Document Detail


Nursing considerations in the case of multifetal pregnancy reduction.
MedLine Citation:
PMID:  20453594     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article concerns the issue of multifetal reduction performed in some cases of higher order multiple gestation in order to decrease the possibility of adverse pregnancy outcomes and increase the chances of survival in the remaining fetuses. If multifetal pregnancy reduction is considered as a treatment option, it is usually performed in the first or early second trimester. The decision to reduce one or more fetuses is extremely complicated, and numerous factors must be considered, since the procedure has risks, such as loss of the entire pregnancy or preterm labor and birth of the remaining fetuses. In addition, there are also psychological risks for the mother. Typically women faced with this decision have struggled for years with infertility and now they are asked to consider terminating one or more of the fetuses to prevent morbidity and/or mortality in others. Nurses who work with infertile women may be able to assist in minimizing the need for multifetal pregnancy reduction by educating women about the risks associated with assisted reproductive technologies and higher order multifetal pregnancy before decisions are made about multiple embryo transfers or intrauterine insemination after ovulation induction.
Authors:
Cindy M Little
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  MCN. The American journal of maternal child nursing     Volume:  35     ISSN:  1539-0683     ISO Abbreviation:  MCN Am J Matern Child Nurs     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-08-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7605941     Medline TA:  MCN Am J Matern Child Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  166-71     Citation Subset:  IM; N    
Affiliation:
Drexel University, Philadelphia, PA, USA. cml333@drexel.edu
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MeSH Terms
Descriptor/Qualifier:
Chorionic Villi Sampling
Conflict (Psychology)
Decision Making
Dissent and Disputes
Female
Humans
Maternal-Child Nursing
Mothers / education,  psychology
Nurse's Role
Patient Education as Topic
Pregnancy
Pregnancy Reduction, Multifetal* / education,  ethics,  methods,  nursing,  psychology
Principle-Based Ethics
Reproductive Techniques, Assisted / adverse effects
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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