【流产的特点与流产后妇女的权利】。

Magdalena Lewicka, Magdalena Sulima, Maria Pyć, Barbara Stawarz
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摘要

“流产”一词是指在妊娠22周之前终止妊娠,或考虑到胎儿体重(小于500克)的标准。大约15-20%的已确认的妊娠和流产涉及囊胚从子宫腔中自然排出。这构成了妊娠前12周流产的80%。文献列举了许多导致流产的因素。最常见的流产原因是:遗传、解剖、免疫和激素因素以及感染。大量流产仍然无法解释(特发性流产)。流产的临床症状包括出血和疼痛。出血或点滴是流产的最早征兆。患者的病史、体格检查、超声检查和hCG水平测试数据可以帮助诊断妊娠早期出血,帮助评估风险程度,并根据孕妇的需要实施适当的治疗方案和护理。流产是一个涉及产科、流行病学、公共卫生、心理学和其他专业的跨学科问题。医疗人员在照顾失去孩子的妇女方面的作用,无论周数和治疗程序如何,以及提供关于失去孩子的妇女权利的充分信息。向妇女宣传其权利的义务涉及医务人员,在照顾流产后妇女的医生、护士和助产士中宣传这方面的知识非常重要。
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[Characteristics of miscarriage and women's rights after pregnancy loss].

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.

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