ADAPTIVE ABILITIES OF THE MEDICAL STAFF OF MATERNITY HOSPITALS

Abstract

Introduction. The aim is scientific planning of preventive measures based on the assessment of adaptive capabilities of the organism of medical personnel of maternity institutions in the dynamics of the work shift. Material and methods. With cardiointervalogram variation of the studied indices of the cardiovascular and autonomous nervous system in obstetricians-gynecologists, neonatologists, nurses - midwives, nurses - anesthetists, ward nurses of perinatal centers and maternity hospitals in cities of Ryazan, Smolensk, Lipetsk, and Kolomna at the beginning and at the end of the work shifts. Results. The analysis of heart rate variability revealed significant statistical differences in a number of indices of the spectral region (the decline in values of sympatho-parasympathetic balance (LF/HF), the amplitude of very low-frequency waves (LFW), increase in the total power (TP), as well as an increase in the index of activity of regulatory systems (IARS) (p<0.05), established the relationship between the IARS at the end of the shift and the intensity of the labor process of obstetricians-gynecologists of perinatal centers, nurses-anesthetists, and midwives of perinatal centers. Conclusion. The revealed direct correlation between the IARS at the end of the work shift and the intensity of the labor process of obstetricians-gynecologists of perinatal centers, medical nurses-anesthetists, and midwives of perinatal centers confirms the results of hygienic studies of the labor process intensity and allows planning preventive measures.