Effect of mode of delivery on couples’ sexual relationship during the postpartum period

Purpose Our aim was to describe the changes observed by ultrasonography in uterine dimensions during the early puerperium among women who experienced an uncomplicated puerperium. Additionally, the influence of parity, mode of delivery, breastfeeding and birth weight on uterine involution was evaluated. Methods Ninety-one patients underwent an ultrasound examination on days 1 (D1), 2 (D2) and 7 (D7) of the postpartum period. The longitudinal, anteroposterior and transverse uterine diameters were measured, and the uterine volume was calculated by the formula: longitudinal diameter (LD) X anteroposterior diameter (APD) X transverse diameter (TD) X 0.45. The thickness and length of the uterine cavity were also measured. Results The uterine volume and the LD, APD and TD decreased by 44.8%, 20.9%, 11.8% and 20.0% respectively. The uterine cavity thickness was reduced by 23%, and the length of the cavity was reduced by 27.2% on D7. Uterine involution was correlated inversely with parity when the day of the postpartum period was not taken into account (p = 0.01). However, when the uterine involution was correlated to parity separately, with D1, D2 or D3, no correlations were found. A significant difference occurred at D2, when it was found that the uterus had a smaller volume following cesarean section compared with vaginal delivery (p = 0.04). The high birth weight and breastfeeding were significantly related to uterine involution (p ≤ 0.01 and p = 0.04). Conclusion The sonographic evaluation of the uterus in the early puerperium should consider birth weight, breastfeeding and parity, as well as the delivery route on D2, to identify abnormalities related to uterine involution.

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Aortic Dissection During Pregnancy and Postpartum

10.22541/au.160771381.18394737/v1 ◽

2020 ◽

Author(s):

Xiangli Meng ◽

Jijing Han ◽

Li Wang ◽

Qingqing Wu

Keyword(s):

Aortic Dissection ◽

Postpartum Period ◽

Mode Of Delivery ◽

Type A ◽

Fetal Mortality ◽

Type B ◽

Total Study Population ◽

Type A Aortic Dissection ◽

Pregnancy And Postpartum ◽

Stanford Type B

Patients with aortic dissection during pregnancy and postpartum period exhibit high mortality. At present, a complete overview of aortic dissection during pregnancy and postpartum period is lacking. This systematic review includes 80 reports published from 2000-2020, comprising a total study population of 103 patients with aortic dissection. It was suggested that Stanford Type A aortic dissection is more likely to occur in the third trimester, while Stanford Type B is more likely to occur within 12 weeks postpartum. The most common risk factor was connective tissue disease, with no other known risk factors. Mode of delivery has no significant effect on the type of postpartum aortic dissection. Reduced maternal and fetal mortality was observed when patients with Stanford Type A aortic dissection occurring after 28 gestational weeks underwent aortic replacement after cesarean section. Patients with Stanford Type B aortic dissection were treated mainly with medication and/or endovascular repair. Contemporary management of patients during pregnancy and within 12 weeks postpartum requires multidisciplinary cooperation and includes serial, non-invasive imaging, biomarker testing, and genetic risk profiling for aortopathy. Early diagnosis and accurate treatment are essential to reduce maternal and fetal mortality.

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012 Sexual function in women with obstetric anal sphincter injuries in the postpartum period. Analysis according to the mode of delivery

Journal of Sexual Medicine ◽

10.1016/j.jsxm.2018.04.016 ◽

2018 ◽

Vol 15 (7) ◽

pp. S128

Author(s):

S.A.A. Anglès ◽

C.R.C. Ros ◽

N.E.S. Elías ◽

M.J.P. Palau ◽

M.E.P. Espuña

Keyword(s):

Sexual Function ◽

Anal Sphincter ◽

Postpartum Period ◽

Mode Of Delivery ◽

Obstetric Anal Sphincter Injuries ◽

Period Analysis

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Implications of pain in functional activities in immediate postpartum period according to the mode of delivery and parity: an observational study

Brazilian Journal of Physical Therapy ◽

10.1016/j.bjpt.2016.12.003 ◽

2017 ◽

Vol 21 (1) ◽

pp. 37-43 ◽

Cited By ~ 3

Author(s):

Thalita R.C. Pereira ◽

Felipe G. De Souza ◽

Ana C.S. Beleza

Keyword(s):

Observational Study ◽

Postpartum Period ◽

Mode Of Delivery ◽

Functional Activities

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What’s new about multiple sclerosis and pregnancy?

Romanian Journal of Medical Practice ◽

10.37897/rjmp.2021.2.9 ◽

2021 ◽

Vol 16 (2) ◽

pp. 158-162

Author(s):

Ana Turcu DUMINICA ◽

◽

Nicolae GICA ◽

Radu BOTEZATU ◽

Anca Marina CIOBANU ◽

...

Keyword(s):

Multiple Sclerosis ◽

Pregnant Woman ◽

Postpartum Period ◽

Mode Of Delivery ◽

Pregnancy Rates ◽

Reproductive Age ◽

Age Group ◽

Current Review ◽

Fetal Complications ◽

Reproductive Age Group

Nowadays, women diagnosed with multiple sclerosis and belonging to the reproductive age group have high pregnancy rates, thus increasing the need of a careful pregnancy management in order to avoid maternal and fetal complications. The challenge of the chosen subject consists in identifying the available treatment that can be used during pregnancy time, emphasizing the need of a rigorous care during the preconceptional and postpartum period. The aim of the current review is to describe the management of a pregnant woman diagnosed with multiple sclerosis, in regards of treatment, anesthesia, mode of delivery and management and prevention of relapses during the postpartum period.

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Nocturia and others urinary symptoms in three stages of postpartum according mode of delivery

ConScientiae Saúde ◽

10.5585/conssaude.v15n2.6307 ◽

2016 ◽

Vol 15 (2) ◽

pp. 175-182

Author(s):

Priscylla Helouyse Melo Angelo ◽

Monayane Grazielly Leite Matias ◽

Maria Aneilma Ribeiro de Azevedo ◽

Luzinete Medeiros de Almeida ◽

Maria Thereza Albuquerque Barbosa Cabral Micussi

Keyword(s):

Risk Factors ◽

Cohort Study ◽

Vaginal Delivery ◽

Postpartum Period ◽

Prospective Cohort ◽

Mode Of Delivery ◽

Urinary Symptoms ◽

Face To Face ◽

Three Stages ◽

First Interview

Introduction: There are risk factors causing urinary symptoms associated with childbirth. The aim was to investigate the presence of urinary symptoms in postpartum. Methods: Prospective cohort study was undertaken. The women were evaluated three times. The first interview was face-to-face at 2 days after the childbirth. At 2 and 8 weeks after delivery, the patients were interviewed by telephone. Results: 132 women were divided into two groups according to the mode of delivery: VG (vaginal delivery group) and CG (cesarean group). The average age of the women was 25.54 (±5.65) years in VG and 25.23 (±5.26) years in CG (p = 0.869). The most frequent symptom in both groups was nocturia. Conclusion: urinary symptoms tend to worsen throughout the postpartum period, regardless of the mode of delivery.

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The lactation process in primiparas in early postpartum period depending on the mode of delivery. The mode of delivery and the lactation process

Pielegniarstwo XXI wieku / Nursing in the 21st Century ◽

10.1515/pielxxiw-2017-0026 ◽

2017 ◽

Vol 16 (3) ◽

pp. 34-41

Author(s):

Magdalena Humaj-Grysztar ◽

Monika Bobek ◽

Dorota Matuszyk ◽

Marzena Put

Keyword(s):

Cesarean Section ◽

Cesarean Delivery ◽

Vaginal Delivery ◽

Postpartum Period ◽

Mode Of Delivery ◽

Research Tool ◽

Early Postpartum Period ◽

Early Postpartum ◽

Almost All ◽

The Relationship

Abstract Aim. The aim of the study was to determine the relationship between the mode of delivery and the course of lactation in primiparas in early postpartum period. Material and methods. The research was conducted amongst 200 primiparas including 100 after vaginal delivery and 100 after cesarean section. The study was conducted with the method of diagnostic survey with the author’s original questionnaire as a research tool. Results. The women after vaginal delivery initiate breastfeeding earlier and more often find it successful (p < 0.001). Almost all the primiparas after cesarean delivery formula-fed their newborns (p < 0.001) and they started supplementary formula feeding earlier in comparison to women who had vaginal delivery (p < 0.001). Problem-free breastfeeding was declared by 15% of the respondents after vaginal delivery and 4% of those who had a cesarean section. Conclusions. The mode of delivery influences the lactation process. The primiparas after cesarean delivery had problems with breastfeeding more often than those after vaginal birth.

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