The Health Care Dimension: Delivering Care for High-Risk Pregnant Women and Preterm Infants

2016 ◽  
pp. 195-263
Author(s):  
Janet M. Bronstein
Keyword(s):  
Health Care ◽  
High Risk ◽  
Pregnant Women ◽  
Preterm Infants

scholarly journals A review of the use of telemedicine technology in caring for high-risk pregnant women

2017 ◽  
Vol 1 (4) ◽  
pp. 135-135
Author(s):  
Haleh Ayatollahi ◽  
Malihe GhalandarAbadi
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
High Risk ◽  
Pregnant Women ◽  
High Risk Pregnancy ◽  
Pregnancy Care ◽  
Advantages And Disadvantages ◽  
Risk Pregnancy ◽  
Telemedicine Technology

Introduction: The number of high-risk pregnancy in the country is a lot, and the evidence shows that quality of care is not high for this group of people. Due to the importance of pregnancy care and its effect on the mothers' and newborns' health and the priority of prevention over treatment, serious attention needs to be paid to this group of patients in this field, like other fields of medicine, telemedicine has been used as a tool to improve the quality of care. Aim: This study aimed to review the applications of telemedicine technology in the care of high-risk pregnant women. Method: The was a review study which was completed by searching the databases, such as PubMed, Science Direct, Scopus, Web of knowledge and by using keywords like “mhealth", "telehealth”, “high-risk pregnancy”, telemedicine”. Results: The results showed that in addition to describing different telemedicine technologies in pregnancy care, advantages and disadvantages of using these technologies were discussed in a number of papers. The most important benefits of using telemedicine in high-risk pregnancy included patient satisfaction, quality of care improvement, cost reduction and fast communication between clinical staff.  The main challenges of using these technologies included ethical, technical and financial challenges. Conclusion: Reducing health care costs and improving health care delivery to the pregnant women are among the leading health policies in all countries. Despite numerous challenges in deploying telemedicine technologies, it seems that using this technology is highly acceptable among users and the advantages of using this technology can help to accelerate delivery of health care to the high-risk pregnant women.

Attitudes of Parents and Health Care Workers to Major Surgery for High-Risk Preterm Infants

2016 ◽  
Vol 177 ◽  
pp. 78-83.e3 ◽  
Author(s):  
Hugh Simon Lam ◽  
Tony Sit ◽  
Chi Lok Chau ◽  
Yuk Him Tam ◽  
Hon Ming Cheung ◽  
...  
Keyword(s):  
Health Care ◽  
High Risk ◽  
Preterm Infants ◽  
Health Care Workers ◽  
Major Surgery ◽  
Care Workers

scholarly journals Considerations for Pregnant Dental and Health Care Workers amid COVID-19

2020 ◽  
Vol 5 (4) ◽  
pp. 300-306
Author(s):  
A. Mann ◽  
A. Dahiya ◽  
L.C. Souza ◽  
A. Letra
Keyword(s):  
Health Care ◽  
High Risk ◽  
Pregnant Women ◽  
Health Care Professionals ◽  
Infant Health ◽  
Close Contact ◽  
Management Strategies ◽  
Signs And Symptoms ◽  
High Risk Population ◽  
Infected People

Introduction: Coronavirus disease 2019 (COVID-19) is a highly contagious disease that quickly reached pandemic levels. Over 5 million COVID-19 cases and approximately 330,000 deaths have been recorded worldwide. Transmission is primarily spread through direct, indirect (through contaminated objects or surfaces), or close contact with infected people via respiratory droplets, the mouth, and/or nose secretions. Health care professionals (HCPs), including dental HCPs, are recognized to be at considerably high risk for infection due to the close proximity to patients and aerosol-generating procedures. During pregnancy, HCPs may be at even higher risk since pregnancy substantially increases the susceptibility to infectious diseases. Objectives: Here, we present the posed risks and potential effects of COVID-19 on maternal and fetal health. Current prevention and management strategies for COVID-19 on pregnant dental and HCPs are also discussed. Results: Significant progress is being made in understanding the pathogenesis and clinical consequences of COVID-19. Pregnant women are affected more adversely with viral illnesses, although evidence of vertical transmission of COVID-19 is controversial. Based on the presence of atypical symptoms, the significant numbers of asymptomatic individuals who are COVID-19 positive, and the high susceptibility to viral diseases observed in pregnant women, recommendations have been put forth to limit the exposure of COVID-19–positive or even suspected cases to pregnant HCPs, and these are likely to evolve as new information becomes available. Conclusion: Pregnant HCPs require extra caution: not only are they considered a high-risk population, but their work at the frontline in a pandemic may expose them to additional risks. Complete awareness of the effects of COVID-19 on maternal and fetal/infant health, as well as prevention and management guidelines for pregnant HCPs, will allow for a safer work environment. Health care institutional policies aimed at protecting pregnant HCPs should consider avoiding their assignment as first responders, especially if equally trained staff are available. Knowledge Transfer Statement: Dental and health care professionals can use the information in this review to improve their awareness of COVID-19 risks, signs, and symptoms and the associated effects on the health of pregnant health care professionals and their unborn/newborn children.

scholarly journals Humanização do cuidado à gestante de alto risco

2019 ◽  
Vol 13 ◽  
Author(s):  
João Victor Lira Dourado ◽  
Perpétua Alexsandra Araújo ◽  
Francisca Alanny Rocha Aguiar
Keyword(s):  
Health Care ◽  
High Risk ◽  
Pregnant Women ◽  
Patient Care Team ◽  
Analysis Technique ◽  
Qualitative Descriptive ◽  
Multiple Choice Questionnaire ◽  
Las Mujeres ◽  
Group Interviews

Objetivo: analisar a humanização do cuidado à gestante de alto risco. Método: trata-se de um estudo qualitativo, descritivo, exploratório. Constituir-se-ão, como população, as gestantes de alto risco e os profissionais da saúde da unidade de internação obstétrica. Aplicar-se-ão, para a coleta de informações, entrevistas semiestruturadas e em grupo focal guiadas por instrumentos compostos por questões norteadoras e um questionário autoaplicável de múltipla escolha. Utilizar-se-á, na análise das informações, a técnica de Análise Temática. Resultados esperados: espera-se reconhecer a produção do cuidado à gestante durante o processo de hospitalização, estimular a crítica-reflexão entre gestores e profissionais sobre humanização da assistência, direcionar a práxis na atenção à saúde das gestantes de alto risco hospitalizadas e oferecer elementos à produção do conhecimento científico sobre a temática em questão. Descritores: Gravidez de Alto Risco; Maternidades; Humanização da Assistência; Equipe de Assistência ao Paciente; Qualidade da Assistência à Saúde; Saúde da Mulher.AbstractObjective: to analyze the humanization of care for high-risk pregnant women. Method: this is a qualitative, descriptive, exploratory study. The population will comprise high-risk pregnant women and health professionals from the obstetric inpatient unit. Semi-structured and focus group interviews will be applied for information collection, guided by instruments composed of guiding questions and a self-administered multiple choice questionnaire. In the analysis of the information, the Thematic Analysis technique will be used. Expected outcomes: it is expected to recognize the production of care for pregnant women during the hospitalization process, stimulate critical reflection among managers and professionals about the humanization of care, direct the praxis in health care of hospitalized high-risk pregnant women and offer elements to production of scientific knowledge on the subject in question. Descriptors: Pregnancy, High-Risk; Hospitals, Maternity; Humanization of Assistance; Patient Care Team; Quality of Health Care; Salud de la Mujer.ResumenObjetivo: analizar la humanización de la atención a embarazadas de alto riesgo. Método: este es un estudio cualitativo, descriptivo, exploratorio. La población estará compuesta por mujeres embarazadas de alto riesgo y profesionales de la salud de la unidad de hospitalización obstétrica. Se aplicarán entrevistas semiestructuradas y de grupos focales para la recopilación de información, guiadas por instrumentos compuestos de preguntas orientadoras y un cuestionario de opción múltiple autoadministrado. En el análisis de la información, se utilizará la técnica de Análisis Temático. Resultados esperados: se espera reconocer la producción de atención para mujeres embarazadas durante el proceso de hospitalización, estimular la reflexión crítica entre los gerentes y profesionales sobre la humanización de la atención, dirigir la praxis en la atención de la salud de las mujeres embarazadas de alto riesgo hospitalizadas y ofrecer elementos para producción de conocimiento científico sobre el tema en cuestión. Descriptores: Embarazo de Alto Riesgo; Maternidades; Humanización de la Atención; Grupo de Atención al Paciente; Calidad de la Atención de Salud; Women's Health.

Dual and multiple trisomies: analysis of 38 cases from 13 thousand karyotyped embryos and fetuses

2017 ◽  
pp. 109-115
Author(s):  
N.P. Veropotvelyan ◽  
Keyword(s):  
Prenatal Diagnosis ◽  
High Risk ◽  
Pregnant Women ◽  
Maternal Age ◽  
Chromosomal Abnormalities ◽  
Chorionic Villus ◽  
Primary Group ◽  
Chorionic Villus Sampling ◽  
Missed Abortion ◽  
Reproductive Losses

The study presents data of different authors, as well as its own data on the frequency of multiple trisomies among the early reproductive losses in the I trimester of pregnancy and live fetuses in pregnant women at high risk of chromosomal abnormalities (CA) in I and II trimesters of gestation. The objective: determining the frequency of occurrence of double (DT) and multiple trisomies (MT) among the early reproductive losses in the I trimester of pregnancy and live fetuses in pregnant women at high risk of occurrence of HA in I and II trimesters of gestation; establishment of the most common combinations of diesel fuel and the timing of their deaths compared with single regular trisomy; comparative assessment materinskogo age with single, double and multiple trisomies. Patients and methods. During the period from 1997 to 2016, the first (primary) group of products in 1808 the concept of missed abortion (ST) of I trimester was formed from women who live in Dnepropetrovsk, Zaporozhye, Kirovograd, Cherkasy, Kherson, Mykolaiv regions. The average term of the ST was 8±3 weeks. The average age of women was 29±2 years. The second group (control) consisted of 1572 sample product concepts received during medical abortion in women (mostly residents of Krivoy Rog) in the period of 5-11 weeks of pregnancy, the average age was 32 years. The third group was made prenatally karyotyped fruits (n = 9689) pregnant women with high risk of HA of the above regions of Ukraine, directed the Centre to invasive prenatal diagnosis for individual indications: maternal age, changes in the fetus by ultrasound (characteristic malformations and echo markers HA) and high risk of HA on the results of the combined prenatal screening I and II trimesters. From 11 th to 14 th week of pregnancy, chorionic villus sampling was performed (n=1329), with the 16th week – platsentotsentez (n=2240), 18 th and 24 th week – amniocentesis (n=6120). Results. A comparative evaluation of maternal age and the prevalence anembriony among multiple trisomies. Analyzed 13,069 karyotyped embryonic and fetal I-II trimester of which have found 40 cases of multiple trisomies – 31 cases in the group in 1808 missed abortion (2.84% of total HA), 3 cases including 1 572 induced medabortov and 7 cases during 9689 prenatal research (0.51% of HA). Determined to share the double trisomies preembrionalny, fetal, early, middle and late periods of fetal development. Conclusion. There were no significant differences either in terms of destruction of single and multiple trisomies or in maternal age or in fractions anembrionalnyh pregnancies in these groups. Key words: multiple trisomies, double trisomy, missed abortion, prenatal diagnosis.

A study of laboratory profile of the pregnant women at tertiary health care center

2019 ◽  
Vol 11 (1) ◽  
pp. 25-27
Author(s):  
Dhananjay Shridhar Borole ◽  
◽  
Reshama Wankhede (Nirmale) ◽  
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Care Center ◽  
Health Care Center ◽  
Laboratory Profile
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