transnistria:\u00a0avortul medicamentos (AM)\u00a0\u0219i\u00a0vacuum aspiratia manuala (VAM).<\/p>\n<p>Aceast\u0103 activitate face parte din cadrul\u00a0<a href=\"https:\/\/cidsr.mihaisiscanu.com\/sanatatea-reproductiva-transnistria\/proiectul-cresterea-calitatii-serviciilor-de-avort-integrate-cadrul-serviciilor-de-sanatate-reproductive-transnistria-saaf\/\" target=\"_blank\" rel=\"noopener\">proiectului SAAF \u201cCre\u0219terea calit\u0103\u021bii serviciilor de avort integrate \u00een cadrul serviciilor de s\u0103n\u0103tate reproductive in Transnistria\u201d<\/a>.<\/p>\n<p>\u00cen cadrul acestui training au\u00a0fost instrui\u021bi 24 de medici obstetricieni ginecologi \u0219i moa\u0219e din toat\u0103 regiunea Transnistria.<\/p>\n<p>Scopul trainingului: instruirea lucr\u0103torilor \u2013 cadrelor medicale din institu\u021biile medico-sanitare din regiunea Transnistriei \u00een efectuarea \u00eentreruperilor de sarcin\u0103 \u00een condi\u021bii de siguran\u021b\u0103:\u00a0AM\u00a0\u0219i\u00a0VAM.<\/p>\n<p>Trainingul a fost\u00a0organizat de c\u0103tre\u00a0Centrul de Instruire in Domeniul Sanatatii Reproductive (CIDSR)\u00a0or. Chi\u0219in\u0103u \u00een colaborare cu d-na Natalia Slepuha \u2013 medic \u0219ef al Centrului Republican al Mamei \u0219i copilului, d-na Oxana Ceban, \u0219efa Centrului de S\u0103n\u0103tate Reproductiv\u0103 or. Tiraspol \u0219i cu acordul \u0219i sus\u021binerea\u00a0<a href=\"http:\/\/www.minzdravpmr.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Ministerului S\u0103n\u0103t\u0103\u021bii (MS) din Transnistria<\/a>.<\/p>\n<p>Participan\u021bii au\u00a0fost instrui\u021bi de c\u0103tre:<\/p>\n<ul>\n<li>Rodica Comendant, MD, medic obstetrician-ginecolog,\u00a0 expert al\u00a0OMS\u00a0\u00een \u00eentreruperi de sarcin\u0103 \u00een siguran\u021b\u0103, director\u00a0CIDSR,<\/li>\n<li>Stelian Hodorogea,\u00a0 MD,\u00a0medic obstetrician-ginecolog, expert al\u00a0OMS\u00a0\u00een tehnologii perinatale,<\/li>\n<li>Oxana Ceban,\u00a0 \u0219efa Centrului de S\u0103n\u0103tate Reproductiv\u0103 or. Tiraspol<\/li>\n<\/ul>\n<p>\u00cen prima zi a seminarului s-a vorbit despre\u00a0<a href=\"https:\/\/cidsr.mihaisiscanu.com\/sanatatea-reproductiva-transnistria\/proiectul-cresterea-calitatii-serviciilor-de-avort-integrate-cadrul-serviciilor-de-sanatate-reproductive-transnistria-saaf\/\">proiectul\u00a0SAAF<\/a>, care sunt scopurile \u0219i obiectivele proiectului \u0219i ce urmeaz\u0103 s\u0103 se realizeze pe parcursul acestui an.<\/p>\n<p>Oxana Ceban a f\u0103cut o retrospectiv\u0103 asupra tuturor activit\u0103\u021bilor care s-au desf\u0103\u0219urat pe parcursul anului 2014-2015 \u00a0\u00een cadrul\u00a0proiectului SAAF, care au fost realiz\u0103rile precum \u0219i ce a\u0219tept\u0103ri sunt p\u00e2n\u0103 la finalul anului 2017. Deasemeni \u00een linii generale s-a prezentat situa\u021bia din sfera \u00eentreruperilor de sarcin\u0103 din Transnistria, principalele probleme precum \u0219i urm\u0103torii pa\u0219i ai\u00a0proiectului SAAF.<\/p>\n<p>Pentru \u00eenceput participan\u021bii au fost supu\u0219i unei test\u0103ri cu scopul de a determina a\u0219tept\u0103rile \u00een urma desf\u0103\u0219ur\u0103rii acestui training, care sunt \u00eentreb\u0103rile cu care s-au confruntat \u00een practica de zi cu zi \u0219i la care nu au g\u0103sit r\u0103spunsuri.<\/p>\n<p><img decoding=\"async\" class=\"wp-image-3815 alignright\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2017\/11\/13235854_10206201044405520_199588587_n.jpg\" alt=\"\" width=\"400\" height=\"258\" srcset=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2017\/11\/13235854_10206201044405520_199588587_n.jpg 732w, https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2017\/11\/13235854_10206201044405520_199588587_n-300x193.jpg 300w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><\/p>\n<p>Alte subiecte abordate \u00een prima zi a trainingului au fost:<\/p>\n<ul>\n<li>Securitatea \u0219i eficien\u021ba\u00a0VAM;<\/li>\n<li>Determinarea sarcinii \u0219i perioadei de gesta\u021bie;<\/li>\n<li>Selectarea pacien\u021bilor \u0219i studiul acestora<\/li>\n<li>Tehnica\u00a0VAM<\/li>\n<li>Demonstra\u021bii de lucru \u0219i practica cu instrumentele vacuum aspiratoare.<\/li>\n<\/ul>\n<p>Cea dea doua zi a trainingului a \u00eenceput cu un subiect foarte interesant \u0219i actual \u00een zilele noastre \u0219i anume: consultarea (consilierea) \u0219i preg\u0103tirea pacientelor, acordul informat.<\/p>\n<p>Un alt subiect prezentat \u00een forma ampl\u0103 a fost: profilaxia infec\u021biilor (inclusiv prelucrarea \u0219i reutilizarea instrumentelor).<\/p>\n<p>Au urmat jocuri de echipa pacient vs medic. Scopul acestor jocuri a fost elucidarea tuturor posibilelor situa\u021bii, care pot ap\u0103rea in procesul consult\u0103rii si consilierii pacientului. Alt subiect abordat a fost analgezia, dup\u0103 care s-a trecut la simularea vacuum aspira\u021biei.<\/p>\n<p>Participan\u021bii au fost instrui\u021bi referitor la procedura\u00a0VAM, s-a lucrat \u0219i simulat pe mulaje speciale cu instrumente necesare. Scopul acestor simul\u0103ri: deprinderi practice \u00een efectuarea corecta a procedurii de\u00a0VAM.<\/p>\n<p>In cea dea treia zi a seminarului au avut loc \u00eencerc\u0103ri clinice. Medicii \u00een prezenta exper\u021bilor \u0219i cu acordul pacientului au putut realiza 5 proceduri de\u00a0VAM, dup\u0103 care a fost examinat \u021besutul. Alte teme care au fost abordate au fost: \u00eengrijirea \u0219i supravegherea \u00een perioada post-avort \u0219i complica\u021biile ce pot ap\u0103rea \u00een urma avortului chirurgical.<\/p>\n<p>Cea de-a patra zi a debutat cu \u00eencerc\u0103ri clinice, discu\u021bii \u0219i analize. Temele care au fost abordate \u00een aceasta zi au fost:<\/p>\n<ul>\n<li>AM.\u00a0Istoria\u00a0AM.<\/li>\n<li>Mecanismul de ac\u021biune a mifepristonului \u0219i misoprostolului.<\/li>\n<li>Mifepristonul \u0219i misoprostolul \u2013 indica\u021bii \u0219i contraindica\u021bii.<\/li>\n<li>Metodele de diagnostic a sarcinii normale \u0219i a sarcinii extrauterine la stadiu incipient.<\/li>\n<li>Protocoale de prescriere a preparatelor.<\/li>\n<li>Complica\u021biile care pot surveni \u00een urma\u00a0AM, efectele secundare.<\/li>\n<li>Vizita de control, \u00eengrijirea post-avort. Contracep\u021bia dup\u0103\u00a0AM.<\/li>\n<li>Discu\u021bii referitor la training \u0219i perspectivele de introducere a\u00a0AM\u00a0\u0219i\u00a0VAM\u00a0\u00een practica de zi cu zi.<\/li>\n<\/ul>\n<p>Dat fiind faptul ca participnatii acestui training detineau foarte bine informatia cu privire la intreruperea sarcinii prin metoda medicamentoasa s-a reusit predarea tuturor temelor pe parcursul acestei zile.<\/p>\n<p>Luind in consideratie ca toate intrebarile au fost elucidate, cazuri clinice nu erau s-a luat hotarirea de a trece la evaluarea trainingului si inminarea certificatelor.<\/p>\n<p>Trei institutii medicale in cadrul carora vom crea urmatoarele centre model au fost echipate cu seringi si canule.<\/p>\n<p>To\u021bi medicii s-au declarat foarte mul\u021bumi\u021bi de petrecerea unui asemenea seminar.<\/p>\n<p>Cea de-a cincea\u00a0 zi a traingului a ramas destinata partii practice (cazurilor clinice)<\/p>\n<p>V\u0103 prezent\u0103m:<\/p>\n<ul>\n<li><a href=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2018\/04\/376001.jpg\" target=\"_blank\" rel=\"noopener noreferrer\">Ordinul MS al Transnistriei<\/a><\/li>\n<li><a href=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2018\/04\/3760002.jpg\" target=\"_blank\" rel=\"noopener noreferrer\">Lista participan\u021bilor<\/a><\/li>\n<li><a href=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2018\/04\/Agenda-Ru.pdf\" target=\"_blank\" rel=\"noopener\">Agenda<\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.facebook.com\/Centrul-de-Instruire-%C3%AEn-Domeniul-S%C4%83n%C4%83t%C4%83%C5%A3ii-Reproductive-CIDSR-159409707451468\/photos\/?tab=album&amp;album_id=1171225362936559\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Aici<\/strong><\/a>\u00a0pute\u021bi vedea pozele din cadrul trainung-ului.<br \/>\n<a href=\"https:\/\/www.facebook.com\/Centrul-de-Instruire-%C3%AEn-Domeniul-S%C4%83n%C4%83t%C4%83%C5%A3ii-Reproductive-CIDSR-159409707451468\/photos\/?tab=album&amp;album_id=1171233866269042\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Aici<\/strong><\/a>\u00a0pute\u021bi vedea pozele de la inm\u00e2narea certificatelor.","protected":false},"excerpt":{"rendered":"<p>\u00cen perioada 16.05.16\u2013 20.05.16 \u00a0\u00een incinta Centrului de S\u0103n\u0103tate Reproductiv\u0103 de pe ling\u0103\u00a0Centrul Republican al <a class=\"read-more\" href=\"https:\/\/cidsr.mihaisiscanu.com\/ro\/sanatatea-reproductiva-transnistria\/activitatile-din-cadrul-proiectului-cresterea-calitatii-serviciilor-de-avort-integrate-cadrul-serviciilor-de-sanatate-reproductiva-transnistria\/al-treilea-training-servicii-de-avort-integrate-cadrul-serviciilor-de-sanatate-reproductiva-transnistria\/\">more>><\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"parent":3717,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/3809"}],"collection":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/comments?post=3809"}],"version-history":[{"count":13,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/3809\/revisions"}],"predecessor-version":[{"id":5331,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/3809\/revisions\/5331"}],"up":[{"embeddable":true,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/3717"}],"wp:attachment":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/media?parent=3809"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}