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Pregnancy Risk (pregnancy + risk)

Distribution by Scientific Domains
Medical Sciences100%

Terms modified by Pregnancy Risk

  • pregnancy risk assessment monitoring system
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    Selected Abstracts

    Practical Assessment of Maternal Cardiovascular Risk in Pregnancy

    CONGENITAL HEART DISEASE, Issue 5 2008
    Nazanin Moghbeli MD
    ABSTRACT Cardiovascular disease in pregnancy is the most common cause of maternal mortality in the developed world and an important cause of heart failure, stroke, and arrhythmia. As more children with congenital heart disease survive into adulthood, there is a more pressing need to understand the risks that pregnancy poses for these women. Pregnancy, labor, and delivery increase the hemodynamic stress on the cardiovascular system and place women with heart disease at increased risk of cardiovascular complications, which include heart failure and death. Systematic assessment of pregnancy risk in these women, ideally before conception, is essential in optimizing maternal and fetal outcomes. This article describes the process of assessing risk of pregnancy-associated cardiovascular complications in women with structural heart disease. We review the current literature on pregnancy risk in women with complex congenital lesions, valvular heart disease, cardiomyopathy, and aortopathy, and suggest an approach to risk stratification. Based on a review of the literature, we report features that pose an increased risk of adverse maternal and fetal outcomes, which include poor maternal functional status; prior history of heart failure, arrhythmia, or cerebral vascular events; cyanosis; poor systemic ventricular function; and severe aortic or mitral stenosis. Pulmonary hypertension and Eisenmenger syndrome place women at exceedingly high risk for cardiovascular complications in pregnancy, including maternal and fetal death. [source]

    Psychometric testing of the Perception of Pregnancy Risk Questionnaire,

    RESEARCH IN NURSING & HEALTH, Issue 5 2009
    Maureen I. Heaman
    Abstract Pregnant women's perception of risk may influence their health behaviors during pregnancy; however, no validated instrument exists to measure those perceptions. The purpose of this study was to refine a new instrument, the Perception of Pregnancy Risk Questionnaire (PPRQ), and conduct psychometric assessment of the final 9-item version. Reliability and validity were assessed using a sample of 199 women in the third trimester of pregnancy. Exploratory factor analysis resulted in a two-factor solution. Evidence of construct validity was demonstrated using the known-groups technique and through convergent validity. Ratings of pregnancy risk correlated with state anxiety level, providing evidence of concurrent validity. The PPRQ had high internal consistency reliability and excellent test,retest reliability. © 2009 Wiley Periodicals, Inc. Res Nurs Health 32:493,503, 2009 [source]

    Responding to sexual assault victims' medical and emotional needs: A national study of the services provided by SANE programs

    RESEARCH IN NURSING & HEALTH, Issue 5 2006
    Rebecca Campbell
    Abstract We measured the consistency with which a national random sample of 110 Sexual Assault Nurse Examiner (SANE) programs provided 17 services to sexual assault victims. SANE programs consistently offered forensic evidence collection, sexually transmitted infection (STI) prophylaxis, information on HIV, information on pregnancy risk, and referrals to community resources. Reasons programs did not routinely offer particular services (e.g., STI cultures, HIV testing/prophylaxis, emergency contraception (EC)) included financial constraints, difficulties balancing medical care with legal prosecution, and affiliations with Catholic hospitals. © 2006 Wiley Periodicals, Inc. Res Nurs Health 29: 384,398, 2006 [source]

    OPINION: Immunologic Abnormality of Intrahepatic Cholestasis of Pregnancy

    AMERICAN JOURNAL OF REPRODUCTIVE IMMUNOLOGY, Issue 4 2010
    Hu Yayi
    Citation Yayi H, Danqing W, Shuyun L, Jicheng L. Immunologic Abnormality of Intrahepatic Cholestasis of Pregnancy. Am J Reprod Immunol 2010; 63: 267,273 Problem, Intrahepatic cholestasis of pregnancy (ICP) is a pregnancy risk because of the possibility of pre-term delivery and sudden intrauterine fetal death. Its pathogenesis is still under discussion. Method of study, The analysis of the recent findings on the complex immunologic events that occur in ICP were performed. Results, In ICP, an increase of type 1 cytokine (TNF-,, IFN-,) associated with a decrease of type 2 cytokine (IL-4). The decreased production of the suppressor cytokine TGF-,2 may increase the type 1 cytokine. Fas appeared to be increased and FasL appeared to be decreased in syncytiotrophoblasts of ICP. The human leukocyte antigen gene (HLA-G, E) in extravillous trophoblasts of ICP were significantly decreased. Conclusion, Th1/Th2 cytokine balance and HLA play important roles in the tolerance and maintenance of pregnancy. ICP may be resulting from breach of the maternal fetal immune tolerance during pregnancy. [source]

    Knowledge, use and attitudes towards emergency contraceptive pills among swedish women presenting for induced abortion

    BJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 2 2002
    Gunilla Aneblom
    Objective To investigate the knowledge, experiences and attitudes towards emergency contraceptive pills (ECP) among women presenting for induced abortion. Design Survey by self-administered waiting room questionnaires. Setting Three large hospitals in the cities of Uppsala, Västerås and Örebro in Sweden. Population 591 Swedish-speaking women consecutively attending the clinics for an induced abortion during a four-month period in 2000. Results The response rate was 88% (n= 518). As many as 43% had a history of one or more previous abortions and 43% were daily smokers. Four out of five women, 83%, were aware of ECP, but only 15 women used it to prevent this pregnancy. Fewer, 38%, knew the recommended timeframes for use and 54% had knowledge of the mode of action. The two most common sources of information about ECP were media and friends. One out of five, 22%, had previously used the method, and at the time of conception, 55% would have taken ECP if it had been available at home, and 52% were positive to having ECP available over the counter. Conclusions Emergency contraception is well known but is still underused. Lack of awareness of pregnancy risk may be one limiting factor for its use. Making ECP available over the counter may be an important measure towards better availability. Information strategies to the public are needed before ECP will be a widely used back-up method. [source]