CaseStudy: Beth’s Pregnancy Loss
Case study: Beth’s Pregnancy Loss
A threatened abortion refers to a vaginal bleeding that might beevident during the first 20 weeks of the period that a woman ispregnant. At times, the pregnant woman might even experienceabdominal cramps same as the vaginal bleeding (Dongol et al., 2012).Such symptoms might reveal that a miscarriage is possible at the sametime. Apart from the bleeding, the pregnant woman might alsoexperience intense lower back pain instead.
A threatened abortion is quite different from an inevitable abortionbased on the extent of the vaginal bleeding that a pregnant womanexperiences. In fact, an inevitable abortion looks at the way a womanwill experience extended bleeding in the long-run (Dongol et al.,2012). It also reveals that the pregnant woman can no longer sustainthe pregnancy that she earlier had. Unfortunately, the bleeding tendsto take a longer time while the blood clots and it will evenfacilitate some intense pain in the lower abdominal part (Dongol etal., 2012). Hence, the victim will experience more pain that what apregnant woman with a threatened abortion will undergo.
With reference to Beth’s case, the major causes of recurrentspontaneous abortion might vary depending on the particular body partaffected. For instance, the uterine malformation is one of the causesand mostly results in the uterine septum, which is an abnormalitythat will then interfere with the uterine cavity (Nigro et al.,2011). A weak cervix is also known to cause miscarriages and evenresult in preterm deliveries. Hence, a pregnant woman needs toundergo regular medical check-up and settle such issues before theyget out of hand. Chromosomal disorders might result in a balancedtranslocation in one of the partners causing severe problems on thefetus. In fact, the chromosomal disorders are the reason whykaryogram has to be conducted to prevent the woman from experiencingother miscarriages in the future (Nigro et al., 2011). Thechromosomal disorders have been a common problem, and it is advisablethat the couple seeks medical advice before getting pregnant. Apartfrom that, the endocrine disorders have proved to be another problemthat might cause the recurrent bleeding in a pregnant woman.
There is the need for the nurses to intervene and help the familiesto deal with the early pregnancy loss that they are experiencing.First, they should explain the reasons that led to the pregnancy lossand suggest various ways that will prevent the same issue fromoccurring. The nurse should also encourage the parents to expresstheir grief rather than keeping it to themselves. A nurse should alsoinsist that grief is one phase of the healing process, and theyshould proceed with the same (Lang et al., 2011). Apart from that, anurse should discourage the couple from trying to become pregnant asan approach to replace the lost pregnancy.
Yes. I believe that there is a difference between early and latepregnancy losses. For instance, the patient and her family are oftenless emotionally attached to the baby during the early stages of thepregnancy, and a loss might not be that painful. However, as thepregnancy proceeds, people become more attached to the baby and begingiving gifts and suggesting names as well. Hence, a late pregnancyloss is often painful because a large part of the family and thepatient had been emotionally attached to the baby.
In conclusion, athreatened abortion and an inevitable abortion are quite different,and one should often seek medical help. More importantly, prior tobeing pregnant, it is advisable to seek medical help to prevent therecurrent spontaneous abortion that might occur because some of themarise from the chromosomal and endocrine disorders that might beprevented early enough. The nurses will provide the medical and thepsychological support during the grieving period after a woman haslost her unborn child.
Dongol, A., Mool, S., & Tiwari, P. (2012). Outcome of pregnancycomplicated by threatened abortion. Kathmandu University MedicalJournal, 9(1), 41-44.
Lang, A., Fleiszer, A. R., Duhamel, F., Sword, W., Gilbert, K. R., &Corsini-Munt, S. (2011). Perinatal loss and parental grief: Thechallenge of ambiguity and disenfranchised grief. OMEGA-Journal ofDeath and Dying, 63(2), 183-196.
Nigro, G., Mazzocco, M., Mattia, E., Di Renzo, G. C., Carta, G., &Anceschi, M. M. (2011). Role of the infections in recurrentspontaneous abortion. The Journal of Maternal-fetal & NeonatalMedicine, 24(8), 983-989.