TREATMENT OF BIPOLAR DISORDER IN PREGNANCY AND POSTPARTUM PERIOD

10.5080/u6131 ◽  
2010 ◽  
Author(s):  
Sinan Guloksuz ◽  
Fisun Akdeniz ◽  
Bahri Ince ◽  
Esat Timucin Oral
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 ◽  
...  

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.


Author(s):  
Miriam T. Weber

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.


Author(s):  
Ann Helen Kristoffersen ◽  
Per Hyltoft Petersen ◽  
Line Bjørge ◽  
Thomas Røraas ◽  
Sverre Sandberg

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.


2016 ◽  
Vol 48 ◽  
pp. 931
Author(s):  
Somi Yun ◽  
Eunjin Hwang ◽  
Younsun Son ◽  
Bong Yeon Hwang ◽  
Wooram Bae ◽  
...  

2014 ◽  
Vol 61 (4) ◽  
pp. 343-349 ◽  
Author(s):  
Tulay Sati Kirkan ◽  
Nazan Aydin ◽  
Esra Yazici ◽  
Puren Akcali Aslan ◽  
Hamit Acemoglu ◽  
...  

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Emanuela Bianciardi ◽  
Cristina Vito ◽  
Sophia Betrò ◽  
Alberto De Stefano ◽  
Alberto Siracusano ◽  
...  

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.


2007 ◽  
Vol 3 (1) ◽  
pp. 79-83 ◽  
Author(s):  
Bobbak Vahid ◽  
Neil Mushlin ◽  
Sandra Weibel

Parasitology ◽  
2015 ◽  
Vol 142 (8) ◽  
pp. 999-1015 ◽  
Author(s):  
A. R. D. McLEAN ◽  
R. ATAIDE ◽  
J. A. SIMPSON ◽  
J. G. BEESON ◽  
F. J. I. FOWKES

SUMMARYIt is well established that pregnant women are at an increased risk ofPlasmodium falciparuminfection when compared to non-pregnant individuals and limited epidemiological data suggestPlasmodium vivaxrisk also increases with pregnancy. The risk ofP. falciparumdeclines with successive pregnancies due to the acquisition of immunity to pregnancy-specificP. falciparumvariants. However, despite similar declines inP. vivaxrisk with successive pregnancies, there is a paucity of evidenceP. vivax-specific immunity. Cross-species immunity, as well as immunological and physiological changes that occur during pregnancy may influence the susceptibility to bothP. vivaxandP. falciparum. The period following delivery, the postpartum period, is relatively understudied and available epidemiological data suggests that it may also be a period of increased risk of infection toPlasmodiumspp. Here we review the literature and directly compare and contrast the epidemiology, clinical pathogenesis and immunological features ofP. vivaxandP. falciparumin pregnancy, with a particular focus on studies performed in areas co-endemic for both species. Furthermore, we review the intriguing epidemiology literature of bothP. falciparumandP. vivaxpostpartum and relate observations to the growing literature pertaining to malaria immunology in the postpartum period.


Sign in / Sign up

Export Citation Format

Share Document