Nepyivoda Oksana M, Ryvak Tetiana B
Department Of Clinical Pharmacy, Pharmacotherapy And Medical Standardization, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
Wiad Lek. 2020;73(5):1021-1027.
The aim is to examine the state of a miscarriage of pregnancy problem and approaches to its solution based on current Ukrainian and international experience; to investigate a relevant set of terms and their interpretations that are tangible to the above-mentioned problem.
Materials and methods: modern information sources available for miscarriage and pregnancy loss. System analysis, bibliographic, bibliosemantic, comparative-and-analytical methods were used.
Conclusions: A relevant set of terms and their interpretations tangential to the identified problem (n=13) have been researched. It was found that the achievement of rational pharmacotherapy in patients with the threat of miscarriage is complicated mainly by the presence of 4 factors: extragenital pathology, burdened obstetric-gynecological anamnesis, lack of adequate drugs and possibilities of their prescription, especially in the 1st half of pregnancy. Disregarding these factors when prescribing medicines increases the risk of drug-related problems occurrence, prolongation of hospitalization and the adverse outcome of treatment (miscarriage). The results of the analysis of available information flow have shown the existence of terminological ambiguity related to the threat of miscarriage, in particular, there are often the following terms: spontaneous abortion, threatened abortion etc. instead of miscarriage, the threatened miscarriage which are recommended by international experts both in native Ukrainian and foreign researches. Unintended use of inadequate terms, in particular, «pregnancy failure» may form negative influence on women, cause the exaggeration of their condition, induce the feeling of despair, guilt, uncertainty associated with loss of the pregnancy.
基于当前乌克兰和国际经验，研究妊娠流产问题的现状及其解决方法；调查与上述问题相关的一组术语及其解释。
材料与方法：可获取的关于流产和妊娠丢失的现代信息来源。采用系统分析、文献学、文献语义学、比较分析方法。
结论：研究了与已确定问题相关的一组术语及其解释（n = 13）。发现流产威胁患者实现合理药物治疗主要因4个因素而复杂化：生殖器外疾病、复杂的妇产科病史、缺乏足够的药物及其处方可能性，尤其是在妊娠前半期。开药时忽视这些因素会增加药物相关问题发生、住院时间延长及治疗不良结局（流产）的风险。对现有信息流的分析结果表明，与流产威胁相关存在术语歧义，特别是经常出现以下术语：自然流产、先兆流产等，而非国际专家在乌克兰国内和国外研究中推荐的流产、先兆流产。不恰当术语的不当使用，特别是“妊娠失败”，可能对女性形成负面影响，导致她们夸大自身病情，引发绝望、内疚、与妊娠丢失相关的不确定感。
