Lewicka Magdalena, Sulima Magdalena, Pyć Maria, Stawarz Barbara
Ann Acad Med Stetin. 2013;59(1):123-9.
The term "miscarriage" refers to the end of pregnancy before the 22nd week of gestation, or taking into account the criterion of foetal weight (less than 500 g). Approximately 15-20% of recognized pregnancies and miscarriage involve spontaneous expulsion of the blastocyst from the uterine cavity. This constitutes about 80% of miscarriages in the first 12 weeks of gestation. The literature lists a number of factors which cause the loss of pregnancies. The most frequently cited causes of abortion are: genetic, anatomical, immunological and hormonal factors, and infections. A large number of miscarriages remain unexplained (idiopathic miscarriages). Clinical signs of miscarriage include bleeding and pain. Bleeding or spotting is the earliest sign of miscarriage. Data from the patient's history, physical examination, ultrasound examination and tests for hCG level can enable diagnosis of bleeding in early pregnancy, help to assess the degree of risk, and implement an appropriate treatment regimen and care for pregnant women adapted to their needs. Loss of pregnancy is an interdisciplinary problem involving obstetrics, epidemiology, public health, psychology, and other specialities. The role of medical personnel in the care of women after the loss of a child, regardless of the week and therapeutic procedures, as well as for giving adequate information regarding the rights of women after pregnancy loss. The obligation to inform women of their rights concerns medical staff, and it is important to promote knowledge in this field among doctors, nurses and midwives who care for women after miscarriage.
“流产”一词指妊娠在孕22周前结束,或根据胎儿体重标准(小于500克)。大约15 - 20%已确认的妊娠会发生流产,其中包括胚泡自子宫腔自然排出。这约占妊娠前12周流产的80%。文献列举了许多导致妊娠丢失的因素。最常被提及的流产原因有:遗传、解剖、免疫和激素因素以及感染。大量流产原因不明(特发性流产)。流产的临床症状包括出血和疼痛。出血或点滴出血是流产最早的迹象。患者病史、体格检查、超声检查以及hCG水平检测的数据可用于诊断早期妊娠出血,有助于评估风险程度,并实施适合孕妇需求的适当治疗方案和护理。妊娠丢失是一个涉及产科、流行病学、公共卫生、心理学及其他专业的跨学科问题。医疗人员在孕妇流产后的护理中的作用,无论孕周和治疗程序如何,以及为流产后妇女提供关于其权利的充分信息。告知妇女其权利是医务人员的义务,在照顾流产后妇女的医生、护士和助产士中推广该领域的知识很重要。