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Journal Entry
During my recent experiences in women's reproductive health, I had to deal with three patient cases that I think have impacted my professional growth.
The first was a 33-week pregnant woman experiencing her first pregnancy who developed preeclampsia. With this patient, we had to deal with the issues of managing the sudden onset of high blood pressure and the possibility for organ damage (Judy et al., 2019). From this, I realized the importance of early detection and properly effective but also fast management. We had a good team of obstetricians, midwives, and nurses to work with, and our approach was guided by the ACOG guidelines. All the same, I felt that this experience sharpened my skills in patient counseling, especially in a high-risk situation like this. If faced with a similar situation in the future, I would advocate for even more frequent monitoring for such high-risk patients.
The second challenging case was a 33-week pregnant woman diagnosed with herpes type 2. The primary concern here was ensuring the neonate was not exposed to the virus during delivery. This case brought directly to my attention the significance of antiviral prophylaxis and the potential need for a cesarean section to prevent neonatal...…prioritize high-risk patients and ensure they receive adequate time for counseling, as this is an important focus for me.
Reflecting on my communication and feedback, I see areas for improvement. I need more exposure to high-risk obstetric cases and will communicate this to my Preceptor. I believe I'm making good progress, but I also see the need to bolster my patient counseling skills. My Preceptor's feedback has been constructive; they've given me more confidence in my decisions and emphasized the importance of continuous learning. Its all been instrumental in refining my approach to women's reproductive health, especially the importance of evidence-based practice,…
References
Humphries, H., Upfold, M., Mahlase, G., Mdladla, M., Gengiah, T. N., & Abdool Karim, Q.
(2022). Implants for HIV prevention in young women: Provider perceptions and lessons learned from contraceptive implant provision. Plos one, 17(1), e0262043. https://doi.org/10.1371/journal.pone.0262043
Judy, A. E., McCain, C. L., Lawton, E. S., Morton, C. H., Main, E. K., & Druzin, M. L. (2019).
Systolic hypertension, preeclampsia-related mortality, and stroke in California. Obstetrics & Gynecology, 133(6), 1151-1159. DOI: 10.1097/AOG.0000000000003290Samies, N. L., & James, S. H. (2020). Prevention and treatment of neonatal herpes simplex virusinfection. Antiviral research, 176, 104721. https://doi.org/10.1016/j.antiviral.2020.104721
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