The association between traumatic birth events and opioid relapse after delivery

2022 ◽  
Vol 226 (1) ◽  
pp. S404-S405
Author(s):  
Tanner G. Wright ◽  
Weiwei Liu ◽  
Emily Heideman ◽  
Anthony Kendle ◽  
Arlin Delgado ◽  
...  
Keyword(s):  
2021 ◽  
pp. 019394592110101
Author(s):  
Janet Bryanton ◽  
Cheryl Tatano Beck ◽  
Stephanie Morrison

Fear surrounding childbirth requires a more in-depth understanding from women’s perspectives, especially those who request a planned cesarean due to that fear. Therefore, we explored primiparous and multiparous women’s lived experiences of fear surrounding childbirth in relation to their decision to request a planned cesarean birth. We used Colaizzi’s (1978) phenomenological method to interview 16 women from 4 provinces and to analyze the data. Women expressed numerous fears and most experienced more than one fear. Most feared their baby/babies being injured or dying during childbirth or developing complications themselves. Others feared experiencing a traumatic birth. Women described numerous emotional and physical manifestations of fear, and all believed that a planned cesarean birth would provide more control over the birth process. For some, the birth of their healthy baby/babies began a healing process, whereas others noted that their fear subsided or resolved upon confirmation that they would have a planned cesarean.


PEDIATRICS ◽  
1974 ◽  
Vol 53 (4) ◽  
pp. 571-572
Author(s):  
Robert A. Beatty

Intracranial hemorrhage in the newborn is not common, excluding bleeding secondary to traumatic birth. It is the author's experience that the medical community generally regards intracranial bleeding in infants as hopeless and often favors a nihilistic therapeutic approach. This paper describes a newborn who appeared in extremis from a ruptured intracerebral arteriovenous malformation (AVM) which was successfully resected.


Author(s):  
Gill Thomson ◽  
Cheryl Beck ◽  
Susan Ayers

Author(s):  
Kara M. Brown ◽  
Leena P. Mittal

This chapter on posttraumatic stress disorder (PTSD) in the postpartum reviews the disorder that may occur following: a traumatic birth during which the mother is injured: postpartum medical problems such as hemorrhage or the occurrence of a defect or medical complications in the newborn. Symptoms of PTSD include nightmares, intrusive thoughts, flashbacks, hypervigilance, avoidance of triggers, depressed mood, and a pessimistic view of the future. It is important to screen for PTSD after a traumatic birth as women often hesitate to come forward as they feel ashamed, lack insight into symptoms, lack support, or fear reproach. It is essential to attend to any residual physical trauma or pain following the delivery. Cognitive-behavioral therapy is the treatment of choice. Medication may be helpful including selective serotonin reuptake inhibitors and prazosin to help educe nightmares.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Patrick Pilli ◽  
Peter Sekweyama ◽  
Anthony Kayira

Abstract Background Emergency peripartum hysterectomy (EPH) is a known remedy for saving women’s lives when faced with the challenging situation of severe post partum hemorrhage not responsive to conservative management. However, EPH by its nature is also a traumatic birth event that causes serious physical, emotional and psychological harm. Unfortunately at St. Francis Hospital Nsambya nothing much is known about these experiences since no study has been undertaken and these women are not routinely followed up. The purpose of this study was to explore these emotional experiences. Methods This was a qualitative phenomenological study carried out between August and December 2018. All those women who had undergone EPH between January 2015 and August 2018 were eligible to participate in the study. Purposive sampling was used. 18 women were interviewed before saturation was reached. All interviews were audio-recorded and then transcribed verbatim. Thematic analysis was used to analyze the data. Results Three major themes were identified as the main experiences of these women in this study and they were; Loss of Womanhood, Joy for being alive and Loss of marital safety. Conclusion Women experience serious emotional consequences following EPH. We recommend routine follow-up to help appreciate these experiences and advise them on appropriate mitigating measures.


2019 ◽  
Vol 6 (1) ◽  
pp. e000325 ◽  
Author(s):  
Jennifer M Pearson ◽  
Elizabeth R Homerosky ◽  
Nigel A Caulkett ◽  
John R Campbell ◽  
Michel Levy ◽  
...  

This cross-sectional study quantifies subclinical trauma associated with calving difficulty, calf vigour, and passive immunity (PI) in newborn beef calves. The degree of calving difficulty was categorised as: unassisted, easy assist (one or two people manually pulling to deliver the calf) and difficult assist (more than two people pulling, a fetal extractor (ie, calf jack), or caesarean section). Vigour assessment occurred at 10 minutes and blood sampling at 24 hours after birth in 77 beef calves. The measured blood parameters associated with trauma were creatine kinase (CK), aspartate aminotransferase (AST), and haptoglobin. Serum IgG concentration was measured, and an IgG concentration at least 24 g/l was considered as adequate PI. Calving difficulty was associated with elevated levels of CK (P=0.002) and AST (P=0.01), weak suckle reflex (P=0.001), abnormal mucous membrane colour (P<0.0001), and decreased odds of adequate PI (P=0.004). Elevated levels of CK and AST were associated with abnormal mucous membrane colour, incomplete tongue withdrawal and weak suckle reflex at birth (P<0.001). An incomplete tongue withdrawal (P=0.005) and weak suckle reflex (P=0.02) were associated with decreased IgG concentrations. Abnormal mucous membrane colour, incomplete tongue withdrawal, and a weak suckle reflex were associated with decreased odds of having adequate PI (P<0.05). Haptoglobin was not associated with any of the parameters measured. Subclinical trauma was associated with calving difficulty, decreased vigour and decreased odds of having adequate PI. Understanding the impacts of a traumatic birth may aid the development of management strategies for compromised newborn beef calves.


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