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Postpartum Period

Post Partum


Presentation

  • The present report concerns a postpartum patient in whom peliosis hepatis initially presented as active intraperitoneal hemorrhage from peliotic liver lesions, with no obvious etiology.[ncbi.nlm.nih.gov]
  • Although the clinical presentation of this patient was typical of that of PUPPP, it demonstrates an unusual time course with its postpartum presentation.[ncbi.nlm.nih.gov]
  • We present the case study of a 31-year-old lady who had a spontaneous cervical spinal epidural hematoma in the postpartum period and who presented with sudden onset of neck pain and lower limb weakness for which an emergency decompressive laminectomy[ncbi.nlm.nih.gov]
  • We present a case of massive spontaneous hemothorax, which presented during the immediate postpartum period and was initially treated as pulmonary embolism.[ncbi.nlm.nih.gov]
  • This case is presented to raise awareness and review the literature for the critical care of postpartum patients.[ncbi.nlm.nih.gov]
Intermittent Fever
  • Since postpartum day one, she was having intermittent fever spikes. All the routine investigations were normal in the first three weeks. Platelet count started dropping from post-partum day-20 onwards.[ncbi.nlm.nih.gov]
Constipation
  • Constipation can last much longer, though.[healthline.com]
  • Some of the physical changes that may happen during the postpartum period include sweating, leaking urine, constipation, swelling, soreness, and engorged breasts. You will also experience postpartum bleeding and possibly vaginal discharge.[parentweb.com]
  • To ease constipation, drink plenty of water and eat foods that have a lot of fiber. Ask your doctor if you should try a stool softener.[webmd.com]
  • Constipation can also be caused by iron supplements prescribed to get your blood count up to normal, he adds, or if you’re not drinking enough fluids while breastfeeding and become dehydrated.[thebump.com]
  • Many mothers will fear tearing their stitches and wait to have bowel movement, but this will increase chance of constipation and discomfort; stool softeners may also help. (c) Flatus is common, especially after cesarean.[bringingupbaby.com]
Amenorrhea
  • Three indicators of postpartum unmet need consider women to be fully exposed to the risk of pregnancy at different times: right after delivery, after six months of amenorrhea, and at the end of amenorrhea.[popcouncil.org]
  • Postpartum women are more likely to use injectables and the lactational amenorrhea method and less likely to use female sterilization compared with all currently married women.[dhsprogram.com]
  • The lactational amenorrhea method (LAM) is considered 98 percent effective in the first six months if followed carefully (exclusively breastfeeding, on demand).[justmommies.com]
  • Lactational amenorrhea may be your body’s way of telling you that it’s not ready for the next pregnancy yet and your child’s nursing habits may be indicating the same.[health-foundations.com]
  • The Lactational Amenorrhea Method (LAM): Another Choice for Mothers by Miriam H. Labbok, MD, MPH, from Breastfeeding Abstracts , August 1993, Volume 13, Number 1, pp. 3-4. Fact Sheet on the Lactational Amenorrhea Method (LAM) ( PDF version ).[kellymom.com]

Workup

Liver Biopsy
  • Based on clinical, laboratory and liver biopsy findings, two of these patients were considered to have subclinical AIH and were diagnosed by disease flare after delivery.[ncbi.nlm.nih.gov]

Treatment

  • In the absence of a proper response to this treatment, total abdominal hysterectomy is the treatment of choice.[ncbi.nlm.nih.gov]
  • Both amphotericin B and 5-fluorocytosine proved effective for treatment.[ncbi.nlm.nih.gov]
  • Hyperthyroidism can occur during pregnancy and the postpartum period, and the treatment of hyperthyroidism should be considered in the preconception phase.[ncbi.nlm.nih.gov]
  • Early diagnosis, termination of pregnancy, and treatment of complications associated with AFLP significantly reduce maternal morbidity and mortality. While most cases of AFLP occur before delivery, some may occur after vaginal delivery.[ncbi.nlm.nih.gov]
  • Postpartum thrombolytic therapy with recombinant tissue plasminogen activator (rt-PA) is controversial because the treatment may lead to massive bleeding.[ncbi.nlm.nih.gov]

Prognosis

  • What Is the Prognosis for Postpartum Depression? Postpartum depression usually goes away during the months after delivery. Some women have symptoms for months or years.[emedicinehealth.com]

Etiology

  • This case report alerts the psychiatric clinician to consider nonpsychiatric etiologies of psychosis appearing during the postpartum period besides postpartum psychosis.[ncbi.nlm.nih.gov]
  • Utilizing history, physical examination, and laboratory testing, the provider can identify the etiology of hyperthyroidism during the postpartum period.[ncbi.nlm.nih.gov]
  • Hormonal changes as well as hemodymanic stress are some of the factors that have been implicated in the etiology of this condition.[ncbi.nlm.nih.gov]
  • The present report concerns a postpartum patient in whom peliosis hepatis initially presented as active intraperitoneal hemorrhage from peliotic liver lesions, with no obvious etiology.[ncbi.nlm.nih.gov]
  • STUDY SELECTION: Studies in Dutch or English with a clear description of method, covering 1 of our main domains of interest-prevalence, assessment, differential diagnosis, etiology, consequences, and treatment-were selected.[ncbi.nlm.nih.gov]

Epidemiology

  • Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, IR, Iran. 3 Department of Midwifery, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, IR, Iran. 4 Department of Statistics and Epidemiology[ncbi.nlm.nih.gov]
  • Paulo, Brazil. 2 UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, WHO, Geneva, Switzerland. 3 Department of Infectious Disease Epidemiology[ncbi.nlm.nih.gov]
  • Epidemiology 1998 ;9: 441 - 445 13. U.S. Census Bureau. California state and county QuickFacts ( ). 14. Agency for Healthcare Research and Quality. Healthcare Cost and Utilization Project home page ( ). 15.[nejm.org]
  • Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies . BMJ 2007 ; 335 : 806–8. 13 Goodwin , GM , Consensus Group of the British Association for Psychopharmacology .[cambridge.org]
Sex distribution
Age distribution

Pathophysiology

  • In view of its autoimmune pathophysiology the occurrence of this disorder in the postpartum period is not surprising, even though it has not been reported before.[ncbi.nlm.nih.gov]
  • However, the exact pathophysiological process leading to spontaneous coronary artery dissection has not yet been elucidated. The spectrum of clinical presentation ranges from mild symptoms to cardiac arrest.[ncbi.nlm.nih.gov]
  • The pathophysiology of cervical artery dissection appears multifactorial, with evidence suggesting environmental and genetic contributions.[ncbi.nlm.nih.gov]

Prevention

  • Early detection and appropriate management can prevent serious maternal and fetal complications. We also reviewed the literature of MEN2A-affected pregnancies.[ncbi.nlm.nih.gov]
  • Complications arising from hypertensive disorders of pregnancy are among the leading causes of preventable severe maternal morbidity and mortality.[ncbi.nlm.nih.gov]
  • The most popular, were practices for increasing of breast milk (97.9%), preventing incubus "albasması" (81.8%), getting rid of incubus (74.9%), and preventing postpartum bleeding (14.1%).The findings of the study show that traditional practices towards[ncbi.nlm.nih.gov]
  • Abstract Complications arising from hypertensive disorders of pregnancy are among the leading causes of preventable severe maternal morbidity and mortality.[ncbi.nlm.nih.gov]

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