She Screened Positive for Depression at the First Prenatal Visit, What Really Happens Next?

2020 ◽  
Author(s):  
Ellen J. Tourtelot ◽  
Jasmine R. Davis ◽  
Nicole Trabold ◽  
Devyani K. Shah ◽  
Ellen Poleshuck
Keyword(s):  
Prenatal Visit

Letters to the Editor

PEDIATRICS ◽  
1964 ◽  
Vol 33 (2) ◽  
pp. 309-310
Author(s):  
MORRIS A. WESSEL
Keyword(s):  
Medical Center ◽  
Full Time ◽  
Pediatric Practice ◽  
Letters To The Editor ◽  
Prenatal Visit ◽  
Housing Status ◽  
The City

I do appreciate Dr. Mendelsohn's kindness in writing to obtain further information regarding details of a pediatric prenatal visit for expectant couples. Although I do live in the city where Yale Medical Center is located, I conduct with an associate a full-time pediatric practice. Expectant couples seek appointments in our office because they have learned that this is a well-established routine. I do not understand Dr. Mendelsohn's hesitancy in seeking information as to occupational and housing status of expectant parents.

ADOLESCENTS’ DECISION-MAKING AND ATTITUDES TOWARDS ABORTION IN NORTH-EAST BRAZIL

2002 ◽  
Vol 35 (1) ◽  
pp. 71-82 ◽  
Author(s):  
PATRICIA E. BAILEY ◽  
ZENILDA V. BRUNO ◽  
MARIA F. BEZERRA ◽  
IVANY QUEIRÓS ◽  
CRISTIANA M. OLIVEIRA
Keyword(s):  
Decision Making ◽  
Decision Making Process ◽  
Prenatal Visit ◽  
The Third ◽  
Unintended Pregnancies ◽  
North East ◽  
The Future ◽  
Adolescent Attitudes ◽  
Post Abortion

Three groups of adolescents are compared with regard to their own considerations of abortion and when they believe abortion is justified. One group of adolescents terminated their pregnancies (n=95), a second became pregnant and carried their pregnancies to term but considered abortion (n=68), and the third also carried their pregnancies to term but did not consider abortion (n=204). The study was carried out between 1995 and 1998 in Fortaleza, Brazil. Adolescents were interviewed at the time of their hospitalization or their first prenatal visit and again at 6 weeks and 1 year post-abortion or postpartum. Friends and family recommended abortion to at least half of the teenagers in each group. Teenagers who aborted were more accepting of abortion than those who did not abort, while those who considered abortion found the practice more justified than those who did not consider abortion. Teenagers who aborted became less accepting a year later, while those who did not consider abortion became more accepting. A better understanding of adolescent attitudes towards abortion and their decision-making process should help adults and professionals meet the needs of adolescents for support in the process and in the reduction of the number of unintended pregnancies in the future.

The Prenatal Visit

2014 ◽  
pp. 1064-1064
Author(s):  
George J. Cohen ◽  
Keyword(s):  
Prenatal Visit

A Mother in Jeopardy: The Ethics of Pregnancy and Chemotherapy

2019 ◽  
Vol 37 (1) ◽  
pp. 72-78
Author(s):  
Steven J. Baumrucker ◽  
Wendy H. Vogel ◽  
Robert M. Stolick ◽  
Russell W. Adkins ◽  
Heather Holland ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Epithelial Ovarian Cancer ◽  
Ovarian Cyst ◽  
Peritoneal Fluid ◽  
Polycystic Ovary ◽  
Advanced Stage ◽  
Ovarian Mass ◽  
Prenatal Visit ◽  
The Past ◽  
Fluid Cytology

JM is a 32-year-old primagravida with polycystic ovary disease. She had extreme difficulty conceiving and was started on clomiphene 6 months ago by her fertility specialist. After doubling the dose on the sixth cycle, she successfully became pregnant. On her second prenatal visit at 12 weeks gestation, an ovarian cyst was detected. Ultrasound showed a complex ovarian mass with nodules on the bowel and abdominal wall. There was mild-to-moderate peritoneal fluid. Cytology showed adenocarcinoma of ovarian origin. Further workup demonstrated advanced stage III epithelial ovarian cancer. JM was referred to GYN-oncology who felt pregnancy-sparing debulking was not an option. The oncologist recommended termination of pregnancy due to the risks of delaying chemotherapy. JM refused, citing her fertility difficulties in the past and her desire to carry the pregnancy to term “even if it kills me.” She tells the oncologist she cannot bear the thought of terminating her pregnancy under any circumstances. The oncologist wants to comply with her wishes but feels the patient is making a choice that would result in harm to herself. The oncology team requests an ethics consult.

scholarly journals Assessment of the Value of Rescreening for Syphilis in the Third Trimester of Pregnancy

2006 ◽  
Vol 2006 ◽  
pp. 1-3 ◽  
Author(s):  
Rodney K. Edwards ◽  
Margaret Bennett ◽  
Carrie Langstraat ◽  
Daina Greene
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort ◽  
Prenatal Screening ◽  
Single Center ◽  
Third Trimester ◽  
Prenatal Visit ◽  
The Third ◽  
Upper Limit ◽  
Study Interval ◽  
Obstetric Population

Objectives. Our aim is evaluating the need for repeating tests for syphilis on pregnant women in the third trimester. Study design. A single-center retrospective cohort study was performed on all women delivering7/03–6/04. Results. During the study interval, 2244 women delivered at our hospital. Of those women having available records and attending at least one prenatal visit, 1940(98.9%)were screened for syphilis at the first prenatal visit. Of the 1627 women beginning prenatal care prior to 27 weeks and delivering after 32 weeks, 1377(84.6%)were rescreened in the third trimester. No cases of syphilis were identified with either the initial (upper limit of 95% CI0.24%) or repeat (upper limit of 95% CI0.34%) screening. Conclusions. In our obstetric population, syphilis is so uncommon that mandated prenatal screening on more than one occasion seems unjustified and laws requiring repeated screening should be reevaluated.

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