A Case of Successful Spontaneous Pregnancy after Laparoscopic Radical Trachelectomy with Trans-Abdominal Cervicoisthmic Cerclage Treatment

Women in the reproductive age group diagnosed with cervical cancer can receive radical trachelectomy for fertility preservation. Extremely short cervix following radical trachelectomy could result in cervical incompetence. Although prophylactic cervicoisthmic cerclage is placed at the time of radical trachelectomy, it might not be sufficient to prolong pregnancy. We present a successful term pregnancy after laparoscopic radical trachelectomy and concurrent cervicoisthmic cerclage for early stage cervical cancer.

Multiple Factors in the Second Trimester of Pregnancy on Preterm Labor Symptoms and Preterm Birth

PURPOSE: The aim of this study was to determine the influence of various factors on preterm labor symptoms (PLS) and preterm birth (PB). METHODS: This prospective cohort study included 193 women in the second stage of pregnancy. Multiple characteristics including body mass index (BMI), smoking, and pregnancy complications were collected through a self-report questionnaire. Pregnancy stress and PLS were each measured with a related scale. Cervical length and birth outcome were evaluated from medical charts. Multiple regression was used to predict PLS and logistic regression was used to predict PB. RESULTS: Multiple regression showed smoking experience, pregnancy complications and pregnancy specific stress were predictors of PLS and accounted for 19.2% of the total variation. Logistic regression showed predictors of PB to be twins (OR=13.68, CI=3.72~50.33, p25 (kg/m²) (OR=3.50, CI=1.35~9.04, p<.01) and a previous PB (OR=4.15, CI=1.07~16.03, p<.05). CONCLUSION: The results of this study show that the multiple factors affect stage II pregnant women can result in PLS or PB. And preterm labor may predict PB. These findings highlight differences in predicting variables for pretrm labor and for PB. Future research is needed to develop a screening tool to predict the risk of preterm birth in pregnant women.

Corrigendum: Multiple Factors in the Second Trimester of Pregnancy on Preterm Labor Symptoms and Preterm Birth

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Phenomenological Study on Burnout Experience of Clinical Nurses Who have Turnover Intention

PURPOSE: This study was aimed to understand the meaning and essentials of the experience of burnout for hospital nurses with turnover intention. METHODS: The design was a qualitative research of phenomenological study. Participants: Seven hospital nurses who had worked over three years and had experiences of turnover intention in a hospital with over 400 beds were included. RESULTS: Nine meaningful themes related to burnout experiences and four theme clusters of 1) battery warning sounds almost out; 2) the player who hit the drum and double-headed drum; 3) the target flying arrow without a break; and 4) the pendulum swaying to turn over. Registered nurses (RNs) felt burnout with an overload of work and by the thought that it was illegal action for registered nurses to receive insufficient rewards for their work. RNs also experienced there were no problem solving strategies to verbal violence by patient and medical team. CONCLUSION: The findings show that burnout experiences for those who had turnover intention was developed from the insight that insufficient training to do work independently with over-load for nurses was not ethical. It suggests that it is necessary to rethink training systems for nursing and hospitals to relieve turnover intention.

Relationship among Sexual Consciousness, Reproductive Health Knowledge and Sexual Experience in High School Students / 여성건강간호학회지

PURPOSE: This study was conducted to look at the relationship among sexual consciousness, reproductive health knowledge and sexual experience. METHOD: the subjects were 276 high school students in 4 high schools in Gyonggi Province and Chungnam Province. The data was collected from August 1 to September 10, 2003. RESULT: The average age of the subjects is 16.5 years old, composed of male students, 154 persons (55.8%), and female students, 122 persons (44.2%). The mean scores of sexual consciousness, reproductive health knowledge and the mean level of sexual experience are 28.9, 10.5, and 1.7 respectively. There is a significant difference in sexual consciousness and sexual experience by sex (t=-3.22, p< .001; t=8.17, p< .001), the male students have more sexual experience than the female students, while the girls have a higher sexual consciousness than boys. Sexual consciousness has a negative relationship with reproductive health knowledge and sexual experiences (r=-0.13, p=0.04; r=-0.17, p=0.01). Sexual experience has a positive relationship to reproductive health knowledge (r=0.21, p< .001). CONCLUSION: We can conclude that sexual consciousness and reproductive health knowledge are weakly related to sexual experience. In addition we suggest developing an educational program to enhance sexual consciousness for high school students considering sexual differences.