Humanization is the action or the effect of humanizing, to become human or to be more human, to become benevolent, to be friendly. 1 Humanization in health leads to a change in management services and health systems, modifying as so, the interaction among patients and professionals. One of its main objectives is to provide a better care service for the patients and a better working condition for the employees. 2 Fetal Medicine is an area dedicated to promote maternal and fetal health, it is considered as a subspecialty in Gynecology and Obstetric. The Fetologist has competent abilities to promotes prevention and performs diagnostic or therapeutic procedures related to pregnancy. These procedures vary from a consultation to a genetic counseling, risk calculation for the chromosomal diseases, preeclampsia or preterm labor, even intrauterine fetal surgery. 3 The main tool used in Fetal Medicine is the ultrasound, which has specific purposes in every trimester of gestation. 4 As this is a medical specialty that is based on images, it can cause little proximity with the patient when it is compared to a purely clinical specialty. 5 Based on this fact, one might ask: why not humanize Fetal Medicine? How could this be possible? A humanized care recognizes the patient's rights, valuing the quality of care from a technical point of view, as well as professional recognition. 6 For this purpose, simple measures which have been lost with the increase of demands and overcrowded hospitals and medical offices should be rethought and put into practice daily. To perform an obstetric ultrasound examination became something mechanical with little or no physicianpatient relationship. These professionals use machines to describe the exam report, to only inform the mother that everything is normal or not. The reception in receiving the patient at the door with a simple greeting and permitting the companion to enter can make a difference. Calling the patient by her name, sitting and talking to the patient about prenatal or comorbidities that were acquired during pregnancy, discovering reasons to do an exam, to explain the purpose and to be evaluated. All of this transforms that moment of tension for the mother or family in a reliable and secure environment. Thus, in order to make the patient feel calmer and more secure regarding to the pregnancy, is showing and explaining the image on the screen by using resources, for example, the three-dimensional (3D) image, when it is available, this may be a useful and simple tool to humanize fetal medicine. During a humanized childbirth, the companion is allowed to participate, as well as to take pictures and film this special moment, registering memories to be shared by the parents with family, friends and in the future, with the child. The ultrasound is also considered a special moment in which the fetus is observed and imagined. Based on this, why is this moment not allowed to be registered? Why is the image of the face not allowed to be shown and not even the fetal's sex? Studies suggest that ...
Introduction Some studies suggest that maternal touch of the abdomen produces an increase in the number of movements of the fetus. However, the influence of maternal touch of the abdomen on fetal cardiotocography patterns has not been studied. Methods This nonrandomized, before‐after clinical trial that assessed fetal cardiotocography patterns during maternal touch of the abdomen in 28 low‐risk pregnant women. Results Baseline fetal heart rate, accelerations, decelerations, and variability did not change with maternal touch of the abdomen, but fetal movements increased ( p = 0.044). Conclusion Fetal movements increases during maternal touch of the abdomen.
A antitrombina é um anticoagulante endógeno responsável por inibir uma série de enzimas envolvidas na cascata de coagulação. Sua deficiência é rara, foi descrita pela primeira vez em 1965, tem caráter autossômico dominante, e está associada à trombose familiar. Este estudo trata-se de uma revisão narrativa de literatura realizada nas bases de dados do PubMed Central (PMC), da MEDLINE e da COCHRANE. Ao todo, 12 artigos foram elegíveis em nossa pesquisa. A análise das publicações indica que a antitrombina é um anticoagulante endógeno que inativa uma série de fatores de coagulação. Sua deficiência é rara, mas aumenta significativamente o risco de eventos tromboembólicos, principalmente na gestação. O diagnóstico dessa desordem e o conhecimento da efetividade do tratamento são os primeiros passos para reduzir os eventos adversos desta doença na gestação.
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