The journal, “ECFS best practice guidelines: the 2018 revision,” by Castellani et al. (2018), is a revision of the pre-existing management methods that were proposed in 2005, for ensuring the survival of newborns among women who have cystic fibrosis. The researchers re-wrote the journal to provide the ‘best practice’ for the management of cystic fibrosis, which entails pregnant women receiving newborn screening and early specialist care in order to manage pregnancy that involved cystic fibrosis. The article reveals that the management of cystic fibrosis started in the 1950s when the knowledge and availability of the treatment were scarce. With increased developments in the obstetric field, the focus of the management has shifted to the adult population because obstetricians have discovered that the burden of the disease is more associated with increased phenotypic symptoms among the adult population. The article contains a systematic review of the literature on the issue from the past to the present and further proposes the ‘best practice’ recommendations that obstetricians should employ in their line of work. The article suggests that the management of pregnancy complications that are caused by cystic fibrosis can be made easier women receive early psychosocial support regarding their reproductive health.
The systematic review includes revision on incidences of prenatal deaths, in which doctors have observed that women who lacked frequent screening would have miscarriages. The article reviews that in the past, doctors relied on the screening method to prevent deaths of the unborn children. As a result, several programs were introduced to deal with this problem. As the field of obstetrician continued to evolve, the article shows that doctors realized that pregnancy complications were common among women because they lacked access to healthcare resources. Therefore, healthcare provided initiated health provision programs through which health centers were built in many regions to facilitate access for women and provide a clear path to treatment. Afterwards, clinical doctors started making important observations that included reporting women with meconium ileus, a condition that would interfere with newborn screening test results by rendering them false. Eventually, the article reviews the literature on family screening, which was the latest measure that doctors would take to identify phenotypic characteristics which increased the risk of women having cystic fibrosis, consequently leading to pregnancy complications.
Delegate your assignment to our experts and they will do the rest.
The article offered ‘ the best practice’ for the management of cystic fibrosis was by investigating psychosocial factors which increased the risk for the development of cystic fibrosis among pregnant women. The article suggested that some key adulthood decision compounded the problem of cystic fibrosis, which includes the decision to become a parent, having end-of-life diseases, vocational plans, loss of mobility and independence, and ageing factor, among others. The article reveals that such emotional and social problems interfere with women’s fertility to a greater extent, which promotes risk-coping behaviors that are associated with the increased risk for the development of cystic fibrosis. The article suggests that women should constantly receive psychosocial therapies to protect them from developing pregnancy complications.
The research findings supported the results and conclusion because it indicates that the best practice of disease management by identifying predisposing factors, which are mostly related to patients mental states and their emotional behaviors such as depression. This is a modern focus of the healthcare field in which health professionals have noted that psychosocial factors are directly related to patients’ health problems. In fact, one evidence-based practice that is applied in healthcare settings is the early identification of psychosocial challenges is a strategy for the prevention of health complications and diseases.
References
Castellani et al. (2018). ECFS best practice guidelines: the 2018 revision. Journal of Cystic Fibrosis , 17, 153-178.
