scholarly journals Functional constipation during and after pregnancy

2021 ◽  
pp. 77-80
Author(s):  
E. S. Polushkina ◽  
I. E. Grigorian
Keyword(s):  
Gastrointestinal Tract ◽  
Postpartum Period ◽  
Treatment Options ◽  
Functional Constipation ◽  
Normal Pregnancy ◽  
Medical Problem ◽  
Hormonal Changes ◽  
Pregnancy And Postpartum ◽  
Colon Diseases ◽  
In Pregnancy

Functional constipation is a common problem in pregnancy and postpartum period and is now considered not just a medical problem but also a factor influencing the quality of life. The frequency of defecation differs in people. Recent years specialists prefer personalized evaluation of the frequency of defecation for exact diagnostics of the condition, but not the classic definition. Functional constipation in pregnancy is caused by functional and anatomy changes of gastrointestinal tract and also by hormonal changes in pregnancy. Early diagnosis and correction of this pathology is one of the main objectives when managing normal pregnancy. This review covers current information on the theme, contains recommendations about the lifestyle during pregnancy and postpartum period and treatment options. Some foreign and Russian authors note the effectiveness of sodium picosulfate which accelerates the passage of the feces in a short time. It can be used during II and III trimesters of pregnancy as well as in the postpartum period and breastfeeding. Thus, complex correction of factors causing functional constipation decreases the risk of colon diseases as well as of all gastrointestinal tract in pregnant women and in the puerperium.

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.

Headache in Pregnancy, the Puerperium, and menopause

2018 ◽  
Vol 38 (06) ◽  
pp. 627-633 ◽  
Author(s):  
Elie Sader ◽  
Melissa Rayhill
Keyword(s):  
Postpartum Period ◽  
Migraine Headache ◽  
Hemorrhagic Stroke ◽  
Treatment Options ◽  
Hypertensive Disorders Of Pregnancy ◽  
Neurologic Disorder ◽  
Posterior Reversible Encephalopathy ◽  
Cerebral Vasoconstriction ◽  
Reversible Encephalopathy ◽  
In Pregnancy

AbstractHeadache is a neurologic disorder that displays gender dichotomy. It is well established that there is a strong link between migraine headache and sex hormones, specifically estrogen, which influences the severity of migraines during the menstrual cycle, pregnancy, and menopause. Furthermore, the epidemiology of headaches during pregnancy and the postpartum period is very distinct from that in males or nonpregnant females, in part due to the hemodynamic and hematologic changes that occur during pregnancy. These changes put women at higher risk for cerebral venous thrombosis, hemorrhagic stroke, and hypertensive disorders of pregnancy like preeclampsia, eclampsia, posterior reversible encephalopathy syndrome, and reversible cerebral vasoconstriction syndrome. Headache in pregnancy and the puerperium can be a cause of heightened anxiety in most women, who are concerned not only about the effect of the headache itself on the pregnancy but also about the effect of the treatment options on the pregnancy and the fetus. In this review, we discuss the latest literature on type and distribution of headaches during pregnancy and the postpartum period, and provide a digestible overview of the safety profile of commonly used abortive and prophylactic medications. We also discuss important considerations when treating migraine during menopause.

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.

scholarly journals Functional Status of Maternal Thyroid Gland in Eclampsia

2019 ◽  
Vol 31 (1) ◽  
pp. 9-14
Author(s):  
M Hafizur Rahman ◽  
Mahbub Ara Chowdhury ◽  
Shahin Mahmuda
Keyword(s):  
Pregnant Women ◽  
Normal Pregnancy ◽  
Hormonal Changes ◽  
Free Triiodothyronine ◽  
College Hospital ◽  
Medical College ◽  
The Mean ◽  
Maternal Thyroid ◽  
Complicated Pregnancy ◽  
In Pregnancy

Marked changes in maternal thyroid activity occur in pregnancy. During pregnancy bodily hormonal changes and metabolic demands result in complex alteration in the bio-chemical parameters of thyroid activities. Besides these, thyroid enlargement, increased thyroid capability for iodine uptake and increase in basal metabolic rate are evidential though these findings are not usually associated with symptoms of hyperthyroidism in pregnancy. Serum concentration of thyroid hormone thyroxine and triiodothyronine in complicated pregnancy like eclamptic toxemia is another field of controversy. To evaluate the changes in thyroid function in normal pregnancy and eclamptic toxemia, a study was undertaken in Rajshahi Medical College Hospital. We collected serum specimens from non pregnant but married women, normal 3rd trimester pregnant women and patients with eclampsia at 3rd trimester of pregnancy and measured serum concentrations of total and free thyroxine (TT4 & FT4) and total and free triiodothyronine (TT3 & FT3 ) by using RIA. Among the study subjects, 10 women were married but non pregnant, 12 women were in their 3rd trimester of normal pregnancy and 32 patients of eclamptic toxemia with 3rd trimester of pregnancy. In normal pregnancy, FT4 and FT3 levels remained normal while TT4 and TT3 levels were elevated. In patients with toxemia of pregnancy, the mean serum TT3 concentration was significantly lower than that of normal pregnancy and the serum FT3 concentrations were below the normal pregnancy range. The mean serum TT4 and FT4 concentrations in patients with eclampsia were however, significantly higher than those in normal pregnant women. TAJ 2018; 31(1): 9-14

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 anxious aspects of insecure attachment styles are associated with depression either in pregnancy or in the postpartum period

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Emanuela Bianciardi ◽  
Cristina Vito ◽  
Sophia Betrò ◽  
Alberto De Stefano ◽  
Alberto Siracusano ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Postpartum Period ◽  
Postnatal Depression ◽  
Attachment Styles ◽  
Perinatal Depression ◽  
Self Report ◽  
Pregnancy And Postpartum ◽  
Foreign Nationality ◽  
In Pregnancy

Abstract Background Perinatal depression (PND) is a major complication of pregnancy and many risk factors have been associated with its development both during pregnancy and postpartum. The transition to motherhood activates the attachment system. The aim of our study was to investigate the relationship between women’s attachment style (AS) and PND in pregnancy, and 1 month after childbirth, in a large cohort of women. We hypothesized that different patterns of AS were associated with either antenatal or postnatal depression. We, further, explored the role of other possible risk factors such as life-stress events. Methods A final sample of 572 women was enrolled. At the third trimester of pregnancy, clinical data sheet and self-report questionnaires (ASQ, PSS, LTE-Q, and EPDS) were administered. One month after delivery, EPDS was administered by telephone interview. Results We found 10.1% of the women with depression during pregnancy and 11.1% in the postpartum period. The first logistic regression showed that ASQ-CONF subscale (OR = 0.876, p < 0.0001), ASQ-NFA subscale (OR = 1.097, p = 0.002), foreign nationality (OR = 2.29, p = 0.040), low education levels (OR = 0.185, p = 0.012), PSS total score (OR = 1.376, p = 0.010), and recent life adversities (OR = 3.250, p = 0.012) were related to EPDS ≥ 14 during pregnancy. The second logistic regression showed that ASQ-PRE subscale (OR = 1.077, p < 0.001) and foreign nationality (OR = 2.88, p = 0.010) were related to EPDS ≥ 12 in the postpartum period. Conclusions Different dimensions of anxious insecure AS were, respectively, associated with either antenatal or postnatal depression. These findings support the literature investigating subtypes of perinatal depression. The PND may be heterogeneous in nature, and the comprehension of psychopathological trajectories may improve screening, prevention, and treatment of a disorder which has a long-lasting disabling impact on the mental health of mother and child. We provided a rationale for targeting an attachment-based intervention in this group of women.

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