The role of ultrasound in the evaluation of acute pelvic pain in pregnancy and postpartum period

2018 ◽  
Vol 30 (6) ◽  
pp. 369-377 ◽  
Author(s):  
Sung Bin Park
Keyword(s):  
Pelvic Pain ◽  
Postpartum Period ◽  
Acute Pelvic Pain ◽  
Pregnancy And Postpartum ◽  
In Pregnancy

scholarly journals Posttraumatic Stress During Pregnancy and the Postpartum Period

2014 ◽  
Author(s):  
Susan Ayers ◽  
Elizabeth Ford
Keyword(s):  
Subjective Experience ◽  
Negative Impact ◽  
Post Traumatic Stress ◽  
Individual Vulnerability ◽  
Postpartum Ptsd ◽  
Pregnancy And Postpartum ◽  
Life Threatening ◽  
Post Traumatic ◽  
In Pregnancy

Research on post-traumatic stress disorder (PTSD) in pregnancy and postpartum is relatively new but clearly demonstrates the importance of recognizing and treating women with PTSD at this time. Women with PTSD in pregnancy are at greater risk of pregnancy complications and health behaviors that have a negative impact on the woman and fetus. Approximately –3% of women develop PTSD after giving birth, and rates increase for women who have preterm or stillborn infants or life-threatening complications during pregnancy or labor. Models of the etiology of postpartum PTSD focus on the interaction among individual vulnerability, risk, and protective factors during and after birth. Research shows evidence for the role of previous psychiatric problems, depression in pregnancy, severe complications during birth, support, and women’s subjective experience of birth in postpartum PTSD. Very little research has examined screening or intervention. The chapter highlights key research topics that need addressing.

scholarly journals PREVALENCE AND POSSIBLE RISK FACTORS OF HEMORRHOIDAL THROMBOSIS IN PREGNANCY AND POSTPARTUM PERIOD

2019 ◽  
Vol 6 (4) ◽  
pp. 209-214
Author(s):  
Yuliya S. Medkova ◽  
D. R Markar’yan ◽  
I. A Tulina ◽  
Yu. A Churina ◽  
L. S Aleksandrov ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Postpartum Period ◽  
Patient Management ◽  
Current Data ◽  
Sufficient Evidence ◽  
Evidence Based ◽  
Initial Visit ◽  
Pregnancy And Postpartum ◽  
In Pregnancy

Introduction. Nowadays there are no sufficient evidence based data for a scientifically approach to the treatment of hemorrhoids during pregnancy and after childbirth, as well as current data of the prevalence of hemorrhoidal thrombosis (HT) and possible risk factors. Material and methods. The study included pregnant women and puerperas who were actively diagnosed with chronic hemorrhoids (CH) and HT. The physical examination was performed four times: at the woman’s initial visit to the obstetrician-gynecologist, at 24 weeks of pregnancy, at 36 weeks of pregnancy, in the postpartum period (within 7 days after delivery). Patients suffering from HT were asked to answer a questionnaire to determine possible risk factors. Results. A study was conducted on a population of 668 women. 104 women was diagnosed with CH in the postpartum period, and 81 - during pregnancy. The median VAS score with HT was 7. Second delivery, age over 30 years old, lack of physical activity during pregnancy and vaginal delivery are possible risk factors for the development of HT. Conclusions. In the presence of a high risk of HT during pregnancy and in the postpartum period, preventive examinations by a coloproctologist are an important aspect of patient management.

Cognitive Changes in Pregnancy

2018 ◽  
Author(s):  
Miriam T. Weber
Keyword(s):  
Cognitive Function ◽  
Postpartum Period ◽  
Care Pathway ◽  
Subjective Memory Complaints ◽  
Subjective Memory ◽  
Cognitive Changes ◽  
Memory Complaints ◽  
Pregnancy And Postpartum ◽  
Changes In Pregnancy ◽  
In Pregnancy

Subjective memory complaints are commonly reported in pregnancy and the postpartum period. Given the frequency of such complaints, there is great interest in understanding the effects of pregnancy and the postpartum period on objectively measured cognitive function in healthy women, as well as the potential clinical significance of subjective memory complaints (SMC) in this population. In this chapter, we review the literature examining objective cognitive function in pregnant and postpartum women. We focus on studies that employed neuropsychological tests of memory and other domains of cognitive function, discuss the literature on contributions to cognitive changes in pregnancy and postpartum, and outline a care pathway for practitioners encountering pregnant women with cognitive concerns.

Concentration of fibrin monomer in pregnancy and during the postpartum period

2019 ◽  
Vol 56 (6) ◽  
pp. 692-700
Author(s):  
Ann Helen Kristoffersen ◽  
Per Hyltoft Petersen ◽  
Line Bjørge ◽  
Thomas Røraas ◽  
Sverre Sandberg
Keyword(s):  
Venous Thromboembolism ◽  
Pregnant Women ◽  
Postpartum Period ◽  
Monomer Concentration ◽  
Blood Samples ◽  
Fibrin Monomer ◽  
Three Samples ◽  
Pregnancy And Postpartum ◽  
D Dimer ◽  
In Pregnancy

Background D-dimer increases during pregnancy and is problematic to use in the diagnosis of venous thromboembolism. Fibrin monomer represents an alternative biomarker for venous thromboembolism. However, to be useful in pregnancy, the fibrin monomer concentration should be stable throughout pregnancy and during postpartum. Methods To describe the course of fibrin monomer concentration during pregnancy and the postpartum period in healthy pregnant women and to compare their within-subject biological variation (CVI) with non-pregnant women. Blood samples were obtained every fourth week during pregnancy and three samples after delivery in 20 healthy women and every fourth week during a 40-week period in 19 healthy non-pregnant women. Fibrin monomer (STA Liatest FM, Stago) was analysed in duplicates for all samples. Concentrations of fibrin monomer in pregnant and non-pregnant women were compared and the CVI for fibrin monomer was calculated. Results The median fibrin monomer concentration in pregnant women was 6.2 mg/L (2.5 and 97.5 percentiles 3.7–10.8 mg/L) and in non-pregnant women 4.8 mg/L (3.6–8.2) ( P < 0.01). The fibrin monomer concentration was relatively stable during pregnancy, although a few unexplained high fibrin monomer concentrations were found during pregnancy/postpartum. Fibrin monomer CVI in pregnancy and postpartum was 20.6% (95% CI 18.3, 23.5) and in non-pregnant 16.1% (13.7, 18.9). Conclusions For clinical purposes, fibrin monomer concentration can be considered stable during pregnancy, although it is slightly higher than in non-pregnant women. Pregnant and non-pregnant women have the same CVI. The suitability of fibrin monomer in venous thromboembolism diagnosis in pregnant women should be validated in further studies.

TREATMENT OF BIPOLAR DISORDER IN PREGNANCY AND POSTPARTUM PERIOD

10.5080/u6131 ◽  
2010 ◽  
Author(s):  
Sinan Guloksuz ◽  
Fisun Akdeniz ◽  
Bahri Ince ◽  
Esat Timucin Oral
Keyword(s):  
Bipolar Disorder ◽  
Postpartum Period ◽  
Pregnancy And Postpartum ◽  
In Pregnancy

Heart Rate And Perceived Exertion During Exercise And Recovery In Pregnancy And Postpartum Period

2016 ◽  
Vol 48 ◽  
pp. 931
Author(s):  
Somi Yun ◽  
Eunjin Hwang ◽  
Younsun Son ◽  
Bong Yeon Hwang ◽  
Wooram Bae ◽  
...  
Keyword(s):  
Heart Rate ◽  
Postpartum Period ◽  
Perceived Exertion ◽  
Pregnancy And Postpartum ◽  
In Pregnancy

The depression in women in pregnancy and postpartum period: A follow-up study

2014 ◽  
Vol 61 (4) ◽  
pp. 343-349 ◽  
Author(s):  
Tulay Sati Kirkan ◽  
Nazan Aydin ◽  
Esra Yazici ◽  
Puren Akcali Aslan ◽  
Hamit Acemoglu ◽  
...  
Keyword(s):  
Postpartum Period ◽  
Follow Up Study ◽  
Pregnancy And Postpartum ◽  
In Pregnancy

scholarly journals The role of arterial hypertension in the development of cerebrovascular diseases in pregnancy

2018 ◽  
Vol 24 (5) ◽  
pp. 508-514
Author(s):  
M. L. Chukhlovina ◽  
S. E. Medvedev
Keyword(s):  
Arterial Hypertension ◽  
Pregnant Women ◽  
Postpartum Period ◽  
Interdisciplinary Approach ◽  
Cerebrovascular Diseases ◽  
Angiogenic Factors ◽  
Coagulation System ◽  
Childbearing Age ◽  
In Pregnancy

Nowadays, the risk factors, improvement of diagnosis and treatment of cardiovascular diseases are of particular interest. Arterial hypertension (HTN) is known to contribute to cardiovascular disease and to be a risk factor for cerebrovascular diseases. HTN during pregnancy and in the postpartum period draws particular attention. Throughout the world, hypertension during pregnancy remains the leading cause of maternal and child morbidity and mortality. To our knowledge, only a few works studied neurological disorders associated with HTN in pregnant women. In this connection, the purpose of our review was to analyze the role of HTN in the development of cerebrovascular diseases in pregnancy. Pregnant women with HTN show 5,2-fold higher frequency of strokes than normotensive women. The risk of stroke increases from the third trimester of pregnancy to six weeks of the postpartum period. The pregnant women with HTN develop changes in the coagulation system leading to the formation of arterial and venous thromboses in the cerebrovascular circulation. The presence of preeclampsia (PE) is associated with the 7–9-fold increase in the risk of stroke. Endothelial dysfunction is one of the leading links in the pathogenesis of PE. The PE is associated with an increase in anti-angiogenic factors and a decrease in angiogenic factors. Thus, the measures preventing the development of cerebrovascular diseases in pregnant women with HTN, include identification of prehypertension in women of childbearing age, the improvement of HTB management strategies, and an interdisciplinary approach to the diagnostic and treatment process involving the obstetrician, the therapist, the cardiologist and the neurologist.

scholarly journals Thyroid dysfunction in pregnancy: practical perspective

2021 ◽  
Vol 12 (5) ◽  
pp. 316-321
Author(s):  
Saadi JS AlJadir
Keyword(s):  
Critical Period ◽  
Thyroid Dysfunction ◽  
Thyroid Status ◽  
Complex Interplay ◽  
Hemodynamic Changes ◽  
Pregnancy And Postpartum ◽  
Protein Change ◽  
Current Guidelines ◽  
In Pregnancy

Pregnancy is a complex endocrine and metabolic status in life of women, therefore role of the thyroid physiology during this period will be profoundly affected, this has been attributed to the complex interplay of Human chorionic gonadotrophin that acts as TSH receptors’ stimulant, more estrogen is produced by placenta will lead to rise in the serum level of Thyrogublin binding protein, change in iodine homeostasis, and hemodynamic changes. From 12th -16th week of pregnancy, the fetus is entirely dependent on the thyroid status of the mother, therefore any disruption in this metabolic milieu will lead to negative outcomes on both the fetus and the mother. Therefore, the current guidelines have stressed on appropriate management of thyroid dysfunction in pregnancy with particular interest on early pregnancy, a critical period for neurocognitive development, then throughout the pregnancy and postpartum period (Figure 1).

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