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Puerperium

Puerperium (time Period)


Presentation

  • We present three patients in whom there was an acute presentation of malabsorption in the puerperium and in whom the final diagnosis was celiac sprue.[ncbi.nlm.nih.gov]
  • We present the case of a 32 year-old woman who presented during pregnancy with a two-month history of painless subcutaneous nodules. Excision biopsy of one lesion showed dematiaceous fungal elements.[ncbi.nlm.nih.gov]
  • We present a case of untreated abetalipoproteinemia complicating the puerperium.[ncbi.nlm.nih.gov]
  • OBJECTIVE: To describe the etiology and obstetric outcome in women presenting with pulmonary edema during pregnancy and the puerperium.[ncbi.nlm.nih.gov]
  • A case of Wernicke's encephalopathy presenting in the puerperium is described. The clinical diagnosis was supported by dramatic reversal of the symptoms and signs following the administration of intravenous thiamine.[ncbi.nlm.nih.gov]
Pleural Effusion
  • A final diagnosis of atypical pseudo-Meigs' syndrome was performed, being computed tomography and chest X-ray negative for pleural effusion.[ncbi.nlm.nih.gov]
Arthritis
  • A 32-year-old woman resumed etanercept (25 mg/week), a TNF inhibitor, which had been discontinued during pregnancy, because of the deterioration of rheumatoid arthritis.[ncbi.nlm.nih.gov]
Subcutaneous Nodule
  • We present the case of a 32 year-old woman who presented during pregnancy with a two-month history of painless subcutaneous nodules. Excision biopsy of one lesion showed dematiaceous fungal elements.[ncbi.nlm.nih.gov]
Polyneuropathy
  • It was initially described in Mexican families presenting with ataxia and epilepsy, with or without polyneuropathy, pyramidal signs and cognitive symptoms.[ncbi.nlm.nih.gov]
Vaginal Discharge
  • The colour of lochia (vaginal discharge)is bright red on postpartum days 3-4, reddish-brown after day 3-10 and then turns yellow. However, it may become red again for a few days. Urine levels decrease and reach normal levels in 4 weeks.[drelsa.ae]
  • You might notice an increase in vaginal discharge that's clear, pink or slightly bloody. This might happen several days before labor begins or at the start of labor.[mayoclinic.org]
  • Vaginal discharge You'll have a vaginal discharge (lochia) for a number of weeks after delivery. Expect a bright red, heavy flow of blood for the first few days. If you've been sitting or lying down, you might notice a small gush when you stand up.[web.archive.org]
  • Common symptoms of STIs include vaginal discharge, urethral discharge or burning in men, genital ulcers, and abdominal pain. Scope of the problem STIs have a profound impact on sexual and reproductive health worldwide.[who.int]
  • Common symptoms of STDs include vaginal discharge, urethral discharge in men, genital ulcers, and abdominal pain.[web.archive.org]

Workup

Pleural Effusion
  • A final diagnosis of atypical pseudo-Meigs' syndrome was performed, being computed tomography and chest X-ray negative for pleural effusion.[ncbi.nlm.nih.gov]

Treatment

  • Current treatment practice with oral iron supplementation is associated with gastrointestinal side-effects and subsequent poor compliance.[ncbi.nlm.nih.gov]
  • Anti-fungal treatment was deferred and the pregnancy proceeded uneventfully. The remaining nodules were excised at the time of caesarean section delivery.[ncbi.nlm.nih.gov]
  • This bacterium can lead to severe complications such as pneumonia, fever and septicaemia, because of limited treatment options.[ncbi.nlm.nih.gov]
  • Abstract The efficacy and safety of various modes of medical treatment for primary hyperparathyroidism (PHPT) in pregnancy is largely unknown.[ncbi.nlm.nih.gov]
  • We report our initial experience with single-port LA (SP-LA) using the glove technique for treatment of acute appendicitis in a postpartum woman.[ncbi.nlm.nih.gov]

Prognosis

  • This study aimed to identify the clinical manifestations and prognosis of pregnancy-associated CVT. A total of 43 pregnancy-associated CVT patients were enrolled.[ncbi.nlm.nih.gov]
  • A fast and accurate diagnosis with a subsequent immediate treatment might be very important in avoiding worsening of the symptoms and therefore improve the recovery prognosis.[ncbi.nlm.nih.gov]
  • CONCLUSION: The case shows that the Call-Fleming syndrome is a reversible condition with excellent prognosis representing an important differential diagnosis of eclampsia, dural sinus thrombosis, and intracranial bleeding in puerperium.[ncbi.nlm.nih.gov]

Etiology

  • CONCLUSIONS: Hypertensive illness is the most common underlying etiology in the development of pulmonary edema.[ncbi.nlm.nih.gov]
  • This case indicates that there appears to be a benign form of IACNS, although the etiology of postpartum IACNS is not known.[ncbi.nlm.nih.gov]
  • Most studies on post-traumatic stress symptoms after childbirth have focused on prevalence of and looked at etiological factors and predictors.[doi.org]
  • Etiology and diagnosis of coital pain. J Endocrinol Invest. 2003; 26(3 Suppl) :115-121. [ PubMed ] [ Google Scholar ] 7. Hoon EF, Hoon PW, Wincze JP. An inventory for the measurement of female sexual arousability.[pubmedcentral.nih.gov]
  • Hypercalcemia in the etiology of puerperal psychosis. Biol Psychiatry 1985 ; 20 : 479 –88.[journals.cambridge.org]

Epidemiology

  • Abstract Epidemiologic studies demonstrate a twofold higher rate of depression in women than in men. The childbearing years are a time of increased risk for onset of depression in women.[ncbi.nlm.nih.gov]
  • Platt Associate Professor Departments of Pediatrics and of Epidemiology, and Occupational Health McGill University[books.google.com]
  • […] a, Bernard L Harlow, associate professor of obstetrics, gynaecology, and reproductive biology a, Amy K Chekos, research associate a, John T Repke, associate professor of obstetrics, gynaecology, and reproductive biology b a Obstetrics and Gynecology Epidemiology[bmj.com]
Sex distribution
Age distribution

Pathophysiology

  • A thorough understanding of the underlying pathophysiological mechanisms involving mother and fetus is mandatory. We report our experience with neurosurgical procedures during pregnancy and the puerperium and summarize the difficulties encountered.[ncbi.nlm.nih.gov]
  • Health science Providing basic knowledge of medical terminology, anatomy and physiology, and pathophysiology of diseases and conditions.[icd-10online.com]
  • (Please refer to the Pathophysiology for information regarding adequate contractions.) Abnormal labor constitutes any findings that fall outside the accepted normal labor curve.[emedicine.medscape.com]
  • Pathophysiology of pelvic adhesions. Modern trends in preventing infertility. J Reprod Med. 1992; 37 :107-122. [ PubMed ] [ Google Scholar ] 16. Stone K. Adhesions in gynecologic surgery.[pubmedcentral.nih.gov]

Prevention

  • The aim of this study is to estimate the efficacy of preventive antibiotic treatment during the puerperium.[clinicaltrials.gov]
  • Systematic heparin prophylaxis for seven to ten days, ante- and postpartum, can prevent this problem.[ncbi.nlm.nih.gov]
  • Cinacalcet was started immediately after delivery to prevent a postpartum surge in serum calcium. The second patient presented with hypertension and symptomatic hypercalcemia (Ca(corr) 3.96 mmol/l) in the 32nd week of pregnancy.[ncbi.nlm.nih.gov]
  • Early recognition of GAS infection in early puerperium and prompt initiation of antimicrobial drug and supportive therapy can prevent development of STSS and lethal outcome.[ncbi.nlm.nih.gov]
  • Antibiotics to prevent infection Anticoagulant to prevent clot formation-Heparin. After being afebrile the pt is encouraged to walk about with the affected leg supported by elastic bandage.[medicinembbs.blogspot.com]

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