| Nursing considerations in the case of multifetal pregnancy reduction. | |
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MedLine Citation:
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PMID: 20453594 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Cindy M Little |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2010-05-10 Completed Date: 2010-08-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7605941 Medline TA: MCN Am J Matern Child Nurs Country: United States |
Other Details:
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Languages: eng Pagination: 166-71 Citation Subset: IM; N |
Affiliation:
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Drexel University, Philadelphia, PA, USA. cml333@drexel.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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