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Nursing care of women with Hyperstimulatory Syndrome
ŠRÁMKOVÁ, Veronika
During the past few decades, the occurrence of couples unable to conceive in the natural way, whether by the fault of the man or the woman, has been on the increase. In those cases, help is provided by medical science, with assisted reproduction methods, which over the past decades have overcome the limits of clinical experiments and have become routine practice in the treatment of unvoluntarily childless couples or marriages. In view of the steadily growing efficiency of those methods assisted reproduction is an increasingly frequent indication, specifically in the form of in vitro fertilization. Another step was the introduction of infertility treatment by oocyte donation. Both these methods involve the stimulation of ovaries, which may lead to various complications, such as ovarian hyperstimulation syndrome provoked by excessive ovary stimulation. As a result, the capillaries become excessively permeable for the liquid, which penetrates into the enterocoele sac and causes various clinical and laboratory complications. Nursing care is indispensable for such women patients. Midwives should know about all potential complications of assisted reproduction, they should have an individual approach to the patients and show empathy for women in whom a complication has appeared, as such women are experiencing a psychically demanding situation and midwives are of great support to them during hospitalisation. The aims, hypotheses and answers were ascertained by a qualitative survey carried out by non-standardized interviews of women who underwent ovarian hyperstimulation, and by a quantitative survey based on anonymous questionnaires distributed among midwives. All the aims, hypotheses and questions I set myself have been confirmed. My work could be used as information material for women undergoing artificial fertilization, for midwives working with those women and for students who would like to concern themselves with this issue.
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