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4 results

  • Chapter 72 - Adnexal Mass in Pregnancy

  • from Section 12 - Malignant Conditions in Pregnancy
  • Edited by Amira El-Messidi, McGill University, Montréal, Alan D. Cameron, University of Glasgow
  • Book:
    OSCEs in Obstetrics and Maternal-Fetal Medicine
    Published online:
    23 February 2023
    Print publication:
    16 February 2023, pp 909-921

  • Summary

    You are seeing a patient referred by her primary care provider for consultation at your tertiary center’s high-risk obstetrics unit. She is a 37-year-old primigravida currently at 13+2 weeks’ gestation with an incidental 7-cm complex right adnexal mass detected last week on routine first-trimester sonography performed at an external center. Although the ultrasound report is not yet available to you, the consultation note confirms a singleton intrauterine pregnancy with normal fetal morphology and low risk of aneuploidy using sonographic markers. Routine serum prenatal investigations are only significant for iron-deficiency anemia.

  • Chapter 71 - Cervical Cancer in Pregnancy

  • from Section 12 - Malignant Conditions in Pregnancy
  • Edited by Amira El-Messidi, McGill University, Montréal, Alan D. Cameron, University of Glasgow
  • Book:
    OSCEs in Obstetrics and Maternal-Fetal Medicine
    Published online:
    23 February 2023
    Print publication:
    16 February 2023, pp 898-908

  • Summary

    You are covering an obstetrics clinic for your colleague, who left for vacation last week. A healthy 32-year-old primigravida at 13+4 weeks’ gestation called for an emergency appointment after experiencing two episodes of postcoital bleeding over the past week. She met your colleague last week at her first prenatal visit, which was unremarkable. Sonographic dating was appropriate for menstrual age, and first-trimester fetal anatomy was normal. You note that all routine prenatal serum laboratory investigations are normal with low-risk screening tests for fetal aneuploidy. Without a cervical smear in over two years, cytology was performed, and results are expected shortly.

  • A review of pregnancy counseling with abnormal fetuses

  • S. Haqshenas
  • Journal:
    European Psychiatry / Volume 64 / Issue S1 / April 2021
    Published online by Cambridge University Press:
    13 August 2021, pp. S836-S837
    • Article
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      • Open access
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  • Introduction

    This review study examines the cases of improving the therapeutic skills of therapists and areas of counseling and the important cases that midwives have to provide services and manage conditions if Diagnosis of an abnormal fetus requires attention.

    Objectives

    We aim to find the best ways of counseling for helping parents with diagnosed abnormal fetuses

    Methods

    A search conducted by using the keywords congenital anomalies, psychological counseling, prenatal counseling in PubMed, science direct, clinical key and Google scholar search engine. after screening, the complete data of 20 articles were included in this review article.

    Results

    The results showed that pregnancy counseling with abnormal fetuses includes medical and psychological counseling. In medical counseling, knowledge of the types of tests and their interpretation is important, and prenatal screening training programs for health care providers should be revised based on their educational needs. In psychological counseling, to meet the needs of a changing population of clients Midwives in the context of the wider healthcare system need accurate knowledge of religious beliefs and cultural contexts of their clients in order to take the best approach to relevant care. The occurrence of a diagnosis of congenital anomaly during transmission to parents adds to the accumulation of stress-related events that may increase the risk of developing psychological symptoms in the early stages after diagnosis.

    Conclusions

    Considering the different cultures of different countries of the world, midwifery counseling skills play an important part in the diagnostic and therapeutic process. Therefore, creating extraordinary educational programs on university education is needed for midwives.

    Disclosure

    No significant relationships.