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Journal articles on the topic 'Postpartum'

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Published: 4 June 2021
Last updated: 28 July 2024

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1

Thomas, Dr Abel Abraham. "POSTPARTUM DEPRESSION." INDIAN RESEARCH JOURNAL OF PHARMACY AND SCIENCE 7, no. 4 (September 2020): 2359–72. http://dx.doi.org/10.21276/irjps.2020.7.3.4.

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2

Cedeño Burbano, Anuar Alonso, Gerardo Alfonso Galeano Triviño, Daniel Alejandro Fernández Bolaños, Karen Liseth Chito castro, and Valentina Coronado Abella. "Hipertensión postparto: Una revisión de la literatura y los protocolos de manejo." Revista de la Facultad de Medicina 63, no. 2 (June 12, 2015): 251–58. http://dx.doi.org/10.15446/revfacmed.v63n2.48001.

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<p><strong>Introducción: </strong>La hipertensión postparto corresponde a la presencia de cifras tensionales sistólicas superiores a 140 mmHg o diastólicas mayores a 90 mmHg, medidas en 2 ocasiones con una diferencia de 4 horas; las cuales aparecen o se sostienen en el puerperio, hasta las 12 semanas posteriores al nacimiento (1,2). Los trastornos hipertensivos del embarazo que aparecen o se continúan en el puerperio son en conjunto su principal etiología. La incidencia mundial de la hipertensión postparto oscila entre 3 y 26%, mientras que su prevalencia, no del todo establecida, oscila entre el 0,3 y el 28% (3,4). Actualmente, a excepción de la crisis hipertensiva, el manejo de la hipertensión en el posparto no está estandarizado. <strong>Objetivo:</strong> Realizar una revisión bibliográfica acerca del manejo de la hipertensión postparto. Se excluyó el abordaje de la crisis hipertensiva, ya que existen estándares bien definidos para el manejo de dicha condición. <strong>Metodología:</strong> Se realizó una búsqueda de la literatura publicada en los últimos 5 años en las bases de datos: Pubmed, Tripdatabase, Science Direct y Embase biomedical, con los términos: postpartum, hypertension, postpartum hypertension and diagnsosis, postpartum hypertension and treatment, postpartum hypertension and management; en inglés y con sus equivalentes en español.</p><p><strong>Conclusiones: </strong>No existe evidencia para el manejo de la hipertensión postparto leve a moderada. En hipertensión postparto severa, el manejo farmacológico depende de la experticia y familiaridad que el médico tratante tenga respecto a la utilización del fármaco.</p><p><strong>Palabras clave:</strong> Hipertensión postparto, pre-eclampsia postparto, manejo, tratamiento. </p>
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Muspitha, Fitri Dia, and Kristiyani Herda Rophi. "COGNITIVE BEHAVIOR THERAPY MENURUNKAN GEJALA DEPRESI PADA IBU POSTPARTUM." JURNAL KEPERAWATAN TROPIS PAPUA 7, no. 1 (June 25, 2024): 29–34. http://dx.doi.org/10.47539/jktp.v7i1.379.

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Depresi postpartum merupakan sebuah gangguan mood yang dapat terjadi antara 2-6 minggu setelah melahirkan dan dapat berlangsung hingga satu tahun. Gangguan ini dapat mempengaruhi kesehatan fisik dan psikologis pada ibu dan bayi. Salah satu intervensi yang efektif dalam mengurangi gejala depresi postpartum adalah Cognitive Behavior Therapy (CBT). CBT dapat mengatasi pola pikir dan perilaku yang tidak sehat, dengan penekanan pada keyakinan budaya tentang peran ibu. Penelitian ini bertujuan untuk menguji pengaruh CBT terhadap gejala depresi postpartun. Metode penelitian ini menggunakan desain quasi experiment dengan pre and post test one group without control group di Puskesmas Arso III, Kabupaten Keerom, Papua. Sampel penelitian berjumlah 20 responden yang dipilih dengan teknik purposive sampling. Pengukuran depresi postpartum menggunakan Edinburg postpartum depression scale (EPDS). Hasil penelitian menunjukan rata-rata skor depresi postpartum sebelum diberikan intervensi CBT adalah 11,4±0,5. Setelah diberikan intervensi CBT terjadi penurunan rata-rata skor depresi postpartum menjadi 7,0±0,79 (penurunan 4,4 poin). Hasil uji wilcoxon menunjukkan nilai p= 0,000, yang berarti penurunan skor depresi postpartum signifikan secara statistik. Terapi CBT dapat dilakukan untuk meningkatkan kesehatan fisik dan psikologis pada ibu dan bayi. Postpartum depression is a mood disorder that can occur between 2 to 6 weeks after childbirth and may last up to 1 year. This disorder can affect the physical and psychological health of both the mother and the baby. One effective intervention for reducing postpartum depression symptoms is Cognitive Behavior Therapy (CBT). CBT can address unhealthy thought patterns and behaviors, with an emphasis on cultural beliefs about the role of the mother. This study aims to examine the effect of CBT on postpartum depression symptoms. This study uses a quasi-experimental design with pre-test and post-test in one group without a control group at Puskesmas Arso III, Keerom Regency, Papua. The sample consisted of 20 respondents selected using purposive sampling. Postpartum depression was measured using the Edinburgh Postpartum Depression Scale (EPDS). The results showed that the average postpartum depression score before the CBT intervention was 11.4±0.5. After the CBT intervention, the average postpartum depression score decreased to 7.0±0.79 (a reduction of 4.4 points). The Wilcoxon test results showed a p-value of 0.000, indicating that the decrease in postpartum depression scores was statistically significant. CBT can be implemented to improve both mother and baby's physical and psychological health.
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4

Kim, Hye Jin, and Gisoo Shin. "Correlation among Pregnancy Experience, Maternal Attachment, and Postpartum Depression in Postpartum Women: Pregnancy Experience Maternal Attachment Postpartum Depression." Crisis and Emergency Management: Theory and Praxis 13, no. 11 (November 30, 2023): 25–33. http://dx.doi.org/10.14251/jscm.2023.11.25.

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The total fertility rate in South Korea is at its lowest in the world, and there is a sense of crisis about this. One of factors influencing the total fertility rate of women is their postpartum depression, which is correlated with their pregnancy experience. In this study, we aimed to investigate correlation between positive or negative pregnancy experience, maternal attachment, and postpartum depression among who have given birth, The design of this study is descriptive correlational research, and the participants included 152 women undergoing postpartum care in postpartum care centers located in Seoul and Gimhae city. The average age of the participants in this study was 33.72 years, and their mean scores for pregnancy experience indicated that positive scores were higher than negative scores. Also, the research results revealed that there is a significant correlation between women's positive or negative pregnancy experience and postpartum depression. Based on the findings of this study, it is necessary to provide proactive intervention and support from the time of pregnancy to enhance the well-being of postpartum women.
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5

Rajpal, Bhumika, Manas Mitra, Anita Rawat, and Kishalay Datta. "Postpartum Seizure Disorder." Indian Journal of Emergency Medicine 9, no. 3 (September 15, 2023): 79–81. http://dx.doi.org/10.21088/ijem.2395.311x.9323.5.

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Eclampsia and severe pre-eclampsia are usually rare, but potentially life threatening medical disorders that the emergency physicians should diagnose and treat promptly. In this case report, we discuss a young female with generalized tonic clonic seizure in the postpartum period, the diagnosis and management in the emergency department of our hospital along with review of literature.
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6

Puspasari, Jehan. "Efektifitas Qigong Exercise Selama Kehamilan dalam Pencegahan Gejala Depresi Post Partum pada Ibu Remaja." Jurnal Kesehatan Holistic 4, no. 1 (January 20, 2020): 27–33. http://dx.doi.org/10.33377/jkh.v4i1.67.

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Salah satu permasalahan yang dijumpai pada seorang wanita setelah melahirkan adalah depresi postparum. Masalah ini harus diatasi melalui intervensi keperawatan dalam meningkatkan kesehatan ibu dan bayi salah satunya melalui qigong exercise. Tujuan penelitian ini adalah untuk mengidentifikasi efektifitas qigong exercise dalam pencegahan gejala depresi postpartum pada ibu remaja. Penelitian quasi eksperimen ini menggunakan teknik purposive sampling dengan 27 responden ibu remaja. Alat ukur yang digunakan adalah kuesioner yang sudah terstruktur yaitu kuesioner demografi dan Edinburgh Postnatal Depression Scale (EPDS). Variabel depresi postpartum, baik pre intervensi maupun post intervensi dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan bahwa ada pengaruh antara intervensi qigong exercise dengan pencegahan gejala depresi postpartum pada ibu remaja dengan p value 0,000. Ibu remaja yang sehat baik secara fisik maupun mental akan sangat berpengaruh terhadap peran pengasuhan kepada bayinya.
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7

Rosenberg, Kate. "Postpartum." Colorado Review 40, no. 2 (2013): 152–53. http://dx.doi.org/10.1353/col.2013.0042.

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8

Oba, Tomohiro, Junichi Hasegawa, and Akihiko Sekizawa. "Postpartum ultrasound: postpartum assessment using ultrasonography." Journal of Maternal-Fetal & Neonatal Medicine 30, no. 14 (August 30, 2016): 1726–29. http://dx.doi.org/10.1080/14767058.2016.1223034.

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9

Kaya, Yeliz, and Nevin Hotun Şahin. "Postpartum İdrar Retansi̇yonu (Postpartum Urinary Retention)." Zeynep Kamil Tıp Bülteni 45, no. 3 (August 6, 2014): 106. http://dx.doi.org/10.16948/zktb.32939.

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10

Kwak, Youn Hee, and Mila Lee. "The Effects of Education on Knowledge and Confidence in Postpartal Self-care and Newborn baby care." Korean Journal of Women Health Nursing 2, no. 2 (September 28, 1996): 246–56. http://dx.doi.org/10.4069/kjwhn.1996.2.2.246.

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A maternity ward in a hospital in Seoul has an educational program for postpartal mothers since its opening, but evaluation on the program has not been done. This study was to find whether the educational program contributed to increase of knowledge and confidence of the post-partal mothers in the area of postpartal self-care and the newborn baby care or not. This study aimed at improvement of the educational program for posrpartal mothers and the newborn babies. Subjects were 40 primiparae who were admitted to the obstetric ward in a general hospitals in Seoul from August 20th to September 10th, 1995. Subjects were those who had no labor pain at the admission time, had no complications during labor and delivery, gave a birth to a healthy baby, and agreed to participate in this study. All subjects were well educated and were in well-to-do group. Most of them received antenatal care adequately. They were tested on knowledge and self-confidence in the area of postpartal self-care and infant care two times, one at the admission time and the other prior to discharge. After the first test, nurses in a maternity ward and nursery taught them on postpartal self-care and infant care. Education consisted of a 1 hour planned program and incident teachings done at bed side. Four tools were developed by authors based literature review.The test tool for knowledge of postpartal self-care consisted of 15 items which included the definition of postpartum, dangerous symptoms in postpartum, lochia, time to begin coitus, postpartum exercise, sitz-bath, and perineal care.The test tool for self-confidence in postpartal self-care included such items as emergency care on dangerous symptoms in postpartum, sexual life and contraception after postpartum, self-confidence in postpartum exercise and perineal care.The test tool for knowledge of newborn baby care consisted of 18 items which included bathing, umbilical cord care, vaccination, breast feeding, abnormal symptoms of neonate. The test tool for self confidence in the newborn baby care included umbilical cord care, vaccination, breast feeding, emergency care for baby. Analysis of demographic data were analyzed with calculation of percentage. Score differences between the first test and the second test were analyzed with paired t-test. SAS / PC (Release 6.04 for DOS) program are as follows.1. Mothers' knowledge of postpartal self-care increased significantly after education (t=10.04, df=38, p=0.0001).2. Mothers' self-confidence in postpartal self-care increased significantly after education (t=6.53, df=38, p=0.0001).3. Mother's knowledge of the newborn abay care increased significantly after education (t=9.74, df=38, p=0.0001).4. Mothers' self-confidence in the newborn baby care increased significantly after education(t=8.22, df=38, p=0.0001) Suggestions for further studies and nursing practice were as follows.1. We suggest studies by randomized control-group pretest-posttest design or nonequivalent control group pretest-posttest design will be done.2. We suggest follow-up studies to find if mothers's confidence will last or not after discharge.3. We suggest general hospitals to establish a phone-counseling system.
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MUCUK, Özlem, Hava ÖZKAN, and Gülüzar SADE. "Postpartum Care with Theories." Turkiye Klinikleri Journal of Health Sciences 5, no. 3 (2020): 671–80. http://dx.doi.org/10.5336/healthsci.2019-71836.

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12

Lestari, Sri Fajar, and Heny Prasetyorini. "PEMBERIAN JUS DAUN KATUK UNTUK KESIAPAN PENINGKATAN PEMBERIAN ASI PADA IBU POSTPARTUM PRIMIPARA." Jurnal Manajemen Asuhan Keperawatan 4, no. 1 (January 30, 2020): 53–60. http://dx.doi.org/10.33655/mak.v4i1.82.

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Rendahnya cukupan ASI ekslusif disebabkan oleh beberapa faktor seperti kurangnya pengetahuan tentang pemberian ASI apalagi ibu postpartum primipara yang belum mempunyai pengalaman dalam pemberian ASI. ASI merupakan sumber gizi utama bayi yang belum dapat mencerna makanan padat.tujuan studi kasus ini menyusun resume asuhan keperawatan (pengkajian, diagnose kperawatan, perencanaan, implementasi dan evaluasi) dalam pemberian jus daun katuk untuk meningkatkan pemberian ASI pada ibu postpartum primipara. Subyek dari penelitian ini adalah dua pasien dengan kriteria inklusi dalam studi kasus ini adalah ibu postpartm hari pertama yang baru melahirkan anak pertama kali dan pasien mengeluh ASI yang keluar sedikit atau tidak lancar, pasien mampu diberikan jus daun katuk, pasien kooperatif. Hasil studi menunjukkan bahwa ke 2 responden didapatkan hasil pasien I dan II yang telah diberikan jus daun katuk mengalami peningkatan terhadap pemberian ASI. Disimpulkan bahwa pemberian jus daun katuk dapat meningkatkan pemberian ASI terhdap ibu postpartum primipara.
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Kominiarek, Michelle A., Sydney Summerlin, Noelle G. Martinez, and Lynn M. Yee. "Postpartum Patient Navigation and Postpartum Weight Retention." American Journal of Perinatology Reports 09, no. 03 (July 2019): e292-e297. http://dx.doi.org/10.1055/s-0039-1694700.

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Abstract Objective This study aimed to evaluate postpartum weight retention (PPWR) among women who participated in a postpartum patient navigation (PN) program. Study Design English-speaking pregnant or postpartum women receiving publicly-funded prenatal care at a hospital-based clinic were invited to receive PN services through 12 weeks postpartum. Women were eligible for this analysis if height and weight values were available. Weights at 4 to 12 weeks and up to 12 months postpartum were compared in PN and non-PN historical-control groups and analyzed as mean PPWR (difference from prepregnancy weight) and categorically as PPWR > 5kg. Results Among the 311 women, 152 participated in the PN program and 159 were historical controls. There were no differences in age, race and ethnicity, prepregnancy body mass index (BMI), nulliparity, and preterm birth between the groups (p > 0.05). At 4 to 12 weeks postpartum, mean PPWR (4.0 ± 6.7 vs. 2.7 ± 6.3 kg, p = 0.06) and PPWR > 5 kg (61/144 [42%] vs. 50/145 [34%], p = 0.15) did not differ between groups. Similarly, up to 12 months postpartum, mean PPWR (4.5 ± 7.1 vs. 5.0 ± 7.5 kg, p = 0.59) and PPWR > 5 kg (22/50 [44%] vs. 30/57 [53%], p = 0.55) did not differ between groups. Conclusion Although PN is a promising intervention to improve women's health care utilization and other associated health outcomes, in this particular navigation program, participation was not associated with PPWR at 4 to 12 weeks and up to 12 months postpartum.
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Rossi, A. C., R. H. Lee, and R. H. Chmait. "Emergency Postpartum Hysterectomy for Uncontrolled Postpartum Bleeding." Obstetric Anesthesia Digest 31, no. 2 (June 2011): 81–82. http://dx.doi.org/10.1097/01.aoa.0000397109.03052.c0.

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Fein, Arielle, Timothy Wen, Jason D. Wright, Dena Goffman, Mary E. D’Alton, Frank J. Attenello, William J. Mack, and Alexander M. Friedman. "Postpartum hemorrhage and risk for postpartum readmission." Journal of Maternal-Fetal & Neonatal Medicine 34, no. 2 (April 9, 2019): 187–94. http://dx.doi.org/10.1080/14767058.2019.1601697.

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Evins, Grace G., and James P. Theofrastous. "Postpartum depression: A review of postpartum screening." Primary Care Update for OB/GYNS 4, no. 6 (November 1997): 241–46. http://dx.doi.org/10.1016/s1068-607x(97)00105-4.

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Goodman, Janice H. "Postpartum Depression Beyond the Early Postpartum Period." Journal of Obstetric, Gynecologic & Neonatal Nursing 33, no. 4 (July 2004): 410–20. http://dx.doi.org/10.1177/0884217504266915.

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Rossi, A. Cristina, Richard H. Lee, and Ramen H. Chmait. "Emergency Postpartum Hysterectomy for Uncontrolled Postpartum Bleeding." Obstetrics & Gynecology 115, no. 3 (March 2010): 637–44. http://dx.doi.org/10.1097/aog.0b013e3181cfc007.

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19

Hopkins, Joyce, Susan B. Campbell, and Marsha Marcus. "Postpartum depression and postpartum adaptation: overlapping constructs?" Journal of Affective Disorders 17, no. 3 (November 1989): 251–54. http://dx.doi.org/10.1016/0165-0327(89)90007-4.

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Gustiani, Ria, and Farida Kartini. "FACTORS AFFECTING POSTPARTUM HAEMORRHAGE ON POSTPARTUM MOTHER." PLACENTUM: Jurnal Ilmiah Kesehatan dan Aplikasinya 11, no. 1 (February 22, 2023): 13. http://dx.doi.org/10.20961/placentum.v11i1.55528.

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<p><strong>Background: </strong>Postpartum haemorrhage in general is defined as blood loss from the body in the amount of 500 ml after vaginal delivery or 1000 ml after cesarian section. Every year it is estimated that there are 140.000 mother’s death caused by PPH or every 4 minutes 1 death occurs worldwide caused by PPH. According to WHO 99% of all maternal deaths occur in developing countries due to postpartum hemorrhage. Based on data obtained in 2020, the MMR in Indonesia is 305 per 100,000 live births.</p><p><strong>Purpose: </strong>to find out the factors affecting haemorrhage occurrence on postpartum mother based on the results of previous research.</p><p><strong>Method: </strong>Scoping review using databases: Google Schoolar, PubMed, and ProQuest. The keywords used in the literature search are “Factor”, “Postpartum haemorrhage”, “maternity”. The searching results were 7 articles which fulfilled the criteria. The 7 articles then were analyzed by using The Joana Briggs Institute and synthesis method using PEOS modification</p><p><strong>Results: </strong>Out of 99 articles with relevant title and abstract, obtained 7 articles which fulfilled the inclusion and exclusion criteria. Four factors were found, which are; perineal tear, anemia, placental complications, and uterine atony which affects the haemorrhage on postpartum mother.</p><strong>Conclusion: </strong>There are four most frequent factors occurring which affect the occurrence of postpartum haemorrhage namely birth canal tear, anemia factor, placental complication, and uterine atony. Those factors can cause and continuously increase haemorrhage which can lead to maternal mortality rate.<div> </div>
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Kim, Jung Hyo, Mi Kyung Park, and Myung Hee Park. "Effects of a Postpartum Care Program for Postpartum Women on Postpartum Activity and Postpartum Discomfort in Primiparous Women." Korean Journal of Women Health Nursing 14, no. 1 (2008): 36. http://dx.doi.org/10.4069/kjwhn.2008.14.1.36.

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Habek, Dubravko, Goran Pavlović, and Anis Cerovac. "Pelvic packing in the treatment of severe postpartum posthysterectomiam hemorrhage." Česká gynekologie 87, no. 6 (December 23, 2022): 412–15. http://dx.doi.org/10.48095/cccg2022412.

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Introduction: Pelvic packing (PP) as a simple method of ”damage control surgery” in severe abdominopelvic hemorrhage in gynecological and obstetric surgery after emergency obstetrics or gynecological hysterectomy. Objective: To present the case of successful PP as a simple and effective method in refractory pelvic bleeding after emergent peripartum hysterectomy and severe obstetric shock with consumptive coagulopathy. Case report: Acording to laboratory findings and clinical condition in a 30-year-old (G2 P2) parturient, it was most likely an obstetric embolism with uterine rupture as the cause of severe postparum hemorrhage with disseminated intravascular coagulopathy and obstetrics hemorrhagic shock development in the described case. Pelvic packing after postpartum hysterectomy was the definitive minimally invasive and simple hemostatic procedure. Conclusion: The use of pelvic packing and obstetrics skills should be included in the protocol as a necessary, life-saving, and uncomplicated vital indication procedure. Key words: postpartum hemorrhage – obstetrics shock – emergency postpartum hysterectomy – pelvic packing
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Sharma, Kiran, and Bhanu Prakash. "Postpartum Eclampsia -Anaesthetic Challenges." Academia Anesthesiologica International 4, no. 2 (May 31, 2019): 260–62. http://dx.doi.org/10.21276/aan.2019.4.2.58.

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ŞAN KARAMAN, Mevlide, and Nurşen KURTOĞLU AKSOY. "Postpartum Symphysis Pubis Diastasis." Turkiye Klinikleri Journal of Medical Sciences 40, no. 1 (2020): 113–16. http://dx.doi.org/10.5336/medsci.2019-66271.

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Pereira, D., C. Cabaços, J. Azevedo, S. Xavier, M. J. Soares, N. Madeira, A. Macedo, and A. T. Pereira. "The role of dysfunctional attitudes towards motherhood in postpartum depressive symptoms and disorder." European Psychiatry 64, S1 (April 2021): S181. http://dx.doi.org/10.1192/j.eurpsy.2021.480.

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IntroductionPostpartum depression (PPD) is the commonest postpartum psychiatric condition, with prevalence rates around 20%1. PPD is associated with a range of adverse outcomes for both the mother and infant2. Therefore, identifying modifiable risk factors for perinatal depression is an important public health issue3.ObjectivesTo explore the role of dysfunctional attitudes towards motherhood in postpartum depressive symptoms and disorder.Methods247 women were evaluated in the third (12.08±4.25 weeks) and sixth months (31.52± 7.16 weeks) postpartum with the Attitudes Towards Motherhood Scale4, the Postpartum Depression Screening Scale5 and the Diagnostic Interview for Psychological Distress-Postpartum6. Correlation analysis was performed followed by linear/logistic regression analysis when the coefficients proved significant (p<.05), using SPSS.ResultsDysfunctional beliefs towards motherhood concerning judgement by others and maternal responsibility positively correlated with depressive symptoms at the third (.528; .406) and the sixth months (.506; .492) postpartum. Those dysfunctional beliefs were predictors of depressive symptoms at the third (ß=.440; ß=.151) and sixth months (ß=.322; ß.241) explaining 29.4% and 30.2% of its variance, respectively. Having dysfunctional beliefs at the third month significantly increase the likelihood of being diagnosed with Major Depression (DSM5) both in the third (Wald=9.992, OR=1.169; Wald=16.729, OR=1.231) and sixth months (Wald=5.638, OR=1.203; Wald=7.638, OR=1.301) (all p<.01).ConclusionsCognitive distortions should be included in the assessment of risk factors for PPD. Early identification of women presenting motherhood-specific cognitive biases may be crucial for implementing preventive interventions favoring a more positive and healthier motherhood experience.DisclosureNo significant relationships.
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Druelinger, Linda. "Postpartum Emergencies." Emergency Medicine Clinics of North America 12, no. 1 (February 1994): 219–37. http://dx.doi.org/10.1016/s0733-8627(20)30459-4.

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Işık, Mesut. "Postpartum Psychosis." Eastern Journal Of Medicine 23, no. 1 (2018): 60–63. http://dx.doi.org/10.5505/ejm.2018.62207.

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Stan, Daniela, and Mihai Mitran. "Postpartum mastitis." Ginecologia.ro 4, no. 22 (2018): 47. http://dx.doi.org/10.26416/gine.22.4.2018.2146.

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Demirkol, Mehmet Emin, Ayşegül Kızıltoprak, and Şilan Şenbayram. "Postpartum Psikoz." Arşiv Kaynak Tarama Dergisi 27, no. 2 (June 30, 2018): 206–22. http://dx.doi.org/10.17827/aktd.368474.

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Mulic-Lutvica, Ajlana. "Postpartum Ultrasound." Donald School Journal of Ultrasound in Obstetrics and Gynecology 6, no. 1 (2012): 76–92. http://dx.doi.org/10.5005/jp-journals-10009-1228.

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ABSTRACT This article describes uterine and uterine cavity changes throughout the normal and pathological puerperium, as revealed by various ultrasound modalities. A gray scale ultrasound, color and pulsed Doppler ultrasound and 3D ultrasound were used. It is based on results of several prospective longitudinal studies, which were designed so that every woman was examined at six occasions during the puerperium, namely on postpartum days 1, 3, 7, 14, 28 and 56. The first four examinations were performed transabdominally and the last two transvaginally. The same design was used in all studies. The involution process of the uterus was assessed by measuring the anteroposterior diameter of the uterus and uterine cavity. Morphological findings were recorded. The influence on the involution process of parity, breastfeeding, maternal smoking and infant's birth weight were also evaluated. Besides conventional ultrasound, Doppler technology was used to study hemodynamic events occurring during the normal puerperium. The pulsatility (PI) and resistance (RI) indices in the uterine arteries were measured, and the presence or absence of early diastolic notches was recorded. A hypervascular area in myometrium was assessed by color and power Doppler. Normal involution process was also described by means of 3D ultrasound. The volume of the uterus and uterine cavity after normal vaginal delivery were measured using virtual organ computer-aided analysis (VOCAL) using six adjacent planes and a 30° rotation method. Reference values from uncomplicated puerperium were used when pathological conditions were studied. Results from these studies, which shed light on normal and pathological changes during the puerperium, are summarized in this chapter. How to cite this article Mulic-Lutvica A. Postpartum Ultrasound. Donald School J Ultrasound Obstet Gynecol 2012; 6(1):76-92.
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Harris, Brian. "Postpartum Depression." Psychiatric Annals 32, no. 7 (July 1, 2002): 405–15. http://dx.doi.org/10.3928/0048-5713-20020701-08.

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32

Bienstock, Jessica L., Ahizechukwu C. Eke, and Nancy A. Hueppchen. "Postpartum Hemorrhage." New England Journal of Medicine 384, no. 17 (April 29, 2021): 1635–45. http://dx.doi.org/10.1056/nejmra1513247.

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33

Wilbeck, Jennifer, Jean W. Hoffman, and Mavis N. Schorn. "Postpartum Hemorrhage." Advanced Emergency Nursing Journal 44, no. 3 (July 2022): 213–19. http://dx.doi.org/10.1097/tme.0000000000000421.

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34

Kakushkin, N. "Postpartum psychoses." Journal of obstetrics and women's diseases 8, no. 3 (September 14, 2020): 254. http://dx.doi.org/10.17816/jowd83254.

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Guided by the views of various authors, the author of the article tries to systematize various etiological moments, both predisposing to postpartum psychoses and producing the latter. The first place among the causes is heredity, a predisposing cause. Between the predisposing and producing causes, as something transitional, there are emotional disturbances and moral upheavals. Finally, among the causative causes, it is necessary to indicate infection and postpartum diseases of the genital organs (especially often subinvolutio uteri), as well as autointoxicapia (eg eclampsia, osteomalacia).
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35

Argatska, Antoaneta B., and Boyan I. Nonchev. "Postpartum Thyroiditis." Folia Medica 56, no. 3 (September 1, 2014): 145–51. http://dx.doi.org/10.2478/folmed-2014-0021.

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ABSTRACT Postpartum thyroiditis (PPT) is a syndrome of transient or permanent thyroid dysfunction occurring in the first year after delivery or abortion. It is the most common thyroid disease in the postpartum period with incidence between 5 and 9%. In essence, it is an autoimmune inflammation of the thyroid, caused by changes in humoral and cell-mediated immune response. It has a characteristic biphasic course with an episode of transient thyrotoxicosis followed by transient or permanent hypothyroidism. Of all predisposing factors positive titers of thyroid peroxidase antibodies have the greatest importance. In some of the affected patients the disease course is marked by expressed hormonal disorders causing significant subjective symptoms. This underlines the need for early identification of risk groups aimed at prophylaxis and adequate treatment of thyroid dysfunction in the postpartum period. The frequency of PPT varies between analyses and studies on risk factors do not establish reliable predictive models for progression of the disease. This is due to the different methodology of research and the involvement of a number of genetic and non-genetic factors in different geographic regions. That is why implementation of mass screening programs is now controversial. The discrepancy in the opinions of researchers makes it necessary to have studies of the problem performed in every clinical center in which the possible risk specific to the region and the population covered might be defined prognostically. The results of these studies can be used to introduce targeted and cost-effective screening for early detection of risk patients and prevention of morbidity and complications of PPT.
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Newman, Donna La May, Marina Boyarsky, and Darryl Mayo. "Postpartum depression." JAAPA 35, no. 4 (April 2022): 54–55. http://dx.doi.org/10.1097/01.jaa.0000823172.00644.44.

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37

Green, Katharine, and Maud Low. "Postpartum Depression." Advances in Family Practice Nursing 4, no. 1 (May 2022): 145–58. http://dx.doi.org/10.1016/j.yfpn.2021.12.008.

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38

Bienstock, J. L., A. C. Eke, and N. A. Hueppchen. "Postpartum Hemorrhage." Obstetric Anesthesia Digest 41, no. 4 (November 22, 2021): 186–87. http://dx.doi.org/10.1097/01.aoa.0000796180.14335.6e.

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39

Akinci, Emine, and Aylin Erkek. "Postpartum Pancreatitis." Journal of Academic Emergency Medicine Case Reports 3, no. 4 (2012): 124–25. http://dx.doi.org/10.5505/jaemcr.2012.68442.

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40

Cox, Susan M., and Larry C. Gilstrap. "Postpartum Endometritis." Obstetrics and Gynecology Clinics of North America 16, no. 2 (June 1989): 363–71. http://dx.doi.org/10.1016/s0889-8545(21)00164-9.

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41

Çelik, Onur, and İbrahim Kılıççalan. "POSTPARTUM THYROIDITIS." TURKISH MEDICAL STUDENT JOURNAL 8, no. 3 (November 1, 2021): 96–98. http://dx.doi.org/10.4274/tmsj.galenos.2021.08.03.02.

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42

Harris, Marilyn D. "Postpartum Care." AJN, American Journal of Nursing 121, no. 11 (November 2021): 10. http://dx.doi.org/10.1097/01.naj.0000798916.03696.fa.

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43

Baig, Faiqa Saleem, Nadeem Shahzad, Hafiza Naveeda Khurshid, and Aisha Malik. "POSTPARTUM HAEMORRHAGE." Professional Medical Journal 22, no. 06 (June 10, 2015): 793–97. http://dx.doi.org/10.29309/tpmj/2015.22.06.1251.

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The most common complication 0f the third stage of labour is postpartumhaemorrhage, which remains a leading cause of maternal mortality (25.0%), especially indeveloping countries. In developed countries, 3-5% of deliveries are complicated by postpartumhaemorrhage: in developing countries, it is 50 times more common .Third stage of labourwhich exceeds 30 minutes is associated with a significant risk of postpartum haemorrhage andpuerperal infection. The best preventive strategy for these complications is active managementof third stage of labour. Active management includes administration of oxytocin within oneminute of birth of baby. Objectives: To compare the mean blood loss after administration ofintra umbilical oxytocin versus intravenous oxytocin at anterior shoulder for active managementof third stage of labour. Study Design: Randomized controlled trial. Period: Six months from1-1-2013 to 30-06-2013. Setting: Department of Obstetrics and Gynaecology, Unit-III JinnahHospital Lahore. Methodology: 100 patients fulfilling selection criteria were included in thestudy from labour room. These patients were randomly divided into two groups by usinglottery method. Group-A, 50 patients were administered 10 units of oxytocin diluted in 20ml ofnormal saline intraumbilically and group-B, 50 patients were administered 5 units of oxytocinintravenous stat at anterior shoulder. Total blood loss was noted after complete delivery ofplacenta. Results: Mean age was 25.0±3.9 and 24.4±3.5 in group-A and B, respectively. Meangestational age was 38.20±0.96 weeks in group-A and 38.40±0.94 weeks in group-B. Meanblood loss in intraumbilical oxytocin group was 311.20±27.23 ml and in intravenous oxytocingroup mean blood loss was 373.60±66.47 ml. There was statistically significant differencebetween two groups (p<0.001). In group-A 15 patients (30.0%) and in group-B 20 patients(40.0%) were primigravida while remaining patients were multigravida. Conclusion: The usageof intraumbilical oxytocin in active management of third stage of labour is beneficial in reducingthe blood loss in third stage and thus helps in preventing postpartum haemorrhage.
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ASIF,, HAFIZ MUHAMMAD, KHIZAR HAYYAT, and ANAM IQBAL. "POSTPARTUM STRESS;." Professional Medical Journal 20, no. 02 (February 7, 2013): 208–13. http://dx.doi.org/10.29309/tpmj/2013.20.02.684.

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There is no consensus on the amount of exercise necessary to improve pelvic floor muscle (PFM) function. We reviewedthe pathophysiology of PFM dysfunction and the evolution of PFM training regimens since Kegel introduced the concept of pelvic floorawareness and the benefits of strength. This paper describes the effect of pelvic floor muscle training (Kegel Exercises) in stress urinaryincontinence. The design of PFM training logically requires multiple factors to be considered in each patient. Objectives: The objective ofthe study was to determine the effects of pelvic floor muscle training with postpartum urinary incontinence (1) Improvement in urinarycontrol. (2) Improvement in relieving urinary urgency. (3) Time duration in which patient returns to functional activities. (4) Anycomplications after exercises. Study Design: Quasi Study. Place and Duration of Study: the study was carried out in department ofphysiotherapy Ghurki Trust Teaching Hospital Lahore the duration of study was 12 months from May 2011 to April 2012. Patients andMethods: The study was based on 28 patients who were having the complaint of postpartum urinary incontinence. Abdominal and pelviccontrol was assessed and recorded before commencing the exercises and was also assessed regularly on every follow up. Results:Kegel exercises helps to control and eradicate the problem of postpartum stress urinary incontinence. Conclusions: Kegel exercises givea good result in postpartum stress urinary incontinence.
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ALI, ROBINA, and FARZANA HINA. "POSTPARTUM HEMORRHAGE;." Professional Medical Journal 19, no. 03 (May 10, 2012): 360–64. http://dx.doi.org/10.29309/tpmj/2012.19.03.2143.

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Introduction: Worldwide PPH remains one of the most common cause of maternal mortality and is largely preventable maternaldeaths mainly in low income countries. 80% of it occurs due to uterine atony and uterotonics can decrease the risk of uterine atony. Misoprostolhas powerful uterotonic effect because it is well absorbed and has potential to be used more widely than would be possible with injectableuterotonics alone. Objective: The objective of this study is to compare efficacy of misoprostol with ergometrine in cesarean delivery formanagement of PPH. Study Design: Randomized controlled trial. Duration of study: The duration of study was six months from 1/1/2010 to30th/6/2010. Setting: Department of Gynae and obstetrics, DHQ hospital, Faisalabad. Subjects and methods: All patients fulfilling inclusioncriteria were included in study and before cesarean section Hb was carried out and Patients were divided into two groups, GP , and GP . GP 1 2 1was given 800 ug MP per rectal just before starting cesarean Section and GP was given intravenous ergometrine at delivery of head or anterior 2shoulder. Blood loss was measured objectively after delivery of the baby with help of standard size kidney tray of 500cc and post operative Hbwas Carried out on 3rd post operative day. Results: 187 Patients were randomly allocated in GP and GP each. In GP , misoprostol was given 1 2 1800 μg per rectal just before starting cesarean section and 13 patients (7%) out of 187 have blood loss more than 500ml measured by standardsize kidney tray while in GP intravenous ergometrine was given at delivery of the head and in this group 25 patients (13.5%) out of 187 had 2blood loss more than 500ml, so misoprostol was found to be a better uterotonic than ergometrine for prevention of PPH. On the third postoperative day Hb was carried out and in GP 13 patients (7%) out of 187 had their Hb less than 9 g/dl while in GP 25 patients (13.5%) had Hb less 1 2than 9 g/d1. Conclusions: Mp is stable, cost effective and easily administrable drug and was found to be comparatively more powerfuluterotonic than ergometrine for preventing uterine atony.
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ISHAQ, TEHNIYAT, SAID AMIN, and ISHAQ KHATTAK. "POSTPARTUM HAEMORRHAGE." Professional Medical Journal 18, no. 04 (December 10, 2011): 604–10. http://dx.doi.org/10.29309/tpmj/2011.18.04.2647.

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Objective: To determine the frequency, risk factors and existing practice for the management of massive primary postpartum hemorrhage (PPH). Study design: Retrospective cross-sectional study. Setting: Department of Obstetrics & Gynaecology at Kuwait Teaching Hospital, Peshawar. Materials and methods: this study was performed from June 2008 to June 2010. Women who developed massive primary PPH after admission or were admitted with it, were included in the study. Medical record files of these women were reviewed for maternal mortality and morbidities which included mode of delivery, possible cause of postpartum hemorrhage, supportive medical and surgical intervention. Data was entered in the pre-structured proforma. Estimates of blood loss were made on history, visual parameters and patient’s condition. All the data was analyzed by using statistical computer soft ware SPSS 6. Results: During the study period total number of obstetrical admissions were 2944. Forty nine out of 2769 (1.76%) deliveries, developed massive primary PPH. The highest frequency of massive primary PPH was observed in grand multiparous patients. Uterine atony was the most common cause of the complication. Birth attendants other than doctor and delivery outside the study unit were significantly associated with the adverse outcome in these patients. Seventy five percent patients,(36/49) who had massive PPH, delivered vaginally. High dependency unit (HDU) was required in 12% (6/49) of women. Only one caesarian hysterectomy was done. There was one maternal mortality. Blood transfusions were required in 82% (40/49) of the patients. Conclusions: Postpartum hemorrhage can be a preventable condition if early identification and timely management of this complication and its risk factors is observed. Uterine atony is the leading cause of immediate PPH. The main risk factors for PPH due to uterine atony are high parity, a large fetus, multiple fetuses, hydramnios, or past history of PPH. Determining the frequency, risk factors and management of primary postpartum hemorrhage will help design stepwise protocols for prevention and management of primary PPH in our setup.
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47

Chaudron, Linda H. "Postpartum Depression." Pediatrics In Review 24, no. 5 (May 1, 2003): 154–61. http://dx.doi.org/10.1542/pir.24.5.154.

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48

Chan, Denise, and Shankari Arulkumaran. "Postpartum pyrexia." Obstetrics, Gynaecology & Reproductive Medicine 31, no. 9 (September 2021): 241–44. http://dx.doi.org/10.1016/j.ogrm.2021.06.006.

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49

Akyüz Çim, Emine Füsun. "Postpartum psychosis." Van Medical Journal 24, no. 2 (2017): 131–34. http://dx.doi.org/10.5505/vtd.2017.43534.

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50

Junejo, Raheela Rani, Rabail Rani Junejo, Shahla Baloch, Raheel Sikandar, and Mehrunnisa Khaskheli. "POSTPARTUM HAEMORRHAGE;." Professional Medical Journal 24, no. 07 (July 3, 2017): 1016–19. http://dx.doi.org/10.29309/tpmj/2017.24.07.1031.

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Objectives: To determine the frequency of postpartum haemorrhage in obeseprimigravid women. Study Design: Case series study. Period: Six months was conductedfrom 1st October 2014 to 30 March 2015. Setting: Department of gynecology and obstetricsat Liaquat University Hospital Jamshoro. Patients and Methods: All the primigravid obese(≥30kg/m2) ladies 18 to 35 years of age with 37-42 weeks of gestational age were evaluate forthe occurrence of PPH by estimating blood loss of greater than 500 ml of blood following vaginaldelivery or 1000 ml of blood loss following caesarean section. All data was entered and analyzedthrough statistical package SPSS version 17, the chi-square statistical test was applied and thep-value ≤0.05 was considered as statistical significant. Results: Total 203 primigravid obeseladies were studies, the age group was analyzed which shows that in age group between 18-25years were 105(52.00%) women, in age group of 26-30 years were 62(30.69%) women and agegroup of 30 years and above were 35 (17.31%) women. The modes of delivery were evaluatedwhich shows that 66.5% women underwent C-section and 33.4% women had normal vaginaldelivery. The PPH was observed in 34.97% patients (70.4% with C-Section and 29.6 with NVD).Conclusion: Obesity carries a significant increased risk of complications during pregnancyand maternal risks during labour are PPH and more frequent C-section and nulliparous obesewomen have twofold high risk for PPH
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