The Role of the Office Nurse in Caring for Families Choosing Pregnancy Termination for Anomalies

2014 ◽  
Vol 43 ◽  
pp. S3-S4
Author(s):  
Melanie Chichester ◽  
Margaret S. Whitworth ◽  
Nima R. Patel
Keyword(s):  
Pregnancy Termination ◽  
Office Nurse

Role of endogenous prostaglandins in pregnancy termination by 15-methyl PGF2α

1983 ◽  
Vol 25 (5) ◽  
pp. 711-714 ◽  
Author(s):  
A.R. Souka ◽  
O. Karsoon ◽  
A. Shams ◽  
M. Toppozada
Keyword(s):  
Pregnancy Termination ◽  
Endogenous Prostaglandins ◽  
In Pregnancy

scholarly journals Local hemostasis disorders underlying endometric pathology

2021 ◽  
Vol 15 (4) ◽  
pp. 430-440
Author(s):  
E. Iu. Iupatov ◽  
I. G. Mustafin ◽  
T. E. Kurmanbaev ◽  
R. M. Nabiullina ◽  
K. M. Atayants ◽  
...  
Keyword(s):  
Web Of Science ◽  
Pregnancy Termination ◽  
Abnormal Uterine Bleeding ◽  
The State ◽  
Bibliographic Databases ◽  
Equilibrium System ◽  
Systematic Analysis ◽  
The One ◽  
Endometrial Pathology

Introduction. Hemostasis is an equilibrium system that performs 2 bidirectional tasks: on the one hand, it prevents bleeding development, whereas on the other hand, it counters thrombogenesis. Shifting the balance leads to development of various complications, and also serves as a key link in the pathogenesis of a number of diseases. Currently, the issue of changing the state of local endometrial hemostasis in various pathologies is of high priority. Unfortunately, publications available on this problem are limited.Aim: to conduct a literature search and systematize the data analysis to expand understanding regarding a role of local hemostasis disorders in formation of endometrial pathology.Materials and Methods. There has been performed a systematic analysis of full-text scientific reviews and original articles published in English and Russian in the modern literature. The review includes the 1995-2020 data published in the international abstract and bibliographic databases eLibrary, Google Scholar, Web of Science, Scopus and PubMed/MEDLINE.Results. Hemostatic changes in the endometrium that occur under the influence of estrogens and progesterone, and create a local hemostatic environment, which disturbance contributes to emergence of various endometrial pathologies, are described. It was found that for the physiological course of pregnancy, complex changes in the local hemostasis are necessary, which are aimed at facilitating the processes of chorionic invasion and maintaining metabolic processes in the mother-fetus interface, whereas alteration of the aforementioned processes contributes to development of abnormal chorionic invasion as the basis for development of insufficient placental function, preeclampsia (PE), and pregnancy termination. Moreover, there have been summarized the data on key changes in the state of local endometrial hemostasis that play a role in the pathogenesis of endometriosis, as well as underlying abnormal uterine bleeding (AUB).Conclusion. Current research publications provide sparse evidence that the state of the local hemostasis in the endometrium is an important aspect of the physiological course of the menstrual cycle, as well as formation of endometrial pathology. In this review, it is shown that local hemostasis is inextricably linked with the state of the systemic hemostasis, but at the same time, its functioning depends on the level of hormones estrogens and progesterone. Impaired function of local endometrial hemostasis is an important aspect of the pathogenesis of miscarriage, as well as conditions such as PE, endometriosis, AUB.

scholarly journals Role of Social and Informational Support while Deciding on Pregnancy Termination for Medical Reasons

2018 ◽  
Vol 15 (12) ◽  
pp. 2854 ◽  
Author(s):  
Kornelia Zaręba ◽  
Marta Makara-Studzińska ◽  
Michał Ciebiera ◽  
Jacek Gierus ◽  
Grzegorz Jakiel
Keyword(s):  
Sick Child ◽  
Pregnancy Termination ◽  
Medical Personnel ◽  
Informational Support ◽  
Patient Profile ◽  
Mature Women ◽  
Sick Children ◽  
Systemic Support ◽  
Close Family

Background: Poland is a country with restrictive laws concerning abortion, which is only allowed if the mother’s life and health are in danger, in case of rape, and severe defects in the fetus. This paper specifies the forms of support expected by women considering termination from their family, people in their surroundings and professional medical personnel. Methods: Between June 2014 and May 2016 patients eligible to terminate a pregnancy for medical reasons were asked to complete an anonymous survey consisting of sixty questions to determine patient profile and forms of support expected from the society, family and professional medical personnel as well as to assess informational support provided. Results: Women do not take into consideration society’s opinion on pregnancy termination (95%). The majority of the respondents think that financial support from the state is not sufficient to provide for sick children (81%). Despite claiming to have a medium standard of life (75%), nearly half of the respondents (45%) say that they do not have the financial resources to take care of a sick child. The women have informed their partner (97%) and closest family members (82%) and a low percentage have informed friends (32%). Nearly one third (31%) have not talked to the attending gynecologist about their decision. Conclusions: The decision to terminate a pregnancy is made by mature women with a stable life situation—supported by their partner and close family. They do not expect systemic support, as they believe it is marginal, and only seek emotional support from their closest family. They appreciate support provided by professional medical personnel if it is personal.

scholarly journals “Near miss” maternal morbidity following repeat rescue cerclage for twin pregnancy

2020 ◽  
Vol 28 (2) ◽  
pp. 142-144
Author(s):  
Ayse Filiz Gökmen Karasu ◽  
Irana Gorchiyeva ◽  
Rana Dural ◽  
Mehmet Serdar Kutuk
Keyword(s):  
Maternal Morbidity ◽  
Pregnancy Termination ◽  
Treatment Options ◽  
Intrauterine Infection ◽  
Therapeutic Benefit ◽  
Infectious Complications ◽  
Cervical Length ◽  
Near Miss ◽  
Rule Out

Objective Repeat cervical cerclage is one of the treatment options described in the literature for when the primary cerclage suture fails. However, infectious complications of cerclage placement may be encountered which are more obvious for the newborn. In our presented case, severe acute maternal morbidity was encountered for the sake of prolonging pregnancy. Case(s) Twenty-seven year old nullipar patient at 23+5 gestational weeks with dichorionic diamniotic pregnancy was admitted to our emergency clinic with complaints of “pain” and “vaginal bleeding”. At 18 weeks of pregnancy she had a Shirodkar cerclage procedure indicated by a short cervical length (14 mm) at our hospital. She presented with “bulging of membranes” to a different institution and underwent a repeat cerclage at 23+3 weeks. Chorioamnionitis was suspected and the patient was counselled for a pregnancy termination. After termination of pregnancy, “cardiac arrest” developed. After 2 minutes of resuscitation sinus rythm was obtained. The patient was admitted to the ICU. Conclusion The role of repeat cerclage is controversial. Efforts should be maximized to rule out underlying intrauterine infection prior to placement of a cerclage suture for there to be a therapeutic benefit of prolonging the pregnancy.

scholarly journals The role of social support in the experience of abortion: A qualitative study of women’s personal accounts

Sociologija ◽  
2020 ◽  
Vol 62 (2) ◽  
pp. 171-192
Author(s):  
Milica Skocajic ◽  
Biljana Stankovic
Keyword(s):  
Social Support ◽  
Interpretative Phenomenological Analysis ◽  
Pregnancy Termination ◽  
Significant Others ◽  
Romantic Partners ◽  
Phenomenological Analysis ◽  
Medical Procedure ◽  
Structured Interviews ◽  
Personal Accounts

Even though the experience of abortion is a relatively common experience among women in Serbia, personal accounts in relation to abortion are rarely examined. International findings show that having social support is crucial in coping with this experience. The main objective of this research was to examine the ways in which women rely on social support and the ways in which this shapes their experiences. After six semi-structured interviews with women who terminated their first pregnancy, their personal accounts were analyzed using interpretative phenomenological analysis. The role of significant others remains important during the whole experience but with qualitative shifts throughout the phases. In the earliest phases, other people could be perceived as a double threat - they could cause the feeling of shame or be an obstacle in the pregnancy termination. During and after the medical procedure, the need for social support becomes stronger and more complex, although in some cases it remains unmet. Most prominent social figures are mothers and romantic partners. Participants with responsive and supportive social surroundings coped more easily than others whose support is nonexistent or overly normalizing. Research contribution of this study is the analysis of personal accounts of women who had abortion. Practical contribution is raisin awareness of the importance of legitimization of complex and ambiguous feelings during abortion, both by significant others and health psychologists.

Role of genital nontransmissible infections in preterm pregnancy termination

2016 ◽  
Vol 16 (6) ◽  
pp. 32
Author(s):  
U. R. Khamadyanov ◽  
I. A. Gumerova ◽  
A. U. Khamadyanova ◽  
A. I. Galimov ◽  
S. U. Khamadyanova ◽  
...  
Keyword(s):  
Pregnancy Termination

Outcomes in oligohydramnios: the role of etiology in predicting pulmonary morbidity/mortality

2018 ◽  
Vol 46 (8) ◽  
pp. 948-950 ◽  
Author(s):  
Ashley Hesson ◽  
Elizabeth Langen
Keyword(s):  
Pregnancy Termination ◽  
Respiratory Morbidity ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Renal Anomalies ◽  
Mortality And Morbidity ◽  
Respiratory Mortality ◽  
Live Births ◽  
Preterm Premature Rupture

Abstract Objective Early-onset oligohydramnios is typically secondary to renal-urinary anomalies (RUA) or preterm premature rupture of membranes (PPROM). We compared neonatal pulmonary outcomes between these etiologies. Methods We conducted a retrospective cohort study of women with oligohydramnios identified before 24 completed weeks of gestation attributed to either PPROM or RUA. Patients were excluded if other fetal anomalies were noted. Respiratory morbidity was assessed by the need for oxygen at 36 corrected weeks or at hospital discharge. Results Of 116 eligible patients, 54 chose elective pregnancy termination. A total of 39.5% of PPROM (n=17/43) and 36.8% of RUA (n=7/19) pregnancies experienced pre-viable loss (P=1.00). Significantly fewer PPROM live births resulted in neonatal mortality (26.9% vs. 75.0%, P<0.01). There was no difference in respiratory morbidity (57.9% vs. 66.6%, P=1.00). The collective incidence of respiratory mortality and morbidity was not different between etiologies (P=0.06). Conclusion This analysis suggests that the prognoses for oligohydramnios due to pre-viable PPROM vs. renal anomalies are similarly grave, though RUA infants experienced a higher rate of neonatal respiratory mortality.

scholarly journals The Impact of COVID-19 Pandemic on Stress and Anxiety of Non-infected Pregnant Mothers

2021 ◽  
Author(s):  
Abolfazl Mehdizadehkashi ◽  
Shahla Chaichian ◽  
Ladan Haghighi ◽  
Nooshin Eshraghi ◽  
Arash Bordbar ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Pregnancy Termination ◽  
Perinatal Care ◽  
Preventive Measure ◽  
Medical Sciences ◽  
Polymerase Chain ◽  
High Level ◽  
The Impact ◽  
Pregnant Mothers

Background: The newly emerging COVID-19 has caused severe anxiety around the world and it is infecting more people each day since there is no preventive measure or definite therapy for the diseases. The present study aimed to evaluate its effect on anxiety and stress of pregnant mothers during perinatal care. Methods: Three–hundred pregnant mothers without COVID–19 infection who were referred to the hospitals affiliated to Iran University of Medical Sciences for delivery during April 2020, based on negative clinical symptoms and the results of polymerase chain reaction (rt-PCR) for COVID–19, were recruited by census method and asked to complete the Persian version of the perceived stress scale (PSS); participants views about their anxiety level and the role of COVID–19 as the source of their stress and worries were recorded. Women who refused to continue the study were excluded. The frequency of variables and mean scores were calculated using SPSS v. 21. Results: Mean age of mothers was 30.20±16.19 years; 31.3% were primigravida and mean gestational age was 38.00±4.14 weeks. Moreover, 16.3% asked for earlier pregnancy termination and 39% requested Cesarean section (C/S). Assessing the mothers’ anxiety revealed a high/very high level of anxiety in 51.3%. The majority felt worried and frustrated because of COVID–19 (86.4%). Social media had a great impact on the level of stress among these mothers (60.3%). Conclusion: COVID-19 pandemic is an important source for the increased anxiety and stress among healthy pregnant mothers.  

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