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HOPE 2007. Social Determinants and Health Inequalities.

HOPE 2007. Social Determinants and Health Inequalities. Lone Meibom 2007. Odense University Hospital. Lone Meibom 2007. Lone Meibom 2007. Gynaecological figures from 2006. In-patients: 2193 Out-patients:6851 Number of beds: 26 Number of visits:10.640

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HOPE 2007. Social Determinants and Health Inequalities.

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  1. HOPE 2007.Social Determinants and Health Inequalities. Lone Meibom 2007

  2. Odense University Hospital Lone Meibom 2007

  3. Lone Meibom 2007

  4. Gynaecological figures from 2006. • In-patients: 2193 • Out-patients:6851 • Number of beds: 26 • Number of visits:10.640 • Number of operations: 3086 (from 2005) • Infertility treatment: 1647 treatments • IVF started: 765 Lone Meibom 2007

  5. Department of Obstetrics. Lone Meibom 2007

  6. Obstetric figures from 2006. • Ultrasound Unit. • Patients: 5554 • Number of scans: 15.663 • Prenatal ward: • Beds: 14 • In- Patients:1548 • Out-patients.4224 • Visits: 8.300 Lone Meibom 2007

  7. Obstetric figures from 2006 • Deliveries: 3768 Caesarian sections: 915 • Maternity ward Hotel: • Beds: 24 • Patients: 1757 • Maternity ward Hospital: • Beds: 22 • Patients: 4531 Lone Meibom 2007

  8. Family Center • Structure: • Interdisciplinary team consisting of: • Mid-wife. • Nurse • Secretary • Obstetrician • Social Worker • Psychologist. Lone Meibom 2007

  9. Family Center. Purpose: • To support threathened families and children by becoming involved at an early stage in order to secure the upbringing of the child. • To ensure that these families are supported after the pregnancies and births by connecting them to other sections of the health system. Lone Meibom 2007

  10. Family Center • The aim is to support the following threathened families: • Groups: • Abusers • Women with a psyciatric diagnosis. • Women with severe social • problems. • Other problems. Lone Meibom 2007

  11. Family Center. Abusers of: • Alcohol • Intoxicating drugs • Other medication • Spouse with similar problems Lone Meibom 2007

  12. Pregnant women with psychiatric diagnosis like: • Schizophrenia, manic-depression • Depression - undergoing medical treatment • Mental disorder • Eating disorder • Post partum depression • Husband with a psychiatric diagnosis Lone Meibom 2007

  13. Pregnant women with severe social problems like: • Their older children placed in foster homes • Having experienced foster care themselves • Violence in the family • Sexually abused • Severe physical handicap • Mentally retarded, low intelligience Lone Meibom 2007

  14. Other social problems: • Young couple without a social network • Single mothers-to-be without a social network • Acute crises during pregnancy – eg. sudden death in the familiy, expecting affected child Lone Meibom 2007

  15. How do we work? • A continuous interdisciplinary evaluation of the needs of the families and an individually designed support programme • Coordinate meetings with other relevant involved parties • Supervision / counselling of doctors, mid-wives, health visitors, social workers etc. • Coordinate information to the different departments to ensure a smooth flow during the different stages of pregnancy, birth and maternity Lone Meibom 2007

  16. We work closely with the following: • Generel practicioners • Health visitors • Other obstetricians • Other mid-wives. • The Childrens´ Department • Social Security offices – departments taking care of children and young people • Odense Center for Drug Abuse – both the department for young people and adults • Other treatment institutions • The Department of Psychiatry • The Department of Psychiatry for Children. • District psychiatry • Private psychologists. • Private organisation helping young mothers Lone Meibom 2007

  17. What are the benefits of a Family Center, from both a psychological and social point of view ? • Working closely in a team means that pregnant woman and the family experience a diverse team at work with a common goal for the patient. • When it is necessary to place a child in foster care, we aim at doing so in a dignified way, with the involvment of the parents, and trying to diminish their feeling of defeat. • We lay the foundation for a better communication between the social system and the families in the years to come Lone Meibom 2007

  18. What are the benefits from an obstetric point of view? • Good contact to socially weak pregnant women gives better continuation in the consultations • Perhaps more consultations are given to these women than to others, but it’s this increased contact which allows us to aim for our clearly targeted objectives • Less acute consultations because of pains, sensation of not having felt the baby, and other concerns • Less in-patients because of close consultations • Less obstetric intervention on mental indication Lone Meibom 2007

  19. Thank you for your attention - HOPE participans of 2007! Enjoy your stay in Denmark. Lone Meibom 2007

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