Presentation
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]
Entire Body System
- Collapse
Massive PE may present with collapse. Friction rub may be heard in the chest. ECG should be performed. It will be abnormal in 41% but may suggest an alternative diagnosis, such as coronary heart disease. CXR should be performed. [patient.info]
Things escalated over the next few days until Sally collapsed and had a psychotic episode: “I kind of had what I’d describe as an out-of-body experience, where I could see the midwives and Jamie [her husband] and people around me. [mosaicscience.com]
[…] hemorrhage at birth and possibly shorten the third stage of labor. [13] The rate of oxytocin administration can be increased to correct uterine atony however rapid infusion of high-dose oxytocin can be associated with significant risk of cardiovascular collapse [emedicine.medscape.com]
- Foul Smelling Discharge
[…] you experience any of the following symptoms: soaking through more than one pad every hour bleeding that’s accompanied by sudden and severe pain a sudden fever bleeding continuously for more than seven days blood clots that are bigger than a softball foul-smelling [healthline.com]
Respiratoric
- Cough
We've used their cold, cough and flu symptoms relief tablets, syrups and creams with great success. Because they are homeopathic - you can start giving them to your kids earlier than traditional medications. [breastfeedingquest.com]
You may also notice that you leak a little every time you cough or laugh. This should get better on its own. You can speed recovery with Kegel exercises. Try tightening your muscles for 5 seconds, 5 times in a row. [webmd.com]
So as embarrassing as it may seem, a little leakage when you cough, sneeze, laugh or lift heavy objects isn’t out of the ordinary. As your body heals, urinary incontinence should resolve itself, usually by the six-week mark. [thebump.com]
• Chest pain or cough. • Painful or frequent urination. • Postpartum bleeding : heavy vaginal bleeding, soaking more than 1 pad per hour or passing large clots. • Painful, red, warm breast may be hard in area and/or flu-like symptoms. [womens-health-advice.com]
- Pertussis
The Tdap vaccine immunizes them against pertussis (whooping cough) and thus reduces the risk of spreading pertussis to unprotected newborns. [merckmanuals.com]
Order any immunizations you may need, such as a tetanus, diphtheria, and pertussis booster shot, a flu shot, or a rubella or chicken pox vaccine. [babycenter.com]
Protect infants against pertussis: cocooning through Tdap vaccination. Washington, DC: AAP. Available at: https://www.aap.org/en-us/Documents/immunization_protect_infants_against_pertussis.pdf. [acog.org]
- Sneezing
(Okay, that one doesn't apply to celeb moms who pretty much sneeze and they're back in their skinny jeans.) [thestir.cafemom.com]
So as embarrassing as it may seem, a little leakage when you cough, sneeze, laugh or lift heavy objects isn’t out of the ordinary. As your body heals, urinary incontinence should resolve itself, usually by the six-week mark. [thebump.com]
Gastrointestinal
- Constipation
Constipation can last much longer, though. [healthline.com]
In the meantime, here’s what you can do for an easier transition: Key features: Adjusting to Motherhood Coping with Body Changes Breast Engorgement Constipation Urine Pain Vaginal Discharge Life After Delivery Your baby's health Feeding [play.google.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]
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]
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]
- Abdominal Pain
The patient developed generalised abdominal pain, distention and fever on the 2nd postpartum day. She was operated on due to acute abdomen. During surgery, generalised peritonitis with a gastric ulcer perforation at the corpus was found. [ncbi.nlm.nih.gov]
It can present as fever, malaise, right ureteral obstruction and hydronephrosis, and right-sided abdominal pain. Missing this diagnosis can result in pulmonary embolism or sepsis. [emdocs.net]
- Diarrhea
Depending on what's causing it, your doctor may prescribe medication to control diarrhea or gas. Watch what you eat: Dairy, gluten, or fatty foods and artificial sweeteners can cause diarrhea for some people. [webmd.com]
She recommends looking for magnesium glycinate—it doesn’t compete with other minerals to get absorbed and is less likely than other forms to cause diarrhea. [todaysparent.com]
[…] restlessness, out of control, or have no energy I’m having difficulty concentrating I find myself withdrawing from family, friends and social situations Some women may have more physical symptoms such as: Feeling weak or feeling flushed Gas, constipation or diarrhea [heretohelp.bc.ca]
- Fecal Incontinence
[2] Adult diapers may be worn in the subacute postpartum period for lochia, as well as urinary and fecal incontinence. [en.wikipedia.org]
Musculoskeletal
- Hip Pain
Back and hip pain like whoa You just birthed a baby and your hips and back will be feeling it. I just thought this was a new normal for awhile, but eventually I went to a chiropractor and a masseuse. Best decision ever. 17. [babble.com]
Eyes
- Blurred Vision
vision lack of appetite loss of libido panic attacks persistent fatigue concentration problems reduced motivation sleeping problems the parent lacks interest in themselves a feeling of inadequacy an unexplained lack of interest in the new baby a lack [medicalnewstoday.com]
Skin
- Night Sweats
In Figure 30-3, the effects of progesterone on the treatment of depression, fatigue, crying, anxiety, helplessness, strange thoughts, poor appetite and night sweats were all statistically highly significant when progesterone was used. [naprotechnology.com]
Along with vaginal bleeding, breast engorgement, and night sweats, you may have painful or uncontrollable gas. Here are some causes of postpartum gas, what you can do about it at home, and when to call your doctor. [healthline.com]
Among the typical symptoms women face in the first week after childbirth: heavy bleeding, abdominal cramping, constipation, hemorrhoids, chills, night sweats, difficulty going to the bathroom, engorged breasts, back pain, headaches. [vox.com]
- Alopecia
"Study of Postpartum Alopecia". Archives of Dermatology. 87 (5): 609. doi : 10.1001/archderm.1963.01590170067011. ISSN 0003-987X. ^ Eastham, John H (February 2001). "Postpartum Alopecia". [en.wikipedia.org]
Psychiatrical
- Fear
RESULTS: Mothers with higher scores on the preoccupied and fearful attachment scales had more severe postpartum anxiety and depression symptoms but only fearful attachment remained a significant predictor of postpartum anxiety when the significant effect [ncbi.nlm.nih.gov]
I have worked with many new mothers who are afraid to be left alone with their newborns for fear that they might act on their unwanted thoughts about harm. [iocdf.org]
Fear of delivery is often expressed, and other intense fears include those of hemorrhaging to death, or being torn or mutilated. [intechopen.com]
Three common fears experienced by women with a Postpartum Panic Disorder are: 1) fear of dying, 2) fear of losing control, and/or 3) fear that one is going crazy. 2 significant risk factors: 1) a previous history of anxiety or panic disorder, and 2) thyroid [psychotherapy.com]
New mothers should be encouraged to talk about their feelings or fears with others. Socializing through support groups and with friends can play a critical role in recovery. [mentalhealthamerica.net]
Urogenital
- Vaginal Discharge
You can see that vaginal discharge, a significant amount of vaginal discharge lasts for about a month following delivery. It's not just the uterus which contracts to become smaller, the cervix and the vagina do the exact same thing. [khanacademy.org]
Postpartum Visit Call your obstetrician's office two to three days after discharge to make an appointment for six weeks. When to call your doctor/midwife: Fever greater than 101, with or without chills. Foul-smelling or irritating vaginal discharge. [kentri.org]
Vaginal Discharge : You will have a bright red vaginal discharge for the first 3 to 6 weeks. It will gradually become more watery and pink. Use a sanitary pad (not a tampon) until it stops. [womens-health-advice.com]
Vaginal discharge Vaginal discharge is typical two to four weeks after giving birth. This is how your body eliminates blood and tissue from your uterus. Wear sanitary napkins until the discharge stops. [healthline.com]
- Vaginal Bleeding
Foul-smelling or irritating vaginal discharge. Excessive vaginal bleeding. Recurrence of bright red vaginal bleeding after it has changed to a rust color. Swollen area, painful area on the leg that is red or hot to the touch. [kentri.org]
Q I need a diagnosis code for vaginal bleeding 8 weeks postpartum. The physician says it is possibly retained products of conception. How would I code this? A The standard postpartum period is 6 weeks. [mdedge.com]
Bleeding – For the first several weeks following delivery, it is normal for women to experience some vaginal bleeding that will steadily decrease over time. [northshore.org]
Women may experience vaginal bleeding after giving birth for approximately two to six weeks, as the National Childbirth Trust explained. [independent.co.uk]
About a week or two after delivery, this scab comes off, causing vaginal bleeding of up to about a cup. Breasts During the early stages of milk production (lactation), the breasts become engorged with milk, sometimes making them feel tight and sore. [merckmanuals.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]
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]
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]
- Foul Smelling Vaginal Discharge
smelling vaginal discharge. • Chest pain or cough. • Painful or frequent urination. • Postpartum bleeding : heavy vaginal bleeding, soaking more than 1 pad per hour or passing large clots. • Painful, red, warm breast may be hard in area and/or flu-like [womens-health-advice.com]
Workup
Differential diagnosis See the list below: Mastitis Breast abscess Cellulitis Workup No laboratory tests are required. [emedicine.medscape.com]
Treatment
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]
Medical treatment for any medical conditions. [americanaddictioncenters.org]
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]
Treatment is symptomatic and prognosis is excellent if iatrogenic harm is avoided. 40 Postpartum Depression Postpartum depression has been the subject of many monographs, book chapters, research studies, and media blitzes. [glowm.com]
In fact, she said, the prognosis is “really good, really positive. Full recovery is definitely the most likely outcome.” [mosaicscience.com]
Patients with postpartum psychosis are thought to have a better prognosis than those with nonpuerperal psychosis. Postpartum psychosis generally lasts only 2-3 months. [emedicine.medscape.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]
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]
Expulsions in immediate postpartum insertions of Lippes Loop D and Copper T IUDs and their counterpart Delta devices -- an epidemiological analysis. Contraception 1985;32(2):119-34. 6. Sivin I, Greenslade F, Schmidt F, et al. [un.org]
Epidemiology 1998 ;9: 441 - 445 13. U.S. Census Bureau. California state and county QuickFacts ( http://quickfacts.census.gov/qfd/states/06000.html ). 14. Agency for Healthcare Research and Quality. [nejm.org]
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]
The biology and pathophysiology of peripartum psychiatric disorders. Primary Psychiatry. 2004;11(3):37–41. Google Scholar Ross LE, Grigoriadis S, Mamisashvili L, Koren G, Steiner M, Dennis CL, et al. [bmcpregnancychildbirth.biomedcentral.com]
Prevention
The postpartum rituals are done to prevent tos. [ethnomed.org]
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]