Original Quantitative Research Question: Does use of progesterone in early pregnancy explain viable pregnancies in patients with a history of miscarriage?
Change One: In pregnant patients with a history of miscarriage, how does progesterone use compared to no treatment affect the viability of a pregnancy within nine months?
Change Two: In a random sample of pregnant women with a history of recurrent miscarriage of unknown etiology, how does the application of 400 mg of progesterone, vaginally, twice daily for the first twelve weeks of pregnancy compared to no treatment affect the viability of a pregnancy within 26 weeks of gestation?
P - Population: A random sample of pregnant women with a history of recurrent miscarriage with unknown etiology
I - Intervention: Application of 400 mg of progesterone, vaginally, twice daily for the first 12 weeks gestation
C – Comparison: No treatment
O – Outcome: Viable pregnancy at 26 weeks gestation
T – Time: Seven months
Article One
Palagiano, A., Bulletti, C., Pace, M. C., de Ziegler, D., Cicinelli, E., & Izzo, A. (2004). Effects of vaginal progesterone on pain and uterine contractility in patients with threated abortion before twelve weeks of pregnancy. Annals of the New York Academy of Sciences, 1034, 200-210. doi:10.1196/annals.1335.022
This study evaluated the effects of supplemental progesterone use on pain and uterine contractions in early pregnancy. This study presents a new consideration for this topic and could be
In the United States today, 25% of all pregnancies end in abortion (Abortion: All Sides). With so many lives in the balance, one of the primary arguments has become the physical health of women who have abortions. Of the women that previously had a surgical abortion 90% said they would prefer the pill if they had another abortion and would recommend it to others (Robinson). However one of the side effects of RU 486 is bleeding up to 9 days, compared to a surgical abortion’s five day duration (Robinson). The recovery process is quicker with a surgical abortion but more traumatic. One death in 200,000 occur with a surgical abortion, compared to one in 500,000 with the abortion pill. Both of these alternatives are far safer for the mother than childbirth that claims one death in every 14,300 births (Robinson). These statistics prove that the safest alternative for the mother in the event of a pregnancy is an abortion using the abortion pill and the most dangerous is going through with childbirth. However the safest thing for the child is natural childbirth by far. The voice of the life in question is never heard and it has a one hundred percent chance of death in the first 2 cases.
Women may have an abortion for a variety of reasons, but in general they choose abortion because a pregnancy at that time is in some way wrong for them. “Abortion is the removal of a fetus from the uterus before it is mature enough to live on its own” (Kuechler 1996). When this happens spontaneously we call it a miscarriage. Induced abortion is brought about deliberately by a medical procedure that ends pregnancy. Legal abortion, carried out by trained medical practitioners, is one of the most common and safest surgical procedures. “About 1.5 million American women choose to have induced abortions each year. Less than 1% of all abortion patients experience a major complication associated with the procedure” (Kuechler 1996).
The method used to study the hypothesis was by having 328 women completed five surveys up to 72 hours postpartum. They were between the ages of 18-42. Out of the group 68.6% were married or living with a partner and 43.3% had a job. The average number of years the women spent in school was 8.8yrs. More than half (59.2%), did not complete high school and only 2% (6) completed higher education. From the group, 19.2% of them had a miscarriage before. More than half (51.5%) had already
Another of the widely important subissues I chose to research was whether or not “post-abortion syndrome” is a relevant medical term that affects a large amount of women. The term “post-abortion syndrome” is not recognized by
Maternal mortality represents more than the loss of lives for individual women, as it also reflects the larger value and prioritization of women 's health and threatens the health and survival of families, young children, and even the communities in which they live (Royston and Armstrong, 1989). Maternal mortality is unacceptably high (WHO, 2015b). Globally, approximately 830 women die every day from pregnancy- or childbirth-related complications (ibid.). The causes of maternal mortality are predominately preventable and can be classified into three fundamental causes: (1) medical - consisting of direct medical problems and pre-existent/coexistent medical problems that are aggravated by pregnancy, (2) underlying - social and legal conditions, and (3) health systems laws and policies that address availability, accessibility, and quality of reproductive health services (PHP et al, 2011).
My question is as follows: In the patient population, ages sixteen to twenty-nine, how does abortion with the FDA approved pill compare to manual extraction with the way it affects the physical and mental health of the female patient
This statement indicates that a woman who had aborted in the past has a higher percentage of the first-trimester during a period of her pregnancy. And it also indicates that this woman probably has a higher risk of breast cancer more than the other women who have never been aborted. Moreover, the Nesting place also operates a crisis pregnancy center to provide some helpful services, such as providing free pregnancy tests, food, and also babies items, as
P1: The risk of dying from childbirth is about 13 times that for early abortion, and the
Statement of Problem: Abortion is defined as the deliberate termination of a human pregnancy, most often performed during the first 28 weeks of pregnancy. Today, especially here in the United States of America, there is a growing issue and debate around the idea of abortion. There is a stigma against abortion because of the possibility of negative religious, political, medical, emotional, and mental consequences it may cause. Each year, worldwide there is an estimated 42 billion abortions that take place. This number does not include abortions that are not performed by professionals. The big issue alongside with abortion itself, is the affects it has on the mental health of females who undergo the procedure.
Abortion is very harmful to women both physically and emotionally, it can easily to cause infection or hemorrhaging, and may also cause infertility, or lifelong regret.
Miscarriages happens because of different reasons. Gerber-Epstein, Leichtentritt, and Benyamini (2009) mention that around one third of females go through one miscarriage in their life. They also mention that in the past decades, there has been more studies in the miscarriage topic since it has become a common issue. Kjaersgaard et al. (2013) mentions that antidepressants can be a cause of
In our case the couple is facing a recurrent loss, while the woman is 32 years old the man is 40 years old, they have been trying unsuccessfully to have children for two years and five spontaneous abortions have occurred for five conceptions. By using the term recurrent pregnancy loss is typically defined as the occurrence of three or more consecutive pregnancy loss. A pregnancy loss is defined as a clinically-recognized pregnancy involuntarily ending before 20 weeks, we mean the inability of a couple to succeed pregnancy after they try for one year at least especially when the woman is older than the age of 35.Also they mention for the woman to have terminated a pregnancy six years ago and having taken contraceptives until two and a half years
The article, Birth outcomes after induced abortion: a nationwide register-based study of first births in Finland. A positive association between IA and risk of preterm birth or a dose-response effect has been found in some previous studies. Limited information and conflicting results on other infant outcomes are available. It is poorly understood if there are specific ages at which adverse outcomes during pregnancy and childbirth start to increase (threshold-ages). The purpose of this study was to examine at which maternal ages the use of maternity care and the risks for adverse maternal and infant outcomes increase. National data from the Finnish Medical Birth Register including all first-time mothers aged 20 years or over with singleton
From taking this class, I have gained significant understanding of biological determinants of women’s health. Learning about the number of unique biological risks women face is important to understand for me because I am a woman and this risks are likely to pertain to me as well. One of topic of biological aspect of women’s health we covered in class were risks factors associated with pregnancy, its complication and pregnancy itself. Understanding about maternal death and number of causes such as hemorrhage, sepsis, hypertensive, and abortion