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首页> 外文期刊>American Journal of Nursing Research >Predicting Adverse Maternal and Neonatal Outcome in Women with Threatened Abortion and Patient Compliance to Its Management
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Predicting Adverse Maternal and Neonatal Outcome in Women with Threatened Abortion and Patient Compliance to Its Management

机译:预测堕胎威胁和患者对治疗的依从性的不良孕妇和新生儿结局

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Threatened abortion is associated with increased incidence of adverse maternal and neonatal outcome. Enhancing patient adherence to the management of this problem is tremendously needed. Aim: to assess maternal and neonatal outcome in women with threatened abortion and determine the level of patient compliance to its management. Subjects and Methods: Prospective and descriptive design was utilized in this study, which was conducted at labor and delivery unit of obstetrics and gynecology department in Mansoura University Hospital, 200 pregnant women diagnosed as having threatened abortion was legible to be selected for the study. Data collection includes; Structured Interviewing Questionnaire sheet, assessment, maternal follow up and patient level of compliance sheets. Results: Findings revealed that 70 (35.0%) women were exposed to different kinds of abortion and 130 (65.0%) continued the pregnancy until delivery. Where they encountered various antenatal complications, 67.7% underwent CS and 5.4% had severe birth asphyxia (0-3) at the 5th minute. Moreover, the majority of women did not adhere to the instruction given about measures used to control infection, reporting danger signals and maintaining good prenatal care (87.0%, 87.0% and 81.0% respectively). Conclusion: The majority of patients continued pregnancy until term and the rest was exposed to spontaneous abortion. Most of them were exposed to adverse maternal and neonatal outcome and the majority showed non-adherence to the prevention and management of threatened abortion. Recommendations: women with threatened abortion should be instructed about the adverse maternal and neonatal outcome of their condition and given an explicit counseling concerning compliance with healthy life style.
机译:先兆流产与不良的母亲和新生儿结局发生率增加有关。迫切需要增强患者对这个问题的处理的依从性。目的:评估先兆流产妇女的母亲和新生儿结局,并确定患者对其管理的依从程度。研究对象和方法:本研究采用前瞻性和描述性设计,该研究在曼苏拉大学医院妇产科的分娩和分娩部门进行,可以明确选择200名被诊断为有流产危险的孕妇。数据收集包括;结构化的访谈问卷表,评估,产妇随访和患者依从性表。结果:研究发现,有70(35.0%)名妇女经历了不同类型的流产,其中130名(65.0%)继续怀孕直至分娩。在他们遇到各种产前并发症的情况下,第5分钟接受CS的占67.7%,发生严重窒息(0-3)的占5.4%。此外,大多数妇女不遵守关于控制感染,报告危险信号和保持良好产前护理措施的指示(分别为87.0%,87.0%和81.0%)。结论:大多数患者继续妊娠直至分娩,其余患者自然流产。他们中的大多数人暴露于不利的母亲和新生儿结局,并且大多数人不遵守预防和处理先兆流产的规定。建议:应当向有流产危险的妇女提供有关其状况不利的母体和新生儿结局的指导,并就遵守健康生活方式给予明确的咨询。

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