scholarly journals Manual Vacuum Aspiration in IUFD 18 Weeks

2021 ◽  
Vol 21 (2) ◽  
pp. 114-148
Author(s):  
Ivanna Beru Brahmana
Keyword(s):  
Fetal Death ◽  
Ultrasound Examination ◽  
Uterine Cavity ◽  
Intrauterine Fetal Death ◽  
Minimal Risk ◽  
The Third ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration ◽  
Post Abortion

Manual Vacuum Aspiration (MVA) is an action to evacuate the uterine cavity up to 14 weeks gestation. In a more extensive pregnancy, it is worried that the action of the MVA is less clean so that it will still repeat the action of sharp curettage.  This article reports a multigravida aged 42 years old, G5P2A2, intrauterine fetal death (IUFD) at 18 weeks, undergoing MVA. Diagnosis of IUFD was performed using ultrasound examination. Before MVA was done, the patient was previously given 100 μg of misoprostol orally for dilation. This pregnancy was the third pregnancy with a second husband, all of whom had abortions. Manual Vacuum Aspiration had a minimal risk of uterine injury. After MVA was conducted, ultrasound examination was repeated to confirm a clean uterine cavity. It had been carried out on an indication of IUFD of 18 weeks gestation with the result of a clean uterine cavity and minimal bleeding. Furthermore, Post-Abortion Intra-Uterine Device (PAIUD) was installed adequately, not causing complaints. Based on the result, it can be concluded that MVA is effective for evacuation of uterine cavities on 18 weeks gestation.

Optimization of the treatment-diagnostic approach to manual vacuum-aspiration at post-partum pyo-inflammatory diseases

2018 ◽  
pp. 40-45
Author(s):  
O.V. Bulavenko ◽  
◽  
L.R. Ostapiuk ◽  
V.O. Rud ◽  
A.S. Voloshinovskii ◽  
...  
Keyword(s):  
Fluorescence Spectroscopy ◽  
Inflammatory Diseases ◽  
Post Partum ◽  
Uterine Cavity ◽  
Short Wave ◽  
Main Group ◽  
Optimal Time ◽  
Control Group ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration

The problem of postpartum pyo-inflammatory diseases requires the introduction of new approaches to its solution and optimization of diagnostic and therapeutic developments. The objective: was to determine the optimal time for manual vacuum aspiration of the uterus in postpartum endometritis, correction of therapeutic tactics and control of patients in the framework of the method of fluorescence spectroscopy. Materials and methods. The main group – 170 women with postpartum pyo-inflammatory diseases, control group – 40 women with uncomplicated course of the postpartum period. Their blood serum was examined using the method of fluorescence spectroscopy, in particular after manual vacuum aspiration of the uterus. Results. Fluorescence spectra were studied for 40 women of control group and 170 women of the main group, among them in 44 (25.8%) – in the dynamics during the treatment after manual vacuum aspiration of the uterine cavity. In 93.2% of the patients in the main group after it an increase in fluorescence intensity and max displacement in the short-wave region were recorded, which was a reliable sign of improving the condition of the patients. Conclusion. The use of the method of fluorescence spectroscopy in postpartum endometritis after manual vacuum aspiration of the uterus significantly helps to improve the monitoring of the process of treatment and, if necessary, to correct it in order to recover the patients in time. Key words: endometritis, manual vacuum aspiration of the uterus, the method of fluorescence spectroscopy.

Morphological features of dichorionic triamniotic triplet pregnancy complicated by intrauterine death of two fetuses in the surrogacy program

2021 ◽  
Vol 20 (3) ◽  
pp. 169-173
Author(s):  
N.S. Trifonova ◽  
E.E. Rudenko ◽  
K.I. Lavrent'eva ◽  
L.S. Aleksandrov ◽  
E.V. Zhukova ◽  
...  
Keyword(s):  
Fetal Death ◽  
Multiple Pregnancy ◽  
Immunological Tolerance ◽  
Intrauterine Fetal Death ◽  
Intrauterine Death ◽  
Term Pregnancy ◽  
Triplet Pregnancy ◽  
The Third ◽  
Pregnancy And Delivery ◽  
Live Fetus

A clinical case of management of a pregnant woman (surrogacy) with dichorionic triamniotic triplets, self-reduction of one fetus from triplets in the gestation period of 13 weeks, intrauterine death of the second fetus at week 20 of pregnancy and delivery of the third live fetus in full-term pregnancy. Key words: surrogacy, triplets, multiple pregnancy, intrauterine fetal death, immunological tolerance

scholarly journals Optimization of the observation of postpartum pyo-inflammatory diseases in patients after vacuum-aspiration using the method of fluorescent spectroscopy

2018 ◽  
Vol 22 (1) ◽  
pp. 156-159
Author(s):  
O.V. Bulavenko ◽  
L.R. Ostapiuk ◽  
V.O. Rud ◽  
A.S. Voloshinovskii ◽  
T.S. Maliy
Keyword(s):  
Fluorescence Spectroscopy ◽  
Inflammatory Diseases ◽  
Uterine Cavity ◽  
Short Wave ◽  
Maternity Hospital ◽  
The State ◽  
Optimal Time ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration ◽  
Short Wave Region

The growth of the frequency of postpartum purulent-inflammatory diseases requires the development of new approaches to their early diagnosis and treatment. The purpose of the study is to choose the optimal time for manual vacuum aspiration in patients with postpartum endometritis and to control the state of patients after it, using the method of fluorescence spectroscopy. The results of treatment of 392 patients who were on inpatient treatment in the gynecological department №2 of the City Clinical Maternity Hospital №2 were analyzed. Of these, 120 patients were selected for the diagnosis of which, in addition to the standard algorithm, the method of fluorescence spectroscopy was included. Manual vacuum aspiration was performed in 96 cases (80,0%). In 15% of patients, after vacuum-aspiration of the uterine cavity, blood serum tests using the method of fluorescence spectroscopy were carried out in dynamics. In 92,8% of them, an increase in fluorescence intensity and a shift of lmax in the short-wave region was observed, which was a reliable sign of improving the condition of the patients. Thus, the improvement of the state of patients after vacuum aspiration was confirmed at the appropriate level, using the method of fluorescence spectroscopy, which is a reliable method of diagnostics of postpartum purulent-inflammatory diseases.

scholarly journals Midwives’ Integration of Post-Abortion Manual Vacuum Aspiration in the Democratic Republic of Congo: A Mixed Methods Case Study & Positive Deviance Assessment

2020 ◽  
Author(s):  
Kirsty Marie Bourret ◽  
Sylvie Larocque ◽  
Amélie Hien ◽  
Carol Hogue ◽  
Kalum Muray ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Positive Deviance ◽  
Republic Of Congo ◽  
Abortion Care ◽  
Vacuum Aspiration ◽  
Post Abortion Care ◽  
Manual Vacuum Aspiration ◽  
Post Abortion

Abstract Background: Despite a recognized need for midwives to provide post abortion care, there exist barriers preventing them from integrating lifesaving skills such as manual vacuum aspiration (MVA) into practice. This collaborative research with the Professional Association of Congolese Midwives (SCOSAF), sought to understand how certain midwives in the Democratic Republic of Congo (DRC) have overcome barriers to successfully integrate MVA for post abortion care. Specifically, in order to provide locally-driven solutions to the problem of inadequate post abortion care in the DRC, this study aimed to identify examples of positive deviance, or midwives who had successfully integrated MVA in complex working environments following an in-service training facilitated by their midwifery association, SCOSAF.Methods: Creswell’s mixed method comparative case study design was used to identify positive deviant midwives who had practiced MVA one or more times post training and to explore their strategies and enabling factors. Other midwives who had not practiced MVA post training permitted for a comparison group and further interpretations. Sources of data included a sequential survey and semi-structured interviews. Results: All 102 midwives invited to be surveyed were recruited and 34% reported practicing MVA post training (positive deviant midwives). No statistical significance was found between the two groups’ demographics and practice facility type. Overall, both groups had positive attitudes regarding midwifery-led MVA and legalization of abortion. Positive deviant midwives demonstrated and described more confidence and competence to practice and teach MVA. They were more likely to identify as teachers and overcome interprofessional barriers by teaching MVA to physicians, medical students and other midwives and position themselves as experts during post abortion emergencies.Conclusion: Results provided important insight to midwives’ integration of post abortion care in Kinshasa. Strategies used by positive deviant midwives in emergencies allowed them to navigate challenging contexts in order to practice MVA, while simultaneously increasing the credibility of their profession and the dissemination of evidenced-based MVA practice. Programs designed to work with and promote positive deviant midwives as knowledge brokers could be tested for their overall impact on the diffusion of midwifery-led MVA to improve access to safe, respectful reproductive care.

scholarly journals Midwives’ Integration of Post-Abortion Manual Vacuum Aspiration in the Democratic Republic of Congo: A Mixed Methods Case Study & Positive Deviance Assessment

2020 ◽  
Author(s):  
Kirsty Marie Bourret ◽  
Sylvie Larocque ◽  
Amélie Hien ◽  
Carol Hogue ◽  
Kalum Muray ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Statistical Significance ◽  
Republic Of Congo ◽  
Abortion Care ◽  
Vacuum Aspiration ◽  
Post Abortion Care ◽  
Manual Vacuum Aspiration ◽  
Post Abortion

Abstract Background: This collaborative research with the Professional Association of Congolese midwives (SCOSAF) in the province of Kinshasa, Democratic Republic of Congo sought to understand how midwives have integrated manual vacuum aspiration (MVA) for post abortion care. Methods: A positive deviant approach to Creswell’s mixed method comparative case study design was used to identify midwives who have integrated MVA post training and to explore enabling factors. Case group comparisons of positive and non-positive deviant midwives provided further interpretations. Results: All 102 midwives invited to be surveyed were recruited. They included 34% who reported practicing MVA post training. No statistical significance was found between the two groups’ demographics and facility type. Overall, groups had positive attitudes regarding midwifery, MVA, and legalization of abortion. Positive deviant midwives demonstrated and described more confidence and competence to practice and teach MVA. They were more likely to identify as teachers and overcome interprofessional barriers by teaching MVA to physicians, medical students and other midwives and position themselves as experts during post abortion emergencies.Conclusion: Results provided important insight to midwives’ integration of post abortion care in Kinshasa. Strategies used by positive deviant midwives in emergencies allowed them to navigate challenging contexts in order to practice MVA, while simultaneously increasing the credibility of their profession and the dissemination of evidenced-based MVA practice. Programs designed to work with and promote positive deviant midwives as knowledge brokers could be tested for its overall impact on the diffusion of midwifery led MVA to improve access to safe respectful reproductive care.

scholarly journals Prenatal Tactics Of Ultrasonographic Examination Of The Fetus In Early Pregnancy

2012 ◽  
Vol 4 ◽  
Author(s):  
Shahnoza Kamalidinova
Keyword(s):  
Pregnant Women ◽  
Fetal Death ◽  
Chromosomal Abnormalities ◽  
Ultrasound Examination ◽  
First Trimester ◽  
Intrauterine Fetal Death ◽  
Fetal Ultrasound ◽  
Abnormal Pregnancy ◽  
First Trimester Of Pregnancy ◽  
Fetal Defects

To study defects and chromosomal abnormalities of the fetus, we retrospectively analyzed results of comprehensive dynamic survey of 26,404 pregnant women aged 18-50 years old at 6 to 40 weeks of pregnancy. Of them, 25,956 (98.3%) women had physiological course of pregnancy, 448 (1.7%) women had abnormal pregnancy. For the diagnosis of fetal defects, we carried out ultrasound, biochemical, invasive and cytogenetic studies. The results of study showed that the majority of fetal defects and pathological course of pregnancy was noted in women at the age of 21-25 years old, since at this age period women have the highest number of pregnancies. At the older age, we noted a gradual decrease in the number of pregnant women, as well as the number of abnormalities of the fetus. Based on the analysis of the results obtained, we have developed an algorithm for early fetal ultrasound examination. In order to exclude non-developing pregnancy and intrauterine fetal death, as well as for early diagnosis of fetal defects, we recommend screening women in the first trimester of pregnancy.

scholarly journals Rejection of a contraceptive method during the immediate postpartum period in adolescent patients

2016 ◽  
Vol 4 (7) ◽  
Author(s):  
María Guadalupe Torres Paredes ◽  
Guillermo Barragán Ramírez
Keyword(s):  
Informed Consent ◽  
Birth Control ◽  
Postpartum Period ◽  
Contraceptive Method ◽  
Contraceptive Methods ◽  
Vacuum Aspiration ◽  
Lack Of Information ◽  
Manual Vacuum Aspiration ◽  
Adolescent Patients ◽  
Post Abortion

Adolescents generally have little information on the correct use of contraception and fertility, increasing the risk of pregnancy. The aim of this study was to determine why adolescents do not accept contraception during the immediate postpartum period. Adolescent patients included presented 12 to 19 years old, who signed the letter of informed consent, they were in immediate postpartum, post-abortion (implemented curettage, manual vacuum aspiration) or pot-cesarean section and who did not accept the use of a contraceptive method. A total of 148 patients with a mean ± SEM age of 17.3 ± 1.3 years were included. Only 107 (90.7%) of the patients had prenatal care, and only 77 (72%) of the patients were guided about the contraceptive methods that could be used in the immediate postpartum period. The 3 main reasons to reject contraception were: ignorance about contraception that she can use (n = 26; 22%), the couple will use birth control (n = 16; 13.6%) and she has no partner (n = 12; 10.2%). In conclusion, we observed that most teens do not use contraception, mainly due to lack of information or by leaving the responsibility to their partner.

scholarly journals A Case of Prenatal Diagnosis of Turner Syndrome with Ultrasonography

2021 ◽  
Vol 5 (1) ◽  
pp. 119-129
Author(s):  
Yusrawati Yusrawati ◽  
Dona Mirsa Putri
Keyword(s):  
Turner Syndrome ◽  
Fetal Death ◽  
Ultrasound Examination ◽  
Neck Region ◽  
Chromosome Analysis ◽  
Ambiguous Genitalia ◽  
Hydrops Fetalis ◽  
Intrauterine Fetal Death ◽  
Subcutaneous Edema ◽  
Cystic Masses

Objective: To report a case of Turner syndrome diagnosed in prenatal care.Method: A case report.Case: Case of Mrs. Y 26-year-old woman G2P1A0L1 diagnosed on 19-20 weeks of gestation with Turner syndrome. Ultrasound examination findings were hydrops fetalis on the neck region, multiple septated cystic masses, subcutaneous edema, ascites, and hydrothorax. Subsequently, amniocentesis was performed and the chromosome analysis result showed Turner syndrome (45, X0). The patient was induced vaginal delivery on 22-23 weeks of pregnancy due to intrauterine fetal death indication. The baby was born with ambiguous genitalia, birth weight 500 grams, birth length 22 centimeters, and Apgar’s score was 0/0. The congenital anomalies discovered include subcutaneous edema, ascites, hydromacolly, and hydrops fetalis.Conclusion: Turner syndrome can be diagnosed at a prenatal period by ultrasound examination. Keywords: Turner Syndrome, Hydrops Fetalis, Ultrasonography

scholarly journals Midwives’ Integration of Post Abortion Manual Vacuum Aspiration in the Democratic Republic of Congo: A Mixed Methods Case Study & Positive Deviance Assessment

2020 ◽  
Author(s):  
Kirsty Marie Bourret ◽  
Sylvie Larocque ◽  
Amélie Hien ◽  
Carol Hogue ◽  
Kalum Muray ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Positive Deviance ◽  
Republic Of Congo ◽  
Abortion Care ◽  
Vacuum Aspiration ◽  
Post Abortion Care ◽  
Manual Vacuum Aspiration ◽  
Post Abortion

Abstract Background: Despite a recognized need for midwives to provide post abortion care, there exist barriers preventing them from integrating lifesaving skills such as manual vacuum aspiration (MVA) into practice. This collaborative research with the Professional Association of Congolese Midwives (SCOSAF), sought to understand how certain midwives in the Democratic Republic of Congo (DRC) have overcome barriers to successfully integrate MVA for post abortion care. Specifically, in order to provide locally-driven solutions to the problem of inadequate post abortion care in the DRC, this study aimed to identify examples of positive deviance, or midwives who had successfully integrated MVA in complex working environments following an in-service training facilitated by their midwifery association, SCOSAF.Methods: Creswell’s mixed method comparative case study design was used to identify positive deviant midwives who had practiced MVA one or more times post training and to explore their strategies and enabling factors. Other midwives who had not practiced MVA post training permitted for a comparison group and further interpretations. Sources of data included a sequential survey and semi-structured interviews. Results: All 102 midwives invited to be surveyed were recruited and 34% reported practicing MVA post training (positive deviant midwives). No statistical significance was found between the two groups’ demographics and practice facility type. Overall, both groups had positive attitudes regarding midwifery-led MVA and legalization of abortion. Positive deviant midwives demonstrated and described more confidence and competence to practice and teach MVA. They were more likely to identify as teachers and overcome interprofessional barriers by teaching MVA to physicians, medical students and other midwives and position themselves as experts during post abortion emergencies.Conclusion: Results provided important insight to midwives’ integration of post abortion care in Kinshasa. Strategies used by positive deviant midwives in emergencies allowed them to navigate challenging contexts in order to practice MVA, while simultaneously increasing the credibility of their profession and the dissemination of evidenced-based MVA practice. Programs designed to work with and promote positive deviant midwives as knowledge brokers could be tested for their overall impact on the diffusion of midwifery-led MVA to improve access to safe, respectful reproductive care.

scholarly journals Midwives’ integration of post abortion manual vacuum aspiration in the Democratic Republic of Congo: a mixed methods case study & positive deviance assessment

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kirsty M. Bourret ◽  
Sylvie Larocque ◽  
Amélie Hien ◽  
Carol Hogue ◽  
Kalum Muray ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Positive Deviance ◽  
Republic Of Congo ◽  
Abortion Care ◽  
Vacuum Aspiration ◽  
Post Abortion Care ◽  
Manual Vacuum Aspiration ◽  
Post Abortion

Abstract Background Despite a recognized need for midwives to provide post abortion care, there exist barriers preventing them from integrating lifesaving skills such as manual vacuum aspiration (MVA) into practice. This collaborative research with the Professional Association of Congolese Midwives (SCOSAF), sought to understand how certain midwives in the Democratic Republic of Congo (DRC) have overcome barriers to successfully integrate MVA for post abortion care. Specifically, in order to provide locally-driven solutions to the problem of inadequate post abortion care in the DRC, this study aimed to identify examples of positive deviance, or midwives who had successfully integrated MVA in complex working environments following an in-service training facilitated by their midwifery association, SCOSAF. Methods Creswell’s mixed method comparative case study design was used to identify positive deviant midwives who had practiced MVA one or more times post training and to explore their strategies and enabling factors. Other midwives who had not practiced MVA post training permitted for a comparison gro cup and further interpretations. Sources of data included a sequential survey and semi-structured interviews. Results All 102 midwives invited to be surveyed were recruited and 34% reported practicing MVA post training (positive deviant midwives). No statistical significance was found between the two groups’ demographics and practice facility type. Overall, both groups had positive attitudes regarding midwifery-led MVA and legalization of abortion. Positive deviant midwives demonstrated and described more confidence and competence to practice and teach MVA. They were more likely to identify as teachers and overcome interprofessional barriers by teaching MVA to physicians, medical students and other midwives and position themselves as experts during post abortion emergencies. Conclusion Results provided important insight to midwives’ integration of post abortion care in Kinshasa. Strategies used by positive deviant midwives in emergencies allowed them to navigate challenging contexts in order to practice MVA, while simultaneously increasing the credibility of their profession and the dissemination of evidenced-based MVA practice. Programs designed to work with and promote positive deviant midwives as knowledge brokers could be tested for their overall impact on the diffusion of midwifery-led MVA to improve access to safe, respectful reproductive care.

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