The death of a child before birth (or fetal death) represents a great loss for parents and families, constituting a traumatizing, difficult-to-forget, and feared event during the next pregnancy. The ...complications of the pregnancy jeopardize the dreams and expectations of the parents, who have pinned all their hopes on the birth of their child. Therefore, our objective was to study how women experience and face the situation of pregnancy loss based on the investigation of its cognitive (perceptions and meanings) and emotional (feeling) aspects. We took a sample of 11 women being cared for in conjunct housing in a public maternity ward located in Rio de Janeiro. Verbal reports collected were analyzed according to Bardin’s methodology of content analysis. It was observed that the moment of fetal death is marked among the women by reactions of shock and denial, followed by a state of depressed mood, lack of motivation, low self-esteem, and fear of further losses. We discuss how the support of the family and a healthcare team are essential to the recovery from the experience of pregnancy loss. A morte do filho antes do nascimento ou óbito fetal representa, geralmente, grande perda para pais e familiares constituindo acontecimento traumatizante, lembrado e temido em uma próxima gestação. A involução da gestação coloca em suspenso os sonhos, as esperanças, as expectativas e as esperas existenciais que os pais normalmente depositam no nascimento da criança. Diante disso, nosso objetivo foi estudar como mulheres vivenciam e enfrentam a situação de perda gestacional, com base na investigação dos aspectos cognitivos (percepções e significados) e emocionais (sentimentos) relacionados. Participaram 11 mulheres internadas no alojamento conjunto de uma maternidade pública, localizada na cidade do Rio de Janeiro. Os relatos verbais coletados foram analisados de acordo com a Metodologia de Análise de Conteúdo de Bardin. Observou-se que o momento do óbito fetal é marcado por reações de choque e negação, seguido de um estado de humor deprimido, desmotivação, autoestima baixa e medo de novas perdas para aquelas mulheres. Discute-se o suporte familiar e da equipe de saúde como essencial para a elaboração da vivência da perda gestacional. La muerte del niño antes del nacimiento o el óbito fetal representa una gran pérdida para los padres y las familiares constituyendo un evento traumatizante, recordado y temido en un próximo embarazo. La involución del embarazo pone en suspenso los sueños, las esperanzas, las expectativas y las esperas existenciales que los padres generalmente depositan en el nacimiento del niño. Por lo tanto, nuestro objetivo fue estudiar la experiencia de las mujeres al enfrentar la situación de pérdida del embarazo, basándose en la investigación de los aspectos cognitivos (percepciones y significados) y emocionales (sentimientos) relacionados. Los participantes del estudio fueron 11 mujeres hospitalizadas en el alojamiento de una maternidad pública de referencia, localizada en la ciudad de Río de Janeiro. Los informes verbales recogidos fueron analizados de acuerdo a la metodología de análisis de contenido de Bardin. Se observó que el momento de la muerte fetal se caracteriza por reacciones de shock y la negación, seguido por un estado de ánimo deprimido, falta de motivación, baja autoestima y el miedo de las mujeres frente a nuevas pérdidas . Se discute el apoyo de la familia y del equipo de salud como aspecto esencial para el desarrollo de la experiencia de la pérdida del embarazo.
Background: Miscarriage and stillbirth are among the most common pregnancy complications, and could be caused by several factors, among these factors are viral infections some of them are obvious ...teratogenic and others are associated with fetal defects like severe anemia in the case of Parvovirus B19 which could be transmitted vertically causing fetal infection and miscarriage or stillbirth.
Objective: To investigate the seroprevalence of Parvovirus B19 among women with miscarriage and stillbirth and compare them with normal pregnant women in the city of Mosul-Iraq.
Patients and Methods: A case-control study conducted on pregnant aged 16-45 years with miscarriage and stillbirth admitted to Al-Khansa Teaching Hospital in Mousl city. The samples were collected during the period from November 2022 and January 2023 from 160 from pregnant women, 80 of them had miscarriage or stillbirth, and the other 80 had normal uneventfull pregnancy (control). Serum samples were subjected for ELISA Study of anti-B19V IgG and IgM antibodies.
Results: This study showed that the seroprevalence rate of anti-B19V IgG among pregnant women was about 23% (37 out of 160), subdivided into (40%) 32 out of 80 patients, and (6.2%) 5 out of 80 controls had positive anti-B19V IgG antibody which is significantly different. And IgM seroprevalence was about 22% (35 out of 160), in which (38.8%) 31 out of 80 patients, and (5%) 4 out of 80 controls had positive anti-B19V IgM antibody. Both anti-B19V IgG and IgM were higher among patients who had stillbirth than those who had miscarriage both qualitatively and quantitatively. On the other hand, there is a highly significant association of anti-B19V IgM positivity with maternal anemia.
Conclusion: The study found high association between B19V and miscarriage or stillbirth as compared to normal pregnancy, and this was more common among patients who had stillbirth than those who had miscarriage, with obvious association with maternal anemia, all of the above is among pregnant women from Mosul City in Iraq.
This article describes the clinical audit of the Outpatient Medical Management of Miscarriage Guideline (Guideline 2) within the Gynaecology Emergency Department (GED) at a single site dedicated ...Gynaecology and Maternity Hospital in the UK, the Liverpool Women's NHS Foundation Trust. Clinical audits are quality improvement processes used to identify areas of improvement against a set criterion and, as a result, implement any required change(s) (National Institute for Health and Care Excellence, 2002). An audit ensures that the guidelines have been followed to certify safe, effective treatment for women who have suffered a first trimester missed miscarriage and the audit described in this article analysed the success of treatment in avoiding admission to hospital and further intervention, such as surgery. The main findings of the audit were that the GED fell short on compliance rates against some standards, mainly standard 1 (performing a baseline point of care test to measure haemoglobin) and standard 5 (providing the patient with a follow-up phone call, with higher compliance levels to standards 3 and 4, which are in relation to prescribing and administering the treatment. The audit found that 15% of patients required further intervention such as admission to hospital for observation (9%) and surgical intervention to complete the miscarriage (6%). Further training in the clinical setting is required to ensure improved compliance with all standards. A checklist will also be created to ensure all standards are being met.
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