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]
Gastrointestinal
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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]
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Epigastric Pain
CASE: A 29-year-old woman had complained of epigastric pain, postprandial vomiting and weight loss during the last 3 months of pregnancy. [ncbi.nlm.nih.gov]
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Acute Abdomen
She was operated on due to acute abdomen. During surgery, generalised peritonitis with a gastric ulcer perforation at the corpus was found. The perforation area was repaired primarily. Pathological examination revealed gastric adenocarcinoma. [ncbi.nlm.nih.gov]
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Intestinal Perforation
CONCLUSION: When peritonitis symptoms exist in a postpartum woman in addition to other peritonitis causes, malignant gastro-intestinal perforations such as gastric cancer perforation should be kept in mind. [ncbi.nlm.nih.gov]
Liver, Gall & Pancreas
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Liver Dysfunction
AIH can present in the postpartum and should be actively considered among the differential diagnosis if liver dysfunction is observed after delivery. [ncbi.nlm.nih.gov]
Skin
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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]
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Pruritic Rash
A 25-year-old woman complained of an intensely pruritic rash for 2 days. The rash began 10 days postpartum. It began on her abdomen and spread to her buttocks, legs and upper arms. [ncbi.nlm.nih.gov]
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Papule
On examination, erythematous papules and urticarial plaques were present in the striae of the abdomen and buttocks and involved the legs, arms and back. [ncbi.nlm.nih.gov]
Neurologic
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Motor Symptoms
In women with atypical motor symptoms in addition to depression, this diagnosis should be considered. [ncbi.nlm.nih.gov]
Urogenital
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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) is considered 98 percent effective in the first six months if followed carefully (exclusively breastfeeding, on demand). [justmommies.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]
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
Differential diagnosis See the list below: Mastitis Breast abscess Cellulitis Workup No laboratory tests are required. [emedicine.medscape.com]
Biopsy
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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]
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]
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]
Generalized Anxiety Disorder (GAD) There are few data on the epidemiology of GAD during pregnancy and postnatally. [intechopen.com]
Pathophysiology
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 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 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]
The postpartum rituals are done to prevent tos. [ethnomed.org]