在怀孕期间对耶和华见证人的全面管理
Fei San Pang1, Elvin Yee Fan Liaw1, Somsubhra De1
1Department of Obstetrics and Gynaecology, Manipal University College, 75150 Melaka, Malaysia.
Postgraduate medical journal
|June 19, 2023
概括
对耶和华见证人 (JW) 来说,怀孕的管理包括优化产前血液学和在分娩期间采用节血技术,以减少母亲的风险. 这种方法旨在改善拒绝输血的JW母亲的结果.
科学领域:
- 产科和妇科 产科和妇科
- 血液学 血液学 血液学
- 生物伦理学生物伦理学
背景情况:
- 由于他们拒绝输血,耶和华见证人 (JW) 在怀孕期间面临明显更高的发病率和死亡风险.
- 对于怀孕的JW患者的最佳管理,存在有限的指导方针,需要对可用的策略进行审查.
结论:
- 积极的管理策略可以显著降低怀孕的耶和华见证人的发病率和死亡率.
- 需要进一步的研究来完善和扩展为这个不断增长的患者群体提供基于证据的指南.
相关概念视频
Teratogenicity
2.5K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.5K
Rheumatic Heart Disease IV: Nursing Management
23
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
23
Mitral Valve Prolapse III: Nursing Management
18
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
18
Hypertension V: Nursing Management
13
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
13
Rheumatic Heart Disease III: Medical Management
22
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
22
Mitral Stenosis IV: Nursing Management
15
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
15


