妇产科护理课件_1ReviewofMaternal-InfantNursing徐丽华上海交通大学护理学院2006-4-27TrendsinMaternal-InfantNursingCareDevelopmentstandardofcare,certification,advancedpracticenursesHomeHealthcareforpostpartumwomen,-24hoursafterdelivery,highriskinfantsdischargehomeearlierthanbeforeConsumerinvolvedinthechildbearingcare:Childbirthclass,siblingpresent,breast-feeding,birthingenvironment(LDR,LDRP),father’sinvolvement,parentsleaveoptionforfamilywithnewbornMaternalNursingconcernsareasPrenatalcareLowbirthweightMotherandinfantwithHIVinfectionAdolescentpregnancyDrugandsubstanceabuseduringpregnancySocial/familystressandimpactstopregnantwomenandfamilyUseandcareforpregnantwomenSpecialIssuesinWomen’sHealthViolenceSexualTransmittedDiseases:HIV/AIDS86%ofpediatricAIDScasesaretransmittedthroughverticaltransmissionofHIVSubstanceabuseOtherdiseases:Heartdiseases,cancer,osteoporosis,eatingdisordersTheMenstrualCycleOvarianCycle::stimulatedwithFSHtopromotethedevelopmentoffolliclesEstrogen-folliclemature-negativefeedbacktohypothalamusandanteriorpituitarygland–:increaseinbodytemperature(progesteronesecretion),fernpatternofthecervicalmucus,spinnbarkeit“elasticityoftheovulatory”:Corpusluteumandanteriorpituitaryglandwillsecretluteinizinghormones(thedecreaseinEstrogenandprogesterone–positivefeedbacktoHypothalamusandanteriorpituitary-:heMenstrualCycleEndometrialCycle:ProliferativephaseSecretaryphaseMenstrualphaseQuestionFSHstimulateswhichprocessesinthemenstrualCycle?ThinkingofendometriumMaturationoffollicleDecreaseinbasalbodytemperatureIncreaseinprogesteroneproductionInfertilityCareInfertilityaffects15-20%ofthepopulationsinthereproductiveyearsTermstobeunderstood:ArtificialinseminationEndometriosisLaparoscopyPrimaryInfertilitySecondaryInfertilityVaricoceleEndometriosisTermsrelatedtoInfertilityTreatmentInvitroFertilization/embryoTransferGameteintrafallopiantub
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