Perinatal loss is a tragic event in a woman's life and is a time filled with much aguish and · grief. The care a women and her family receive during a perinatal loss experience can have an incredible impact on future subsequent pregnancies. Subsequent pregnancies have shown to be filled with apprehension and anxiety that can potentially lead to complications such as preterm labor or another loss. Depressive symptoms and decreased prenatal attachment are additional factors that play a role in the experience of a subsequent pregnancy. The purpose of this thesis was to complete a comprehensive review of research studies concerning the experiences of women and subsequent pregnancies after suffering a perinatal loss and develop strategies that can be used to promote effective coping in this population. A review of the literature was conducted using Cumulative Index of Nursing and Allied Health Literature Plus with Full Text, PubMed, and Medline databases. Results found higher pregnancy anxiety, more depressive symptoms, and decreased prenatal attachment in couples with a history of perinatal loss, a lack of bereavement education for nurses and midwives, and emphasized the need for support for both families and health care providers. Coping strategies for women and their families were identified and specific nursing implications for practice were established in order to facilitate coping in women and families.

Submitted by Socorro Pontes (socorrop@ufersa.edu.br) on 2017-05-09T14:57:28Z No. of bitstreams: 1 IlannaVPMO_DISSERT.pdf: 678162 bytes, checksum: 8003e44133f57aea25bafe46976c4bb5 (MD5) / Made available in DSpace on 2017-05-09T14:57:29Z (GMT). No. of bitstreams: 1 IlannaVPMO_DISSERT.pdf: 678162 bytes, checksum: 8003e44133f57aea25bafe46976c4bb5 (MD5) Previous issue date: 2017-02-20 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / Although infertility and pregnancy loss in cats are still little studied, it is known that the viral causes stand out when referring to this context. Aiming at this, this study aimed to identify the prevalence of viral agents that trigger reproductive pathologies that culminate in abortion, stillbirth and neonatal mortality in cats treated at the Veterinary Hospital of the Federal Rural Semi-Arid University. Samples of blood from each mother (26 pregnant females) were collected for hemogram, renal and hepatic biochemistry and blood glucose analysis. Ultrasound examination was performed to evaluate fetal viability. When possible, placentas, humors and fetal tissues were collected. Blood samples were tested by qPCR and were negative for Feline Leukemia (FeLV) and Feline Immunodeficiency (FIV) viruses. In the test qPCR and PCR for the presence of the feline Alpha hespervirus type 1 (FHV-1), only one sample of maternal blood was positive. Tissues from fetuses from this female were negative for FHV-1. All maternal samples were positive by qPCR and PCR for Feline parvovirus (FPV) or canine (CPV). The hemogram and biochemistry results were significant in the findings of neutrophilia, lymphopenia and monocytosis, in addition to the discrete increase in liver biochemistry (ALT and AST). Associating these findings with positive Parvovirus (PV) maternal results suggests this agent as the cause of the abortments and stillbirths in the studied cats / Embora a infertilidade e a perda da prenhez em gatas sejam ainda pouco estudadas, sabe-se que as causas virais se destacam quando referente à esse contexto. Diante disso, este estudo objetivou identificar a prevalência de agentes virais desencadeadores de patologias reprodutivas que culminam com abortamento, natimortalidade e mortalidade neonatal em gatas atendidas no Hospital Veterinário da Universidade Federal Rural do Semi-Árido. Amostras de sangue de 26 fêmeas gestantes foram coletadas para realização de hemograma, bioquímicas renal e hepática e análise da glicemia. Além disso, exame de ultrassonografia foi realizado para avaliação da viabilidade fetal. Quando possível, coletaram-se placentas, humores e tecidos fetais. As amostras sanguíneas foram testadas através de qPCR e foram negativas para os vírus causadores de Leucemia felina (FeLV) e Imunodeficiência felina (FIV). Nos testes qPCR e PCR para presença do Alpha hespervírus felino tipo 1 (FHV-1), apenas uma amostra de sangue materno mostrou-se positiva. Tecidos dos fetos oriundos desta fêmea foram negativos para FHV-1. Todas as amostras maternas foram positivas para Parvovírus felino (FPV) ou canino (CPV) pelos teste qPCR e PCR. Os resultados de hemograma e bioquímica apresentaram significância nos achados de neutrofilia, linfopenia e monocitose, além de aumento discreto das bioquímicas referentes à fígado (ALT e AST). Associando esses achados aos resultados maternos positivos para o Parvovírus (PV) sugere-se este agente como causador dos abortamentos e natimortalidades nas gatas pesquisadas / 2017-05-09

The thesis deals with the issue of spontaneous abortion as well as induced termination of pregnancy and its potential negative impacts on woman's mental and physical health. The theoretical part summarizes the findings about particular kinds of pregnancy loss and defines the possibilities of psychological adaptation to this loss. The author paid the close attention to Post-abortion syndrome (PAS), which is regarded as a special form of Post- Traumatic Stress Disorder. The thesis is further focused on the emotional, social, psychological and physical effects following abortion, the most threatened group of women with a higher probability of having PAS and finally the way of medical treatment. In the empirical part, the main symptoms of PAS were detected by means of the Helpline database analysis. Detection of these syndromes enabled to compile the questionnaire related to pregnancy loss. The main task was to discover the perceived changes in a woman's life after the pregnancy loss. In the final part of the work, the questionnaire regarding pregnancy loss had been tested and finally the main benefits together with limits had been critically evaluated.