摘要:

Awareness of pregnancy-related skin changes can facilitate improved care of women during pregnancy by identifying those skin changes that require further evaluation. Women experience significant endocrine and metabolic changes during pregnancy that can cause both physiologic and pathologic alterations in the skin, nails, and hair. This review discusses the physiologic changes and pruritic dermatoses that are specifically associated with pregnancy. The effect of pregnancy on preexisting skin diseases and safe treatment options for usage during pregnancy will be provided.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Several pathogens that have been identified as teratogenic or fetotoxic have associated dermatologic changes when active infection is present. Viral and bacterial teratogenic pathogens include herpes simplex virus 1, herpes simplex virus 2, varicella-zoster virus, cytomegalovirus, human papilloma virus, human parvovirus B19, rubella, viral hepatitis, syphilis, and gonorrhea. This article focuses on the characteristic dermatologic manifestation of these diseases in pregnancy; diagnostic strategies; interpretation of maternal and fetal laboratory test results; treatment of the pregnant woman, fetus, and newborn; and congenital outcomes of treated and untreated infection. Emphasis is placed on vaccination and prevention of transmission of infection to pregnant women.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Intrahepatic cholestasis of pregnancy (ICP) is a disease predominantly of the third trimester of pregnancy, characterized primarily by pruritus, biochemical disturbances in liver enzymes, and less frequently jaundice. Although maternal pruritus can be severe, overall maternal morbidity and mortality associated with ICP is low. However, fetal morbidity and mortality are significant with associated risks for meconium-stained amniotic fluid, acute onset of fetal compromise, spontaneous preterm labor, and intrauterine fetal demise. Current literature recommends obstetric management that includes frequent fetal surveillance with delivery when fetal lung maturity has been established.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The dermatologic examination of the pregnant woman with abnormal cervical cytology can be a challenge to the clinician. This article explores both the laboratory and clinical examinations and the special issues of each that are affected by pregnancy. The technique of obtaining an adequate Pap test as well as guidelines on managing the abnormal Pap result will be addressed. Normal and abnormal colposcopic findings are described with reasons why they may be more difficult to differentiate in pregnancy. As long as no invasive cancer is found, the pregnancy may proceed with continued surveillance. Postpartum regression rates of intraepithelial neoplasia are high.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The skin serves many purposes, acting as a barrier to infection, protecting internal organs, contributing to temperature regulation, storing insulating fats, excretng electrolytes and water, and providing tactile sensory input. This article focuses on a review of normal skin structure and function and selected neonatal skin disorders. The disorders reviewed are Staphylococcal scalded skin syndrome, epidermolysis bullosa, and the ichthyoses. The basis for each skin disorder is presented. Nursing management and skin care are incorporated into the review of each selected disorder.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

A critical challenge for care providers is improving the outcomes for premature infants. The issues of how to control various kinds of stimulation, provide appropriate sensory stimulation, and maintain the quality of life of premature infants becomes the central focus of care given in neonatal intensive care units. Therefore, intervention research studies that improve the development and quality of life for premature infants are vitally important. This article comparatively analyzes and critiques five intervention studies of premature infants using tactile stimulation and provides future research directions in this area. By examining the effectiveness of the tactile stimulation studies, some evidence and guidance can be provided for researchers generating knowledge in this area as well as nurses involved in clinical care.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The principles of wound healing have been studied and evaluated extensively in the animal and human adult models. Practical application has been long in coming to the neonatal and critical care settings. Neonatal nurses have the ability to significantly affect the outcome of wound healing through the care they provide and the approaches that they take to caring for wounds. The article reviews pertinent literature to provide an evidence base for optimal wound care activities. An outcome-oriented, functional approach to product selection is described to help nurses meet the goals of protection, cleansing, moist wound healing, and appropriate dressing and care of wounds specific to the neonatal population.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID