scholarly journals Trichorionic Quadruplet Delivered Beyond 36 Weeks of Gestation: A Case Report and Literature Review

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Fawaz E. Edris
Keyword(s):  
Case Report ◽  
High Risk ◽  
Caesarean Section ◽  
Literature Review ◽  
Gestational Age ◽  
High Risk Pregnancy ◽  
Review Of The Literature ◽  
Risk Pregnancy ◽  
Induced Hypertension ◽  
One Year

Following one year of secondary fertility, a couple conceived with a quadruplet after transfer of three embryos through IVF-ICSI. At 36 weeks and 2 days of gestation, the mother developed gestational induced hypertension and delivered the next day by caesarean section. Pathology confirmed the zygosity to be trichorionic quadramniotic and all four babies were discharged home with their mother on postoperative day 3. Herein, we describe a successfully managed high-risk pregnancy case. A review of the literature was conducted and to our knowledge no other cases with similar criteria ever reached such advanced gestational age.

Gestação de alto risco: epidemiologia e cuidados, uma revisão de literatura / High risk pregnancy: epidemiology and care, a literature review

2021 ◽  
Vol 4 (4) ◽  
pp. 14860-14872
Author(s):  
Thaynara Oliveira Alves ◽  
Raynara Laurinda Nascimento Nunes ◽  
Luis Henrique Alves De Sena ◽  
Fernanda Gonçalves Alves ◽  
Aline Gomes Silva De Souza ◽  
...  
Keyword(s):  
High Risk ◽  
Literature Review ◽  
High Risk Pregnancy ◽  
Risk Pregnancy

scholarly journals Divergências metodológicas entre os estudos que avaliaram a associação entre as síndromes hipertensivas da gestação e a prematuridade: uma revisão integrativa da literatura

2021 ◽  
Vol 10 (12) ◽  
pp. e591101220591
Author(s):  
Elizabeth Paula Franco ◽  
Daniele Marano Rocha ◽  
Silvana Granado Nogueira da Gama ◽  
Maria Elisabeth Lopes Moreira ◽  
Claudia Saunders
Keyword(s):  
High Risk ◽  
Web Of Science ◽  
Premature Neonate ◽  
High Risk Pregnancy ◽  
Pregnancy Induced Hypertension ◽  
Risk Pregnancy ◽  
Induced Hypertension

Objetivos: Avaliar as divergências metodológicas entre os estudos que analisaram a associação entre as síndromes hipertensivas da gestação e a prematuridade. Métodos: Trata-se de em uma revisão integrativa da literatura, realizada entre setembro de 2020 e janeiro de 2021. A busca dos artigos foi realizada nas bases de dados PubMed, Biblioteca Virtual em Saúde, Embase, Web of Science e Scopus com base na combinação dos seguintes descritores: (“Pregnancy Induced Hypertension” OR “High Risk Pregnancy”) AND (“Prematurity” OR “Prematury Birth” OR “Premature Neonate” OR “Neonate Prematurity”).  Resultados e Discussão: Foram encontrados 582 artigos, sendo apenas nove foram selecionados. As principais disparidades metodológicas observadas foram relativas à classificação das síndromes hipertensivas da gestação e da prematuridade, idade das participantes e controle de confundidores. Do total de estudos selecionados, cinco informaram as diferentes diretrizes utilizadas para a classificação das síndromes e seis utilizaram o ponto de corte inferior a 37 semanas para a prematuridade. A maior parte dos artigos encontraram associação entre as diferentes categorias das síndromes hipertensivas e a prematuridade. Conclusão: Mesmo diante das divergências metodológicas observadas entre os estudos, foi verificada associação entre as síndromes hipertensivas da gestação e a prematuridade. Para fins comparativos, é recomendável que novos estudos utilizem as diretrizes internacionais vigentes para definição das síndromes hipertensivas e da prematuridade. Além disso, é importante ressaltar a importância da adequação do pré-natal com intuito de acompanhar e tratar as mulheres com síndromes hipertensivas visando a diminuição das complicações decorrentes desta condição clínica, sobretudo a prematuridade.

scholarly journals Analysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Ryanne Carolynne Marques Gomes ◽  
Marcos Venícios de Oliveira Lopes ◽  
Jaqueline Galdino Albuquerque Perrelli ◽  
Cleide Maria Pontes ◽  
Francisca Márcia Pereira Linhares ◽  
...  
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Literature Review ◽  
Conceptual Analysis ◽  
Concept Analysis ◽  
High Risk Pregnancy ◽  
Analysis Model ◽  
Pregnancy Risk ◽  
Risk Pregnancy ◽  
Definition Of

ABSTRACT Objective: to analyze the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy. Method: an integrative literature review based on the Conceptual Analysis model proposed by Walker and Avant. It was conducted at PUBMED, CINAHL, SCOPUS, LILACS and SciELO, with the descriptors: Complications of pregnancy, Risk Factors, and Pregnancy, High-Risk (from 2008-2020). Result: the sample consisted of 44 articles, which identified two attributes and 21 antecedents of the concept. Conclusion: concept analysis allowed to identify the attributes and antecedents of the “maternal-fetal dyad” concept in high-risk pregnancy, in addition to raising and clarifying ideas. It was possible to identify 12 antecedents that are not included in NANDA-I as well as the need to review the definition of the diagnosis proposed by the taxonomy.

scholarly journals Role of cardiotocography in high risk pregnancy and its correlation with increase cesarean section rate

2016 ◽  
Vol 6 (1) ◽  
pp. 168 ◽  
Author(s):  
Manisha Gupta ◽  
Punit Gupta
Keyword(s):  
High Risk ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
High Risk Pregnancy ◽  
Cesarean Section Rate ◽  
Reactive Group ◽  
Risk Pregnancy ◽  
Nicu Admission

Background: FHR monitoring plays the most important role in management of labouring patient when incidence of fetal hypoxia and progressive asphyxia increases. Now a day’s cardiotocography (CTG) become a popular method for monitoring of fetal wellbeing and it is assisting the obstetrician in making the decision on the mode of delivery to improve perinatal outcome. The aim of the study was to assess the effect of cardiotocography on perinatal outcome and its correlation with caesarean section rate.Methods: In this prospective observational study 201 gravid women with high risk pregnancy in first stage of labour were taken. Result was assessed in the form of Apgar score at five minute, NICU admission, perinatal mortality and mode of delivery. Statistical analysis is done by using Chi square test and p<0.05 is considered as statistically significant.Results: Perinatal morbidity in the form of NICU admission is higher in nonreactive group as compare to reactive group (75.7% v/s 22.8%). Cesarean section rate for fetal distress were higher in nonreactive group (87.8%) in comparison to reactive group (20.5%). So this study suggest that there is significant difference in mode of delivery with increasing chances of caesarean section in cases belong to non-reactive traces (p<0.001).Conclusions: Admission test is non-invasive and the best screening test to evaluate the fetal health and to predict the perinatal outcome but it also associated with increase caesarean section rate.

scholarly journals Dyad Model as a Caring Innovation in High Risk Pregnancy

2021 ◽  
Author(s):  
Sri Wahyuni ◽  
Moses Glorino Rumambo Pandin
Keyword(s):  
Social Support ◽  
High Risk ◽  
Literature Review ◽  
Family Support ◽  
Self Efficacy ◽  
High Risk Pregnancy ◽  
Maternal Role ◽  
Risk Pregnancy

Background Pregnancy is a process of maturity for women that requires adaptation to the changes in their new roles. Adjustment to a new role is not easy, especially if the pregnancy is accompanied by risks, so it is necessary to get treatment to minimize complications. Dyad models that optimize husband or family support are very important to prevent the risk of complications and adapt mothers to their new roles. The purpose of this study was to determine the effect of the dyad model on high-risk pregnancies. The method used with a literature review is through the collection of articles from Scopus, ebsco, ProQuest and PubMed. The results obtained were articles from Scopus 9, Ebsco 107, PubMed 214 and ProQuest 85 which carried out identification, screening and eligibility for 25 articles. Overall results mention. Journals are categorized into 4 groups, Dyad Model and social support, high-risk pregnancy, maternal role and Self Efficacy. Conclusion, there is an effect of the dyad model on care for high-risk pregnancies.

scholarly journals An Account of Labor and Birth Following a High-Risk Pregnancy That Ended in Induction of Labor at 37 Weeks: An Acknowledgment of When Option B Can Still Lead to a Positive Birth Experience

2018 ◽  
Vol 27 (2) ◽  
pp. 66-68
Author(s):  
Lesley Ann Pascuzzi
Keyword(s):  
High Risk ◽  
Gestational Diabetes ◽  
Gain Control ◽  
Induction Of Labor ◽  
High Risk Pregnancy ◽  
Pregnancy Induced Hypertension ◽  
Birth Experience ◽  
Risk Pregnancy ◽  
Induced Hypertension

After two textbook pregnancies, I was not expecting my third to be any different. However, despite feeling well and exercising regularly, at 29 weeks, I was diagnosed with gestational diabetes. After taking insulin, I developed pregnancy-induced hypertension and oligohydramnios. Having studied to become a Lamaze Certified Childbirth Educator in 2017, I was keen to utilize all my learning and follow the six Healthy Birth Practices to avoid repeating the birth experiences I had had in 2012 and 2014. This is an account of when option B is presented as the best option for the safest end to pregnancy and the ways I tried to gain control of what I could the Lamaze way.

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