Background. Around 30% of pregnancies conclude in a gestational loss. Most women who suffer a gestational loss become pregnant again. However, mothers who have experienced this situation live the new pregnancy with fear and anxiety. Objective. To perform an update of the main works done in the study of post-traumatic stress and related symptoms during pregnancy after a gestational loss. Method. The Medline database was consulted. Articles published from 2007 to date were selected. Key words related to the topic of study were used. Results. The studies reviewed showed five entities that deserve attention during a pregnancy achieved after a gestational loss: post-traumatic stress, depression, anxiety, relationship, and relationship with the future child. There is a relationship between the presence of post-traumatic stress and the risk of developing depression and anxiety. Discussion and conclusion. Women who experience perinatal loss, regardless of the type of loss and the gestational age in which it occurs, are at risk of continuing grief, symptoms of depression, anxiety, and post-traumatic stress in later pregnancy. The gestational age and the time elapsed between the perinatal loss and the next pregnancy seem to be the most influential factors in the development of post-traumatic stress sindrome, and symptoms of dysfunctional grief, anxiety, and depression.

The frequency of pregnancies in women being treated with hemodialys is increasing in recent years. Increasing fertility in these patients is due to improving the efficiency of dialysis, along with the clinical management of renal failure. However, pregnancy in these patients remains a challenge, due to frequent complication ssuch as preeclampsia, severe prematurity, polyhydramnios, etc. Currently, there is an aument of fetal survival and reduced maternal and fetal morbidity and mortality. This case is about pregnancy in hemodyalisis treatment with threat of premature birth in 27+2 weeks. Nursing diagnoses have been made following the NANDA -NOC -NIC taxonomy, in order to visualize the need for an adequate care plan in these patients.