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유산 문헌고찰 보고서

"유산 문헌고찰 보고서"에 대한 내용입니다.
2 페이지
한컴오피스
최초등록일 2023.09.04 최종저작일 2023.07
여성건강간호학 여성건강간호실습 여성실습 간호학
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유산 문헌고찰 보고서
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  • 미리보기

    소개

    "유산 문헌고찰 보고서"에 대한 내용입니다.

    목차

    1. 종류
    2. 특징
    3. 간호중재

    본문내용

    Threatened abortion(절박유산)
    - 임신유지 가능, 자궁경관-닫혀있음
    - 20주 이전에 출혈이 동반되는 것
    - 임신 유지가 가능하다는 점에서
    계류, 완전, 불완전 유산 등과는 구별

    - 침상 안정, 성관계 금지, 질 분비물 관찰
    - 아세트아미노펜 이용한 통증치료가 도움 될 수 있고, 추적 관찰을 위해 질 초음파, 연속적인 혈청 hCG 및 황체 호르몬(progesterone)의 측정을 시행
    - 자궁수축 시 입원 필요

    Inevitable abortion(불가피유산)
    - 임신유지 불가능, 자궁경관-개대
    - 자궁경부 개대 및 양막이 파열된 형태
    - 하복부 통증과 출혈이 지속, 양막이 터지고 자궁 문이 열리면서 하혈과 함께 태아와 임신 부산물이 빠져나옴
    - 출혈 심하고 계속될 때는 즉시 수혈과 함께 자궁내막 소파술(D&C) 시행

    참고자료

    · 없음

  • AI와 토픽 톺아보기

    • 1. Threatened abortion(절박유산)
      Threatened abortion, also known as a threatened miscarriage, is a condition where there is vaginal bleeding or other signs of potential pregnancy loss, but the fetus is still alive and the cervix remains closed. This is a common occurrence in early pregnancy, affecting up to 20% of pregnancies. While it can be a concerning situation, many women with threatened abortion go on to have a healthy pregnancy and delivery. The key is to seek prompt medical attention, follow the recommendations of healthcare providers, and try to reduce stress and activity levels during this time. With proper monitoring and care, the pregnancy often continues without further complications. It's important to remain hopeful and focus on the well-being of the developing baby.
    • 2. Inevitable abortion(불가피유산)
      Inevitable abortion, also called an inevitable miscarriage, is a situation where the cervix has dilated and the membranes have ruptured, making a miscarriage unavoidable. This can occur due to factors like severe placental abruption, cervical incompetence, or uterine abnormalities. In these cases, the pregnancy cannot be saved, and the focus shifts to managing the miscarriage process safely and minimizing any potential complications for the woman. Healthcare providers will typically recommend options like expectant management, medication to assist the miscarriage, or a surgical procedure to remove the pregnancy tissue. While an inevitable abortion is a difficult experience, it's important for the woman to receive compassionate care, emotional support, and information about the process and her options. With proper medical attention, the risk of complications can be reduced, and the woman can begin the healing process both physically and emotionally.
    • 3. Incomplete abortion(불완전유산)
      An incomplete abortion, also known as a partial miscarriage, occurs when the pregnancy tissue is expelled from the uterus, but some remains behind. This can lead to ongoing bleeding, cramping, and the risk of infection. Incomplete abortions require prompt medical attention to ensure the remaining tissue is removed, either through medication or a surgical procedure like a dilation and curettage (D&C). Leaving an incomplete abortion untreated can lead to serious complications, so it's crucial for the woman to seek care from a healthcare provider. With proper management, the risk of complications can be minimized, and the woman can recover both physically and emotionally from the experience of an incomplete abortion. It's important to provide compassionate support and education to help the woman understand the process and her options for treatment.
    • 4. Complete abortion(완전유산)
      A complete abortion, or complete miscarriage, is a situation where all of the pregnancy tissue has been expelled from the uterus, and the cervix has closed. This is considered a natural and normal outcome of a miscarriage, as the body has successfully completed the process of pregnancy loss. While a complete abortion can still be an emotionally difficult experience, it generally carries a lower risk of complications compared to other types of miscarriage. The woman may still experience bleeding and cramping, but these symptoms typically resolve within a week or two. Healthcare providers will often recommend expectant management, allowing the body to complete the process naturally, or may prescribe medication to help expel any remaining tissue. With proper monitoring and support, a complete abortion can allow the woman to begin the healing process, both physically and emotionally, and prepare for a future pregnancy if desired.
    • 5. Missed abortion(계류유산)
      A missed abortion, also known as a missed miscarriage, is a situation where the fetus has died, but the pregnancy tissue has not been expelled from the uterus. This can occur without the woman experiencing any obvious symptoms of miscarriage, such as bleeding or cramping. Missed abortions are often discovered during a routine prenatal ultrasound or when the woman reports a lack of pregnancy symptoms. While a missed abortion does not pose an immediate threat to the woman's health, it is important to seek medical attention to manage the situation. Healthcare providers may recommend options like medication to induce the miscarriage, or a surgical procedure to remove the pregnancy tissue. Missed abortions can be emotionally challenging, as the woman may have been unaware of the loss and may need additional support and counseling during this difficult time. With proper medical care and emotional support, the woman can navigate the process of a missed abortion and begin the healing process.
    • 6. Septic abortion(패혈유산)
      A septic abortion, also known as an infected abortion, is a serious and potentially life-threatening complication that can occur during a miscarriage or abortion. It is characterized by an infection in the uterus, often caused by the presence of bacteria or other pathogens. Symptoms may include fever, chills, abdominal pain, and foul-smelling vaginal discharge. Septic abortions require immediate medical attention, as the infection can quickly spread and lead to sepsis, a potentially fatal condition. Treatment typically involves antibiotics, and in some cases, a surgical procedure to remove any remaining pregnancy tissue. It is crucial for healthcare providers to recognize and promptly manage septic abortions to prevent severe complications and ensure the woman's safety. Ongoing support and monitoring are essential during the recovery process, as the woman may also need emotional support to cope with the traumatic experience.
    • 7. Habitual abortion(습관성 유산)
      Habitual abortion, also known as recurrent pregnancy loss, is a condition where a woman experiences three or more consecutive miscarriages. This can be a deeply distressing and challenging situation for the woman and her partner. Potential causes of habitual abortion include genetic factors, hormonal imbalances, autoimmune disorders, uterine abnormalities, and other medical conditions. Thorough evaluation and testing by a healthcare provider are essential to identify the underlying cause and develop an appropriate treatment plan. This may involve medications, surgical interventions, or assisted reproductive technologies, depending on the specific factors contributing to the recurrent losses. Emotional support and counseling are also crucial during this process, as the experience of multiple miscarriages can be traumatic and take a significant toll on the woman's mental health. With a comprehensive, compassionate, and personalized approach, many women with habitual abortion can go on to have successful pregnancies and deliveries.

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