Articles de revues : « Post partum desease treatment »

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Azizi, Fereidoun. « Treatment of post-partum thyrotoxicosis ». Journal of Endocrinological Investigation 29, n^o 3 (mars 2006) : 244–47. http://dx.doi.org/10.1007/bf03345547.

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Leite, F., O. Campos, H. Salgado et P. Carvalho. « Post-partum psychosis ». European Psychiatry 33, S1 (mars 2016) : S625. http://dx.doi.org/10.1016/j.eurpsy.2016.01.2344.

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IntroductionPostpartum psychosis (or puerperal psychosis) is a term that covers a group of mental illnesses with the sudden onset of psychotic symptoms following childbirth. A typical example occurs when after childbirth, a woman becomes irritable, has extreme mood swings and hallucinations with the possibility of needing psychiatric hospitalization. Often, out of fear of stigma or misunderstanding, women hide their condition.Aims and objectivesTo review the evidence regarding prophylactic treatment and acute management of postpartum psychosis and affective disorders in the puerperium.MethodsOnline search/review of the literature has been carried out, using Medline/Pubmed, concerning “postpartum psychosis”, “postpartum”, “mental disorders”, “mania” and “depression”.ResultsPostpartum psychosis is a rare and severe psychiatric condition requiring rapid restoration of health in view of significant risks to both mother and the infant. The known risk factors and negative consequences of postpartum psychosis point to the importance of preventive and acute treatment measures. The majority of patients who develop psychosis immediately following childbirth suffer from bipolar disorder.ConclusionsUnderstanding the relationship between postpartum psychosis and affective disorders has implications for perinatal and long-term treatment. The rapid and accurate diagnosis of postpartum psychosis is essential to expedite appropriate treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Hauser, I., B. Schneider et K. Lechner. « Post-Partum Factor VIII Inhibitors ». Thrombosis and Haemostasis 73, n^o 01 (1995) : 001–5. http://dx.doi.org/10.1055/s-0038-1651666.

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SummaryIn a retrospective study 51 published cases of post-partum factor VIII inhibitors were analyzed with regard to the outcome according to treatment. The overall outcome was favorable with 97% survival at two years. The probability of complete remission (CR, absence of the inhibitor and normalization of factor VIII activity) was almost 100% at 30 months. Steroid treatment appears to be not superior to no treatment, but patients treated with immunosuppressive drugs (cyclophosphamide, azathioprine, 6-mercaptopurine) had a significantly shorter time to CR. In the absence of a randomized trial this analysis may be helpful for decision-making in women with factor VIII post-partum inhibitors. Because of the retrospective study design, conclusions have to be regarded with caution.

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Tufts, Jennifer A. « Brexanolone injection for post-partum depression treatment ». Lancet 394, n^o 10196 (août 2019) : 379. http://dx.doi.org/10.1016/s0140-6736(19)30727-5.

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Tang, George Y., et Jay Parekh. « Brexanolone injection for post-partum depression treatment ». Lancet 394, n^o 10196 (août 2019) : 379. http://dx.doi.org/10.1016/s0140-6736(19)30714-7.

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Owen, P. J. D., et J. H. Lazarus. « The treatment of post-partum thyroid disease ». Journal of Endocrinological Investigation 26, n^o 4 (avril 2003) : 290–91. http://dx.doi.org/10.1007/bf03345173.

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Noviana, Ulva. « PENGARUH ROLLING MASSAGE TERHADAP KELANCARAN PRODUKSI ASI IBU POST PARTUM PRIMIPARA DI DESA CAMPOR KEC. GEGER KAB. BANGKALAN ». JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & ; Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 10, n^o 2 (28 novembre 2019) : 35–39. http://dx.doi.org/10.36089/job.v1i2.111.

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Production of breast milk (ASI) wich is little and is not smooth one day after dilivery becomes an obstacle of early breastfeeding forpost partum primipara. Of 6 post partum primipara. 3 underwent breasr milk wich did not come out and 2 underwent breasr milk wich did not flow out smoothly and 1 underwent smooth flow of breast milk. This research was aimed to find aout the effects of rolling massage on smoothness of breast milk production for post partum primipara.This research employed preeksperiment, one group pretest-posttest design. Population consisted of post partum primipara and sample which used a porposive sampling technique consisted of 13 post partum primipara. The result showed that before treatment, 69.2% post partum priipara had unsmooth production of breast milk and only 30.8% post partum primipara had smooth production of breast milk and after treatment, 77% post partum primipara had smooth production of breast milk and only 23% post partum primipara had unsmooth production of breast milk.

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Turab, Syed Mohsin, Muhammad Furqan, Shah Nawaz Jamali et Syeda Amber Zaidi. « POST PARTUM IRON DEFICIENCY ANEMIA ; ». Professional Medical Journal 24, n^o 01 (18 janvier 2017) : 95–101. http://dx.doi.org/10.29309/tpmj/2017.24.01.475.

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Objectives: To Analyze and compare the effect of oral vs parenteral iron therapyon various hematological parameters in women suffering from post-partum iron deficiencyanemia. Study Design: Comparative, randomized and prospective study. Setting: Departmentof Pharmacology, HCMD, HU in collaboration with the Dept of Obs/Gynae, JPMC Karachi.Period: January to December 2015. Subjects and Methods: 40 patients divided in two groupsA and B of 20 each. Group A received oral iron (Tab Iberet 525 mg once daily) for a period of 3months while group B was treated with intravenous iron sucrose complex (Inj Venofer 100mg/Amp) the total no of doses were calculated according to Hemoglobin deficit. Hemoglobin,Hematocrit and MCV were observed at day 0, 45 and 90 of the treatment. Results: Group Ashows a mean increase of 25.85% at day 90th of the treatment in comparison to this group Bshows a much better result with a mean increase of 36.71% in Hemoglobin conc. At the end of12 weeks therapy. Conclusion: Parenteral iron therapy was found to be an effective means oftreatment in patients with postpartum iron deficiency anemia.

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Menascu, Shay, Michal Siegel-Kirshenbaum, Sapir Dreyer-Alster, Yehuda Warszawer, David Magalashvili, Mark Dolev, Mathilda Mandel, Gil Harari et Anat Achiron. « Intravenous immunoglobulin treatment during pregnancy and the post-partum period in women with multiple sclerosis : A prospective analysis ». Multiple Sclerosis Journal - Experimental, Translational and Clinical 9, n^o 1 (janvier 2023) : 205521732211511. http://dx.doi.org/10.1177/20552173221151127.

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Background Relapsing-remitting multiple sclerosis (RRMS) affects predominantly young women within reproductive years. As an increased risk of relapses is known to occur during the post-partum period, it is important to consider treatment options. Aim Evaluate the effects of intravenous immunoglobulins (IVIg) to prevent post-partum relapses. Methods We prospectively followed 198 pregnant female RRMS patients, 67 treated with IVIg during pregnancy and the three months post-partum, and 131 untreated patients that served as controls. Results During the pre-gestation year, 41.4% were treated with immunomodulatory drugs, and 28.3% experienced a relapse. During pregnancy and the post-partum period, the number of relapsing patients significantly decreased in the IVIg group (37.3%, 10.4%, 8.9%, respectively, p = 0.0003), while no significant change was observed in the untreated group (23.7%, 17.6%, and 22.1%). During the three-month post-partum period, there were only mild and moderate relapses in the IVIg group, while in the untreated group, there were also severe relapses. Stepwise logistic regression that assessed the relation between three-month post-partum relapse and explanatory variables demonstrated that untreated patients had increased risk for post-partum relapse (odds ratio = 4.6, 95% CI [1.69, 12.78], p = 0.033). Conclusions IVIg treatment proved efficient to reduce the rate and severity of relapses during pregnancy and the three-month post-partum.

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Ledger, William J. « Post-partum endomyometritis diagnosis and treatment : A review ». Journal of Obstetrics and Gynaecology Research 29, n^o 6 (décembre 2003) : 364–73. http://dx.doi.org/10.1111/j.1341-8076.2003.00145.x.

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Goëb, Vincent, Victor Strotz, Mathieu Verdet, Xavier Le Loët et Olivier Vittecoq. « Post-partum sacral fracture associated with heparin treatment ». Clinical Rheumatology 27, S2 (6 mai 2008) : 51–53. http://dx.doi.org/10.1007/s10067-008-0898-9.

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Rotondi, Mario, Valentina Capelli, Francesca Coperchini, Sara Pinto, Laura Croce, Massimo Tonacchera et Luca Chiovato. « Post-partum and non-post-partum relapsing Graves’ hyperthyroidism display different response to anti-thyroid drugs ». European Journal of Endocrinology 178, n^o 6 (juin 2018) : 589–94. http://dx.doi.org/10.1530/eje-17-1063.

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Design Graves’ disease (GD) patients in remission after a full course of methimazole (MMI) therapy are at risk for a relapse of hyperthyroidism during the post-partum (PP) period, but whether this relapse may display any peculiarity is still unknown. Aim of this study was to compare GD patients undergoing a relapse of hyperthyroidism either in the PP period or not. Methods We retrospectively evaluated forty-three GD female patients in their childbearing age who experienced a relapse of hyperthyroidism. Eighteen of them relapsed in the PP period (i.e. within 12 months after delivery, PP group); the remaining 25 relapsed elsewhere during life (NPP group). Results Age at relapse, thyroid volume, thyroid function tests, TRAb titers, smoking habit, presence and degree of orbitopathy and duration of methimazole (MMI) treatment did not differ in the two groups. However, the remission rate was much greater (79%) in the PP as compared with the NPP (32%) group (P = 0.002). A significant reduction in TRAb levels occurred at 12-month MMI treatment in the PP (F = 9.016; P = 0.001), but not in the NPP group (F = 2.433; NS). At 12 months, the PP group had significantly lower mean TRAb levels (0.6 ± 1.1 U/L and 4.5 ± 4.7 U/L in the PP and the NPP group, respectively; P = 0.029). Conclusions Relapsing Graves’ hyperthyroidism in the PP period is more prone to undergo a remission after a second course of MMI treatment. In these patients, a conservative therapeutic approach is more appropriate.

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Voros, Charalampos, et Kalliopi Pappa. « Post Partum Hemorrhage – Mini Review ». Hellenic Journal of Obstetrics and Gynecology 18, n^o 4 (3 octobre 2019) : 141–46. http://dx.doi.org/10.33574/hjog.1870.

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Background: Postpartum hemorrhage (PPH) remains a common cause of maternal mortality worldwide, mainly caused by uterine atony. Medical intervention plays an important part in prevention and therapies of PPH. Prophylactic interventions include the use of uterotonic drugs. We elaborated the consistency of national and international guidelines on those medical approaches. Materials and methods: Medical approaches in PPH were extracted from recent publications. Furthermore, the current guidelines of the World Health Organization, the FIGO and of the American, British,and Canadian of Obstetricians and Gynecologists on PPH were analyzed. Results: Use of oxytocin after delivery of the anterior shoulder is the most important and effective component of this practice. However, the examined guidelines fail to give unequivocal recommendations on further uterotonics in PPH, which may partially be attributed to differing publication dates of the guidelines. Conclusion: Appropriate management of postpartum hemorrhage requires prompt diagnosis and treatment . International guidelines on PPH are characterized by differing recommendations. However, recent publications suggest that adhering to local guidelines significantly reduces the prevalence of severe PPH.

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Witari, N. N. Deni, et Martha Winingsih G. A. « The effectiveness of music therapy treatment to decrease the post-partum blues symptom at private practice midwife (BPM) in the working region of public health center (Puskesmas) IV South Denpasar ». International Journal of Research in Medical Sciences 6, n^o 7 (25 juin 2018) : 2370. http://dx.doi.org/10.18203/2320-6012.ijrms20182849.

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Background: The failure of post-partum mother in adapting to physical and emotional change oftentimes causes psychological disorder such as sadness, exasperation, tiredness, anger, and despair. At Denpasar City, the prevalence of post-partum blues depression based on EPDS score is 20.5%. Music therapy is an alternative to decrease emotional disturbance because music that enters pituitary gland could give response towards emotion through negative feedback on adrenal gland to suppress the release of stress hormones.Methods: The method which used in this research was quasi-experiment design with the framework of one group pre-test-post-test design on post-partum mothers in the seventh day after normal labor and did not experience hearing loss. The pre-test utilized EPDS questionnaire, if there had been a symptom of post-partum blues, they were given Mozart classical music therapy for 7 days and evaluated by questionnaire on the 14th day.Results: From the research on 30 post-partum blues sufferers, prior to the treatment of classical music therapy, it was found that the majority which was 24 respondents (80%) showed mild symptom with the mean value of 7.4. After the treatment of Mozart classical music, almost half of them or 11 respondents (36.7%) did not show post-partum blues symptom with the mean value of 1.4. There is an impact of Mozart classical music therapy treatment toward the decrease of post-partum blues symptom with the P value=0.00.Conclusions: In conclusion, Mozart classical music therapy is effective to decrease the post-partum blues symptom from the scale of 7.4 to 1.4 with p value (0.000).

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Amaliasari, Ganis, Harmayetty et Retnayu Pradanie. « The Effect of Breast Treatment and Oxytocin Massage on the Production of Breast Milk ». Journal of Computational and Theoretical Nanoscience 17, n^o 7 (1 juillet 2020) : 3047–52. http://dx.doi.org/10.1166/jctn.2020.9133.

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Breastfeeding is a normal process following childbirth. However, post partum mothers often complain several problems during breastfeeding. A problem that is often complained of by post partum mothers is the lack of breast milk supply. The lack of breast milk production will interfere with the process of breastfeeding, which is one of the causing factors as to why certain mothers do not exclusively breastfeed. To find out the effect of breast care and oxytocin massage on increasing milk production in post partum mothers. This research uses a quasi-experimental design. The population in this study were all primiparous post partum mothers with lactation period of 0-7 days. A total of 20 mothers participated in this study and was divided into two groups namely the treatment group and the comparison group. The samples were obtained using purposive sampling. There are independent variables (breast care and oxytocin massage) and dependent variables (milk production). Data collection was performed using a questionnaire, then analyzed using the test Wilcoxon Signed Rank Test and Mann Whitney Test. Wilcoxon Signed Rank Test Results of breast milk production of (p = 0.003) in the treatment group, while in the comparison group the breast milk production was (p = 0.014). The Mann Whitney Test results show that p = 0.004. It can be concluded that breast care and oxytocin massage effectively increase the milk production of post partum mothers. The therapy is recommended for health professionals to apply breast care and oxytocin massage to increase the milk production of post partum mothers who have less milk production. Combination of breast care and oxytocin massage have more effective benefits in increasing the breast milk production of postpartum mothers.

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Tsumagari, Ayako, Rena Ohara, Miyuki Mayumi, Hiroya Yagi, Yuko Nagai, Mana Obata‐Yasuoka, Hiromi Hamada et Toyomi Satoh. « Clinical characteristics, treatment indications and treatment algorithm for post‐partum hematomas ». Journal of Obstetrics and Gynaecology Research 45, n^o 6 (20 février 2019) : 1127–33. http://dx.doi.org/10.1111/jog.13943.

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Feigenberg, Tomer, Yael Eitan, Hen Y. Sela, Uriel Elchalal, Assaf Ben-Meir et Nathan Rojansky. « Surgical versus medical treatment for secondary post-partum hemorrhage ». Acta Obstetricia et Gynecologica Scandinavica 88, n^o 8 (janvier 2009) : 909–13. http://dx.doi.org/10.1080/00016340903093559.

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BUTLER, J., et B. E. LEONARD. « Post-partum Depression and the Effect of Nomifensine Treatment ». International Clinical Psychopharmacology 1, n^o 3 (juillet 1986) : 244–52. http://dx.doi.org/10.1097/00004850-198607000-00007.

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Gilad, Oded, Paul Merlob, Bracha Stahl, Noa Averbuch et Gil Klinger. « Outcome of breastfed infants following post-partum methylergonovine treatment ». Journal of Maternal-Fetal & ; Neonatal Medicine 30, n^o 13 (16 novembre 2016) : 1569–73. http://dx.doi.org/10.1080/14767058.2016.1212831.

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Madsen, Svend Aage. « Treatment of anger in men with post partum depression ». Journal of Men's Health 7, n^o 3 (octobre 2010) : 300. http://dx.doi.org/10.1016/j.jomh.2010.09.063.

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Vigil-De Gracia, P., et E. Garcı́a-Cáceres. « Dexamethasone in the post-partum treatment of HELLP syndrome ». International Journal of Gynecology & ; Obstetrics 59, n^o 3 (décembre 1997) : 217–21. http://dx.doi.org/10.1016/s0020-7292(97)00214-2.

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Meltzer-Brody, Samantha, Helen Colquhoun, James Doherty, David R. Rubinow et Stephen Kanes. « Brexanolone injection for post-partum depression treatment – Authors' reply ». Lancet 394, n^o 10196 (août 2019) : 380. http://dx.doi.org/10.1016/s0140-6736(19)30703-2.

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Huang, Ming-Chyi, Ying-Bing Wang et Chia-Hsiang Chan. « Estrogen–progesterone combination for treatment-refractory post-partum mania ». Psychiatry and Clinical Neurosciences 62, n^o 1 (février 2008) : 126. http://dx.doi.org/10.1111/j.1440-1819.2007.01782.x.

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Lauterbach, Roy, Cara Ferrer Sokolovski, Jenia Rozenberg et Amir Weissman. « Acupuncture for the treatment of post-partum urinary retention ». European Journal of Obstetrics & ; Gynecology and Reproductive Biology 223 (avril 2018) : 35–38. http://dx.doi.org/10.1016/j.ejogrb.2018.01.029.

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Slabe, Nina, et Teja Možina. « Treatment of persistent post-partum haemorrhage : A case report ». European Journal of Obstetrics & ; Gynecology and Reproductive Biology 234 (mars 2019) : e186. http://dx.doi.org/10.1016/j.ejogrb.2018.08.035.

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Cooper, Peter J., Lynne Murray, Anji Wilson et Helena Romaniuk. « Controlled trial of the short- and long-term effect of psychological treatment of post-partum depression ». British Journal of Psychiatry 182, n^o 5 (mai 2003) : 412–19. http://dx.doi.org/10.1192/bjp.182.5.412.

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BackgroundPsychological interventions for postnatal depression can be beneficial in the short term but their longer-term impact is unknown.AimsTo evaluate the long-term effect on maternal mood of three psychological treatments in relation to routine primary care.MethodWomen with post-partum depression (n=193) were assigned randomly to one of four conditions: routine primary care, non-directive counselling, cognitive–behavioural therapy or psychodynamic therapy. They were assessed immediately after the treatment phase (at 4.5 months) and at 9, 18 and 60 months post-partum.ResultsCompared with the control, all three treatments had a significant impact at 4.5 months on maternal mood (Edinburgh Postnatal Depression Scale, EPDS). Only psychodynamic therapy produced a rate of reduction in depression (Structured Clinical Interview for DSM–III–R) significantly superior to that of the control. The benefit of treatment was no longer apparent by 9 months post-partum. Treatment did not reduce subsequent episodes of post-partum depression.ConclusionsPsychological intervention for post-partum depression improves maternal mood (EPDS) in the short term. However, this benefit is not superior to spontaneous remission in the long term.

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Lichtenberg, P., R. Navon, E. Wertman, H. Dasberg et B. Lerer. « Post-Partum Psychosis in Adult GM2 Gangliosidosis ». British Journal of Psychiatry 153, n^o 3 (septembre 1988) : 387–89. http://dx.doi.org/10.1192/bjp.153.3.387.

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Adult hexosaminidase A deficiency is a form of GM2 gangliosidosis with autosomal recessive inheritance. Only 35 cases (mostly among Ashkenazic Jews) have been reported worldwide. Symptoms include, in a third of the cases, psychosis. A 27–year-old sufferer with no prior psychiatric history, developed a post-partum psychosis, with affective and hebephrenic components, 3 days following her first delivery. She responded to lithium within 10 days of initiating treatment; the full episode lasted 1 month. We conclude that lithium is the preferred treatment for psychosis in such adult patients, especially in light of possible long-term neurological deterioration caused by phenothiazines. Ashkenazic Jews with atypical neurological syndromes presenting with psychosis should be tested for hexosaminadase A deficiency.

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Holcombe, D. W., D. M. Hallford et W. C. Hoefler. « Reproductive and lactational responses and serum growth hormone and insulin in fine-wool ewes treated with ovine growth hormone ». Animal Science 46, n^o 2 (avril 1988) : 195–202. http://dx.doi.org/10.1017/s0003356100042240.

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AbstractEighteen mature (3 to 6 years) Debouillet × Rambouillet ewes (mean weight 79·2 (s.e. 21) kg) producing and nursing single offspring were randomly allotted to one of three groups to examine the influence of ovine growth hormone (oGH) on reproductive, hormonal and lactational responses of springlambing ewes. Each ewe received a daily subcutaneous injection of either 0, 5 or 10 mg oGH from day 11 through to day 20 post partum (day 0 = parturition). Treatment groups were subdivided into two pens (three ewes per pen) and food intake was monitored from day 1 through to day 20 post partum. On days 11 and 20 post partum, jugular blood samples were collected before and hourly for 8 h after treatment. Blood samples were also collected daily from day 10 through to day 21 post partum and on alternate days through to day 40 post partum. Milk production (oxytocin-induced hand milking) and fat and protein concentrations were determined 21 days post partum. Food intake did not differ before or during the treatment period (P > 0·05). Likewise, ewe and lamb weights were similar among treatment groups through to day 60 post partum (P > 0·05). Serum insulin did not differ before or after treatment on day 11 (P > 0·05); however, on day 20 before treatment, serum insulin was significantly higher in ewes receiving 5 (2·3 (s.e. 0·3) μg/I) and 10 (2·4 (s.e. 0·3) μg/1) mg oGH than in controls (1·2 (s.e. 0·3) μg/1) (P < 0·05). After treatment, no differences were detected in serum insulin among treatments on day 20 post partum (P > 0·05). Serum growth hormone (GH) was similar among groups before treatment on day 11 post partum; but by 8 h after treatment, serum GH was significantly elevated in ewes receiving 10 mg oGH (32·4 (s.e. 1·9) μg/1) compared with ewes receiving 5 (13·9 (s.e. 1·9) μg/1) or 0 (4·5 (s.e. 1·9) μg/1) mg oGH (P < 0·01). By 20 days after lambing, serum GH differed significantly among groups both before and after administration of exogenous oGH (P < 0·01). Ewes receiving 5 or 10 mg oGH produced 2·3 (s.e. 0·2) kg milk per day compared with 1·9 (s.e. 0·2) kg/day for controls (P < 0·10). Milk fat and protein concentrations did not differ significantly among treatments (P > 0·05), but total fat yield was higher in ewes receiving either dose of oGH (206 (s.e. 20) g/day) compared with control ewes (141 (s.e. 20) g/day) (P < 005). Serum progesterone remained less than 0·5 μg/1 in ewes through to day 40 post partum. A linear decrease was observed in interval from parturition to first observed oestrus as dosage of oGH increased (116, 108 and 102 (s.e. 6) days for ewes receiving 0, 5 and 10 mg oGH, respectively; P = 0·10). Administration of exogenous oGH to lactating. anoestrous ewes between days 11 and 20 post partum enhances milk production and may influence the interval to oestrus.

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Nurhasanah, Cut, Andri Idiana, Putri Santi et Yushida Yushida. « Comparative Analysis of Beet Juice and Red Guava Juice against Erythrocyte and Hematocrit Levels in Post-partum Women ». Open Access Macedonian Journal of Medical Sciences 9, B (6 août 2021) : 821–25. http://dx.doi.org/10.3889/oamjms.2021.6259.

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BACKGROUND: Post-partum physiological bleeding can cause post-partum mothers to experience anemia; often, post-partum mothers are limited by nutrient and fluid intake to keep the body strong and have ideal body weight. AIM: The aim of the study is to knowing the difference between beet juice and Guava juice on erythrocyte and hematocrit (HTC) levels in post-partum mothers at Darul Imarah Health Center, Darul Imarah District, Aceh Besar District. METHODS: This was a quasi-experimental study with a pre-post test design using a randomized controlled trial. The population of post-partum mothers in the Darul Imarah Health Center, Darul Imarah District, Aceh Besar District. The sample selection is purposive sampling with inclusion and exclusion criteria; the sample is 45 people. RESULTS: The results showed differences in erythrocyte and HTC levels between before and after giving guava and iron (Fe) juices with a p-value of 0.00 <0.05. Beet juice increases the average erythrocytes and HTC levels higher than guava juice. There were significant differences in erythrocyte levels in the guava + Fe, beet + Fe, and control (Fe) treatment groups with a p-value of 0.001 <0.05. the difference in the average difference in erythrocyte levels between the guava and beet treatment groups was 0.03. The treatment group Bit + Fe had a higher mean erythrocyte level different than the guava + the treatment group and the control group (Fe). There was a significant difference in HTC levels in the guava + Fe, beet + Fe, and control (Fe) treatment groups with a p-value of 0.001 <0.05. the difference in the average difference in erythrocyte levels between the guava and beet treatment groups was 0.03. The treatment group Bit + Fe had a higher mean difference in HTC levels than the guava + the treatment group and the control group (Fe). CONCLUSION: There is a significant difference in erythrocytes and HTC levels between before and after giving guava juice and beet juice to post-partum mothers with a p-value of 0.00 <0.05. Beet juice increases the average level of erythrocytes and HTC, which is higher than guava juice in post-partum mothers at the Darul Imarah Health Center.

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Yuliyanik, Yuliyanik. « KARAKTERISTIK IBU DAN POST NATAL TREATMENT (PNT) BERHUBUNGAN DENGAN TERJADINYA POSTPARTUM BLUES IBU NIFAS ». Care : Jurnal Ilmiah Ilmu Kesehatan 7, n^o 2 (19 juillet 2019) : 69. http://dx.doi.org/10.33366/jc.v7i2.1319.

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This study aimed at examining the occurrence of postpartum blues in postpartum mothers. Post partum blues is categorized as a mild mental disorder syndrome for it is often ignored so that it is undiagnosed and not treated as it should, which finally leads to a difficult and unpleasant problem that may create feelings of discomfort for women who experience it. The study is intended to prevent the occurrence of Post partum blues in postpartum mothers. Post Partum Blues can be prevented by doing ANC and Post Natal Treatment routinely. Post Natal Treatment is a series of treatments performed specifically for postpartum mothers, which include massage, breast care, oxytocin massage, postpartum spa and full-blooded face. The research employed observational methods. The population of all puerperal mothers was 20 people, using total sampling. Data is obtained from primary data and secondary data, then the data is processed using SPSS 16 with chi square test. The conclusion of the value of p = 0.01 is that there is a relationship between the characteristics of postpartum mothers and PNT with the occurrence of postpartum blues. Age, education and occupation of postpartum mothers are associated with the insidence of postpartum blues. PNT that had been received by postpartum mothers was also related to the insidence of postpartum blues. Researcher's suggestion is for postpartum mothers to carry out ANC and PNT routinely to prevent the occurrence of post partum blues.

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Ganguly, T. C., Y. Liu, J. F. Hyde, B. Hagenbuch, P. J. Meier et M. Vore. « Prolactin increases hepatic Na+/taurocholate co-transport activity and messenger RNA post partum ». Biochemical Journal 303, n^o 1 (1 octobre 1994) : 33–36. http://dx.doi.org/10.1042/bj3030033.

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We have shown that Na+/taurocholate co-transport activity is decreased in pregnancy, but rebounds post partum relative to non-pregnant controls, and that activity can be increased by treatment with ovine prolactin [Ganguly, Hyde and Vore (1993) J. Pharmacol. Exp. Ther. 267, 82-87]. To determine the basis for these effects, Na+/taurocholate co-transport was determined in purified basolateral liver plasma-membrane (bLPM) vesicles and compared with steady-state mRNA levels encoding the Na+/taurocholate-co-transporting polypeptide (Ntcp) in non-pregnant controls, pregnant rats (19-20 days pregnant), rats post partum (48 h post partum) and rats post partum treated with bromocriptine to inhibit prolactin secretion. Na+/taurocholate co-transport activity (nmol/5 s per mg of protein) in bLPM was decreased from 10.4 +/- 1.8 in non-pregnant controls to 7.9 +/- 0.6 in bLPM in pregnant rats, but rebounded to 17.5 +/- 1.3 post partum; treatment of rats post partum with bromocriptine to inhibit prolactin secretion decreased activity to 14.1 +/- 0.9. Northern and slot-blot analyses revealed similar changes in mRNA for Ntcp, so that a positive correlation was observed between Na+/taurocholate co-transport activity and Ntcp mRNA. Furthermore, treatment of ovariectomized rats with ovine prolactin increased Ntcp mRNA 10-fold compared with solvent-treated controls, consistent with the 2-fold increase in Vmax, for Na+/taurocholate co-transport in isolated hepatocytes. These data are the first to demonstrate endogenous physiological regulation by prolactin of Ntcp mRNA in parallel with Na+/taurocholate co-transport activity.

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Ugiomoh, I. G., et M. Mbalewe. « Ethno medicine “The uses of ‘Aju-Mbaise’ in post partum care ». Scientia Africana 20, n^o 3 (26 janvier 2022) : 221–30. http://dx.doi.org/10.4314/sa.v20i3.18.

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A survey of the plants used in post partum care in Mbaise and its environs popularly known as Aju Mbaise was carried out. A series of unstructured interview was used to elicit information from about 36 participants made up of the old women and herbalists who dispense the wraps especially that are used in post-partum treatment. This work aimed at unraveling and documenting the plants that are found within the wrap for post-partum care and on the claim for its potency for treatment in parturition. The wrap is prepared from different plant parts which include leaves, flowers, fruits, twigs, barks, roots and even buds and administered as a decoction. At the end it was found that the wraps had plants drawn from 13 different families. These families include Acanthaceae, Menispermataceae, Ceasalpinoideae, Commelinaceae, Annonaceae, Convulvulaceae, Leguminosae, Euphorbiaceae, Sapotaceae, Asparagaceae and Myrtaceae. The range of treatments include high blood pressure, detoxification, oedema, erectile dysfunction and most especially in post-partum treatment. The plants from these families are wrapped together in one pad. In conclusion ethno-botanical survey revealed that decoction of ‘Aju Mbaise’, enhances quick recovery after child birth.

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Zampetaki, C. « P-1002 - Post partum depression : Risk factors and treatment options ». European Psychiatry 27 (janvier 2012) : 1. http://dx.doi.org/10.1016/s0924-9338(12)75169-6.

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Hayat Bhat, Mohmmad, Farhana Bagdadi, Asma Rafi et Parvaiz Ahmad Shah. « Reversible cardiomyopathy as a rare presentation of sheehan’s syndrome-case report and review of literature ». International Journal of Advances in Medicine 4, n^o 6 (22 novembre 2017) : 1713. http://dx.doi.org/10.18203/2349-3933.ijam20175199.

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Sheehan’s syndrome is a clinical condition characterised by post-partum panhypopitutarism caused by necrosis of the pituitary gland. The hypervascularity of the pituitary gland during pregnancy makes it vulnerable to arterial pressure changes and prone to haemorrhage in the post-partum period. The cardinal features are lethargy, secondary amenorrhea and lactational failure. The diagnosis in immediate post-partum period is difficult and require a high degree of suspicion. Cardiac involvement in sheehan’s syndrome is known but rare.We hereby present a case of post-partum cardiomyopathy with relatively poor response to anti failure treatment. Patient however responded to hormone replacement including glucocorticoids and levothyroxine, after proper confirmation of the hypopituitary state. Cardiac dysfunction markedly reversed with the institution of replacement therapy.

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Ahuja, Sunil Kumar, Nimisha Mishra et Pradeep Kumar. « Post-partum psychosis : socio-demographic and obstetric profile ». International Journal of Research in Medical Sciences 6, n^o 1 (23 décembre 2017) : 106. http://dx.doi.org/10.18203/2320-6012.ijrms20175503.

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Background: Better knowledge of socio-demographic profile and obstetric features may help in early identification and treatment of patients with post-partum psychosis. The aim of present research is to study the age, parity, socio-demographic and obstetric and menstrual profile of patients suffering from post-partum psychosis. Setting and Design: A cross-sectional study at in-patient department of psychiatry, SS Medical College and associated SGMH Rewa.Methods: The study was conducted on sixty patients of post-partum psychosis admitted in psychiatry ward. Detailed socio-demographic characteristics, obstetric and menstrual profile along with psychiatric assessment were recorded in proforma specially designed for the study.Results: Bulk of our post partum psychotic subjects (60%) were in the age range of 18-25 years with 83.33% of women were residing at rural areas. Most of subjects (76.67%) of post partum psychosis were illiterate. 73.33% patient were belonging to low socio-economic status and remaining to middle and high socioeconomic status. Majority of subjects (13.33%) were house wife (86.67%) followed by laborer class. Family jointness reveal 80% and 20% of subjects trailed from joint and nuclear family respectively. the maximum number of subjects (60%) were primipara with only 13.33% of subjects had history of obstetric complication in form of prolonged labour and post-partum heamorrhage. 25% subjects had cesarean delivery. 40% patients of puerperal psychosis were having menstrual irregularity and 60% had regular menstruation.Conclusions: Screening of vulnerable groups i.e. younger age, primipara, history of irregular menstruation in post partum period for psychiatric sign and symptoms is requisite for early diagnosis and prompt and adequate management. As most of the patients were from rural areas it is necessary to establish psychiatric services in rural areas as well so that this group of population can be provided holistic care along with already existing medical services.

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O'Driscoll, Keelin KM, Alison Hanlon, Padraig French et Laura A. Boyle. « The effects of two out-wintering pad systems compared with free-stalls on dairy cow hoof and limb health ». Journal of Dairy Research 76, n^o 1 (16 octobre 2008) : 59–65. http://dx.doi.org/10.1017/s0022029908003695.

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Lameness is one of the most serious health and welfare problems for dairy cows. This study compared hoof health, limb health and locomotion of dairy cows in three over-winter management systems. Treatments were: (1) an indoor free-stall system (FS), (2) outdoors on an uncovered woodchip pad (UP) and (3) outdoors on a covered woodchip pad (CP). Animals were assigned to treatments at drying off, remained on treatment until parturition, then turned out to pasture. Sole lesions were scored on assignment to treatment, at calving, and 6 weeks and 12 weeks post partum. Locomotion and skin lesions were scored on assignment to treatment, and every 2 weeks until parturition. Post-partum locomotion was scored weekly for 13 weeks. More FS cows were affected by limb lesions than CP cows, and these animals had the worst locomotion scores post calving. There was an effect of inspection, and interactive effect of inspection and treatment on sole lesion scores. UP cows had the highest sole lesion scores 12 weeks post partum probably due to softening of the hooves arising from exposure to moisture while on the woodchip pad. However, post partum, UP cows had better locomotion scores, and CP cows tended to have better scores than cows in FS. Both of these treatments were less likely to have a high tracking-up score than cows in FS. It is possible that cows in this treatment were able to exercise more, owing to the secure underfoot surface and lack of barriers, and this promoted limb flexibility. Although woodchip pads provided benefits for limb health and locomotion, the wood chip surface in both outdoor systems did not offer protective benefits to the hooves relative to housing on concrete. However, the provision of shelter on the pad somewhat overcame the problem of high sole lesion scores in the post-partum period.

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Wright, I. A., S. M. Rhind, A. J. Smith et T. K. Whyte. « Female-female influences on the duration of the post-partum anoestrous period in beef cows ». Animal Science 59, n^o 1 (août 1994) : 49–53. http://dx.doi.org/10.1017/s0003356100007492.

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AbstractTwo experiments were conducted to determine whether female to female influences could reduce the duration of the post-partum anoestrous period in beef cows. In experiment 1, cows were housed from calving, either in individual stalls, which precluded physical contact with other cows (treatment I; no. = 19) or as a group, with a cow in oestrus introduced to the group twice per week (treatment G; no. = 18). The percentage of cows cycling by day 50 post partum was similar for both treatments, but at 91 days post partum was significantly higher (P <0·05) in the G than in the I cows (89% v. 58%).In experiment 2, cows were housed in individual stalls from calving and exposed twice per week to either cervical mucus collected from cows in oestrus (treatment M; no. = 21) or distilled water (treatment W; no. = 24). The percentage of cows cycling by 70 days post partum was similar in both treatments but by 130 days there were significantly more (P <0·05) M cows cycling (86% v. 58%). In neither experiment were LH profiles at 22,43 or 64 days influenced by treatment.The results indicate that cervical mucus of cows in oestrus contains pheromone(s) which can reduce the postpartum anoestrous period in beef cows with extended anoestrous periods.

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Silaban, Verawaty Fitrinelda, Merlin Carmila, Otilia Telaumbanua et Puspita Yuli Yanti Harahap. « Efektivitas Kompres Lidah Buaya terhadap Nyeri Pembengkakan Payudara pada Ibu Post-Partum di Klinik Theresia ». JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) 6, n^o 4 (10 janvier 2022) : 347. http://dx.doi.org/10.30829/jumantik.v6i4.10473.

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The problem that is often experienced by post-partum mothers is the problem of breast swelling pain. Breast engorgement often causes pain, which makes post-partum mothers often delay breastfeeding their babies. The purpose of this study was to determine the efficacy of aloe vera compress on post-pregnancy breast swelling at the Theresia Clinic, South Nias. This study used a quasi-experimental design with pre-test and post-test with a control group. In this study, the population was 80 people, namely post-partum mothers. The sampling technique was purposive sampling. The data collection technique was carried out using the Visual Analog Scale (VAS). Effectively used to measure the pain scale of breast swelling in post-partum mothers. The results of statistical tests with an independent T test with a = 0.05 obtained a sig value of 0.000 which means a sig value <0.05, therefore there is a significant effect between before and after being given aloe vera compresses on breast swelling pain in post-partum mothers. partum at the Theresia Clinic, South Nias. Aloe vera compress can be suggested as a complementary treatment to reduce the severity of breast engorgement in mothers after childbirth.Keywords: aloe vera compress; breast-feed; breast swelling pain

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Wulandari, Priharyanti, Kustriyani Menik et Aini Khusnul. « Peningkatan Produksi ASI Ibu Post Partum melalui Tindakan Pijat Oksitosin ». Jurnal Ilmiah Keperawatan Indonesia [JIKI] 2, n^o 1 (1 octobre 2018) : 33. http://dx.doi.org/10.31000/jiki.v2i1.1001.

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ABSTRACTThe hormone oxytocin plays an important role in the processing of milk. Some post partum mothers on the first day often experience an incompetence in breastfeeding. Some factors that influence breast milk production are breastfeeding behavior, maternal psychology, maternal physiology, socio-cultural and infant, baby's birth weight. One way to increase milk production, one of which is oxytocin massage. The aim of the study was to determine the effectiveness of oxytocin massage on milk production in post partum mothers. Research methodology This study is a quantitative study of quasi experiment with repeated measure approach based on time serries, to determine the increase in spontaneous breast milk production after spontaneous postpartum massage. This research has been in the Test of Ethics Ethical Clearance in Tugurejo Semarang hospital. The results showed that there were significant repeated mean values between breast milk production after the first, second and third oxytocin massage treatments (p-value = 0,000). ASI production after the first treatment had a mean rating of 1.37 cc lower than the average rating after the second treatment of 1.77 cc and the average rating after the third treatment was 2.87 cc. The results of this study indicate that oxytocin massage is able to increase milk production of post partum mothers.Keyword: Mother's milk, Oxytocin massage, spontaneous postpartumABSTRAKHormon oksitosin sangat berperan dalam proses pengeluaran ASI. Beberapa Ibu post partum pada hari pertama seringkali mengalami ketidaklancaran pengeluaran ASI. Beberapa faktor yang mempengaruhi produksi ASI yaitu perilaku menyusui, psikologis ibu, fisiologis ibu, sosial kultural dan bayi, berat badan lahir bayi. Salah satu cara meningkatkan produksi ASI, salah satunya adalah pijat oksitosin. Tujuan penelitian mengetahui efektifitas pijat oksitosin terhadap produksi ASI pada ibu post partum. Metodologi penelitian Penelitian ini merupakan studi kuantitatif eksperimen semu (quasi experiment) dengan pendekatan repeated measure berdasarkan time serries, untuk mengetahui peningkatan produksi ASI ibu post partum spontan setelah dilakukan pijat Oksitosin. Penelitian ini sudah di Uji Etik (Ethical Clearance) di RSUD Tugurejo Semarang. Hasil penelitian menunjukkan bahwa terdapat perbedaan rerata berulang yang signifikan antara produksi ASI setelah perlakuan pijat oksitosin pertama, kedua dan ketiga (p-value=0,000). Produksi ASI setelah perlakuan pertama memiliki rerata peringkat 1,37 cc lebih rendah daripada rerata peringkat setelah perlakuan kedua 1,77 cc dan rerata peringkat setelah perlakuan ketiga adalah 2,87 cc. Hasil penelitian ini menunjukkan bahwa pijat oksitosin mampu meningkatkan produksi ASI ibu post partum.Kata Kunci: Air susu ibu, Pijat Oksitosin, post partum spontan

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Rahayu, Sri, et Aris Sugiarto. « EFEKTIFITAS PIJAT OKSITOSIN TERHADAP INVOLUSI UTERI DAN PRODUKSI ASI PADA IBU POST PARTUM DI KECAMATAN KALIWUNGU KABUPATEN KENDAL ». Indonesia Jurnal Kebidanan 2, n^o 1 (28 mai 2018) : 57. http://dx.doi.org/10.26751/ijb.v2i1.431.

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Abstract Bleeding is a cause of maternal mortality in Indonesia. Several efforts have been done to decrease maternal mortality, one of them is maternity counseling program (continuty of care/CoC model) in Central Java province. Post partum bleeding can be prevented by giving oxytocin, in a form of oral intranasal, intramuscular and with oxytocin massage to stimulate oxytocin hormone. Oxytocin hormone may elicit uterine contraction and help to increase breast milk production. The purpose of the research is to ascertain the effectiveness of oxytocin massage towards uteri involution and breast milk production of post partum mother. This research uses quasi experiment method with 43 mothers given the treatment and 43 post partum mothers as control. Some of breast milk production respondents who were given massage treatment show enhancement proven by weight gain from birth weight. While uteri involution shows respondents in control group experiencing abnormal involution (37,2 %) and the rests experiencing normal involution, whilst intervention group shows normal involution process (62,8%) and the rests experiencing abnormal involution process which proven by the decline of Fundus height as well as the theory. It is found that post partum mothers who were given intervention, experiencing normal uteri involution and increasing breast milk production so they can breastfeed exclusively. Key words: Oxytocin massage, uteri involution, breast milk production, post partum mother

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Renityas, Nevy Norma. « Pengaruh Acupresure terhadap Kecukupan ASI pada Ibu Post Partum SC hari ke 7 ». Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) 7, n^o 2 (5 août 2020) : 293–300. http://dx.doi.org/10.26699/jnk.v7i2.art.p293-300.

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Ibu post partum dengan Sectio secaria biasanya mengalami penurunan volume ASI sehingga tidak mencukupi kebutuhan nutrisi pada bayi. Oleh karena itu, untuk memenuhi kecukupan ASI pada bayi maka menggunakan terapi acupresure pada titik ST16, ST 17 dan ST 18 sehingga dapat menstimulasi hipofisis untuk mengeluarkan hormon prolaktin dan oksitosin. Metode penelitian yang digunakan menggunakan menggunakan pre eksperiment dengan pendekatan pre-post group design. . Sampel dalam penelitian ini berjumlah 20 ibu post partum SC, tehnik sampling yaitu tottaly sampling. Hasil penelitian membuktikan bahwa terjadi kenaikan rata-rata pada sebelum dan sesudah intervensi sebesar 310,00 poin. hasil uji Paired sample t-test didapatkan nilai  <  berarti terdapat perbedaan yang signifikan kecukupan ASI sebelum perlakuan dan sesudah perlakuan. Akupresur dapat merangsang acupoints dapat membantu mengatur proses involusi uteri dan pengeluaran ASI dan mengembalikan keseimbangan selama masa post partum. Post partum mothers with Sectio secaria usually experience a decrease in the volume of milk so that it is not sufficient for the baby's nutritional needs. Therefore, to meet the adequacy of breast milk in infants using acupressure therapy at points ST16, ST 17 and ST 18 so that it can stimulate the pituitary to secrete the hormones prolactin and oxytocin. The research method used uses pre-experiment with a pre-post group design approach. . The sample in this study amounted to 20 post partum SC mothers, the sampling technique is tottaly sampling. The results of the study prove that there was an average increase before and after the intervention of 310.00 points. Paired sample t-test results obtained value < means there is a significant difference in the adequacy of breast milk before treatment and after treatment. Acupressure can stimulate acupoints can help regulate uterine involution and milk removal and restore balance during the post partum period.

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Usuki, Satoshi. « Endothelin-1 Levels are not Influenced by Tokishakuyakusan and Keishibukuryogan Treatment in Women ». American Journal of Chinese Medicine 18, n^o 03n04 (janvier 1990) : 139–47. http://dx.doi.org/10.1142/s0192415x90000186.

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The effect of Tokishakuyakusan (TS) or Keishibukuryogan (KB) on endothelin-1 (ET-1), a newly identified peptide, in plasma and amniotic fluid from TS- or KB-treated women or normal pregrant women following TS or KB treatment was studied during the menstrual cycle, gestation, delivery and the post-partum period. ET-1 levels during and/or after TS or KB treatment had no significant changes when compared with those in TS- or KB- untreated women. These results suggest that TS or KB has no effects on the ET-1 level during the menstrual cycle, gestation and the post-partum period.

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Wright, I. A., S. M. Rhind, T. K. Whyte et A. J. Smith. « Effects of body condition at calving and feeding level after calving on LH profiles and the duration of the post-partum anoestrous period in beef cows ». Animal Science 55, n^o 1 (août 1992) : 41–46. http://dx.doi.org/10.1017/s0003356100037259.

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AbstractAn experiment was conducted to examine the effects of body condition at calving and feeding level post partum on the duration of the post-partum anoestrous period in beef cows. Forty-seven cows were used in each of 2 years. Cows were fed differentially before calving to achieve two levels of body condition at calving in November and December and were then fed at one of two levels of feeding post partum in a 2 × 2 factorial experiment. At calving, mean body condition scores were 2·85 (F) and 2·23 (T) (P < 0·001) while live weights were 521 kg and 457 kg (P < 0·001) for F and T cows respectively. After calving metabolizable energy intakes were 111 and 118 MJ/day (H) or 56 and 64 MJ/day (L) in years 1 and 2 respectively. The H cows maintained live weight during the first 61 days of lactation while the L cows lost live weight (0·0 v. -1·1 kg/day, P < 0·001). The number of cows still acyclic on 1 May each year was higher (P < 0·01) on the TL treatment (10/24) compared with the other treatment combinations (FH: 2/22; FL: 5/22; TH: 2/24). The effect of level of feeding on the duration of the anoestrous period was significant in the T cows (89 v. 116 days for TH and TL cows respectively; P < 0·01) but not in the F cows (80 v.89 days for the FH and FL cows respectively; P > 0·05). At 3 weeks post partum LH pulse frequency was higher in F than in T cows and tended to be higher in H than in L cows. At 6 and 9 weeks post partum LH pulse frequency was higher in H than L cows. LH pulse amplitude was higher in F than T cows at 3 weeks post partum and tended to be higher at 6 weeks post partum. It is concluded that both body condition at calving and feeding level after calving influence the duration of the post-partum anoestrous period with the effect of feeding level being particularly pronounced in thin cows.

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Kong, K. L., C. Campbell, K. Wagner, A. Peterson et L. Lanningham-Foster. « Impact of a walking intervention during pregnancy on post-partum weight retention and infant anthropometric outcomes ». Journal of Developmental Origins of Health and Disease 5, n^o 3 (4 mars 2014) : 259–67. http://dx.doi.org/10.1017/s2040174414000117.

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Few studies have investigated the impact of lifestyle interventions during pregnancy on post-partum weight retention and infant growth. Thirty seven previously non-exercising, overweight or obese pregnant women were randomly assigned to a walking intervention or non-intervention control. For the follow-up study, weight of the mother and weight, length and body composition of the infant were collected at 1 month post-partum (n=37) and 6 months post-partum (n=33). Analysis of variance and linear regression were conducted to determine the differences and association in maternal post-partum weight retention and child outcomes. At 6 months post-partum, weight retention of obese women in the intervention group (Int-OB) was −0.10±8.11 kg; while, obese women in the control group (Con-OB) was 6.35±7.47 kg. A significantly higher percentage of Con-OB women retained more than 5 kg at 6 months post-partum (P=0.046). Even though statistically non-significant between the groups, the growth trend observed among offspring of obese women in the control group was consistently higher than the offspring of obese women in the intervention group from birth to 6-months. Third trimester gestational weight gain rate significantly predicted 6-m weight-for-length z-score after controlling for birth weight, treatment group and pre-pregnancy body mass index (r2=0.31, β=1.75, P=0.03). The reduced post-partum weight retention observed among the obese women in the intervention group may be explained in part by the lifestyle modification during pregnancy.

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McSweeney, CS, LA Fitzpatrick, MJ D'Occhio, D. Reid et KW Entwistle. « Reducing post-partum anoestrous interval in first-calf Bos indicus crossbred beef heifers. 1. Effects of pre- and post-partum supplementation strategies ». Australian Journal of Agricultural Research 44, n^o 5 (1993) : 1063. http://dx.doi.org/10.1071/ar9931063.

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The effects of pre-and post-partum (ppp) v. post-partum (pp ) supplementation on reproductive function were compared in Bos indicus x Bos taurus (5/8 x 3/8) first-calf heifers. Twenty-four pregnant heifers were allocated to three treatment groups all fed roughage hay ad libitum. The dietary treatments were: (1) nil supplement controls, (2) cracked maize (1 kg) plus formaldehyde treated sunflower seed meal (0.5 kg) daily for 60 days post-partum, (3) supplement 2 from 1-2 months pre-partum to 60 days post-partum. Supplementation did not affect hay intake prior to calving (6.5 kg/day), but significantly increased (P < 0.05) intake by approximately 50% after calving compared with a 20% increase in the controls. Maternal liveweight, adjusted for the weight of the foetus and gravid uterus, was 345 kg in all groups at 5 weeks before calving. This weight declined by 6 kg in unsupplemented animals and increased by 16 kg with supplementation before calving. During the 2 months after calving, ppp supplemented animals maintained weight, pp supplemented heifers gained 26 kg, and controls lost 39 kg. Birth weight of calves from heifers supplemented before parturition was 34.2 � 1.9 kg, 5.6 kg heavier than the other calves (28.64�0.7 kg). Milk yield and N secretion tended to be highest in ppp supplemented heifers in the peri-partum period. Two months after calving, milk yield and secretion of N, fat and lactose were not different in both supplemented groups, but were significantly higher (P < 0.05) than in the controls. Endogenous pulsatile release of LH and FSH was not detected in heifers from any group 50 days after calving. Following GnRH injection (100 8g, i/m), the LH response was not significantly different between groups, but the unsupplemented animals had greater ( P < 0.05) FSH responses than the supplemented heifers. Supplemented heifers had lower ( P = 0.07) plasma GH concentrations prior to calving; after calving, GH levels were in the order: ppp supplemented < pp supplemented < controls. There was no indication that supplementation affected ovarian folliculogenesis in animals treated with exogenous gonadotrophin, and all animals were in an anoestrous state at 60 days post-partum. In conclusion, the type of supplementation practiced here did not appear to improve reproductive performance in first-calf heifers weighing 340-360 kg in early lactation. However, ppp supplementation was the most effective treatment in reducing GH levels and maintaining liveweight in the peri-natal period, both of which have been associated previously with reducing post-partum anoestrous interval.

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Selberg, Kurt T., Charles R. Staples, N. Dan Luchini et Lokenga Badinga. « Dietary trans octadecenoic acids upregulate the liver gene encoding Peroxisome Proliferator-Activated Receptor-α in transition dairy cows ». Journal of Dairy Research 72, n^o 1 (14 janvier 2005) : 107–14. http://dx.doi.org/10.1017/s0022029904000573.

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Effects of feeding calcium salts of conjugated linoleic acid (CLA) or trans octadecenoic acids (trans 18[ratio ]1) on lipid metabolism and hepatic contents of mRNA encoding carnitine palmitoyltransferase 1 (CPT1), microsomal triglyceride transfer protein (MTP) and peroxisome proliferator-activated receptor alpha (PPARα) were examined in 15 early post-partum Holstein cows. Dietary treatments were initiated at approximately 4 weeks prior to expected calving dates and continued for 7 weeks post partum. Treatments prepartum consisted of 1) a basal diet (Control), 2) basal diet+150 g/d of CLA mix (CLA), or 3) basal diet+150 g/d of trans 18[ratio ]1 mix (TRANS). Intakes of calcium salts of CLA and trans 18[ratio ]1 mixes were adjusted to 225 g/d during the 7-week post-partum treatment period. Blood samples were collected at weeks 1, 2 and 4 post partum and plasma was harvested immediately for subsequent hormone and metabolite assays. Concentrations of insulin, insulin-like growth factor-I (IGF-I), and leptin in blood did not vary among cows fed the three diets. Plasma nonesterified fatty acid (NEFA) concentrations decreased between weeks 1 and 4 of lactation and were lower in cows fed the diet supplemented with trans 18[ratio ]1 than in those fed a control diet at week 2 post partum. Periparturient fat supplementation had no detectable effects on CPT1 mRNA content in the liver. Steady-state concentration of MTP mRNA in the liver was greater in the TRANS treatment group than in the control group at week 1 post partum. Feeding trans 18[ratio ]1 supplements to transition dairy cows upregulated hepatic PPARα mRNA content during the first month of lactation. Under the present experimental conditions, dietary CLA had minimal effects on plasma and hepatic lipid metabolite concentrations in early lactation Holstein cows. Results indicate that dietary trans fatty acids may affect liver lipid metabolism in post-partum dairy cows through alterations in PPARα gene expression.

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Dobrindt, Eva M., Martina Mogl, Peter E. Goretzki, Johann Pratschke et Agata K. Dukaczewska. « Insulinoma in pregnancy (a case presentation and systematic review of the literature) ». Rare Tumors 13 (janvier 2021) : 203636132098664. http://dx.doi.org/10.1177/2036361320986647.

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Insulinomas are rare, benign and functional tumors that coincidentally may become overt during pregnancy or in the post-partum period. As the general symptoms of a pregnancy might cover the clinical presentation, diagnosing remains challenging. We present one additional case of a post-partum insulinoma, combined with a systematic review of the literature to sum up relevant details in diagnosis and treatment. A systematic request of Pubmed/Medline was conducted using the following terms: “insulinoma AND pregnancy” and “insulinoma” for a second request of ClinicalTrials.gov. All publications concerning pregnant or post-partum women with insulinoma were included. Thirty-six cases could be identified for analysis. Each publication was reviewed for demographic, diagnostic and therapeutic data. The most frequent clinical signs were unconsciousness and neurological symptoms. 64.9% were diagnosed during early pregnancy and 35.1% post-partum. 91.9% underwent surgery with a third resected during pregnancy without severe influence on fetal or maternal outcome. Three patients died of metastatic disease or misdiagnosing, two of them miscarried. Insulinoma in pregnancy is rare but should be considered in case of unclear hyperinsulinemic hypoglycemia. Surgery can be performed during the second trimester or post-partum with promising outcome.

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Eko Kurniawan, Vendi, Fahrur Rozi et Novy Tri Wahyu Astuti. « THE RELATION BEHAVIORAL TREATMENT OF BREAST WITH SMOOTHNESS BREASTFEEDING POSTPARTUM WOMEN ». Well Being 3, n^o 2 (décembre 2018) : 11–19. http://dx.doi.org/10.51898/wb.v3i2.39.

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Mostly in mothers postpartum experiencing less milk production and the slow out may cause the mother did not breastfeed her baby enough, the problem of early postpartum breastfeeding is nipple pain, blisters, swollen breasts And there are still many breastfeeding mothers who do not perform breast care, possibility this is causing an insufficient the expenditure of ASI. The purpose of this study is to determine the relationship of behavior breast care with the ASI smoothness of post partum mother in the Kedunglosari village Jombang. The study design used is analytic correlation with cross sectional approach. While the sampling technique used is non-probability sampling method using quota sampling, with 100 people population and the 30 post partum mothers sample. These results indicate that the majority of respondents behave positively in the treatment of breast ammount 16 people (53.3%) and the other half respondents smoothness of ASI ammount 15 people (50%). Data analysis using Spearman Rank Test with significant levelthat is ρ value = 0.002 <α (12:05) so H1there is relationship between breast care with the ASI's smoothness of post partum mothers in Kedunglosari village Jombang. Based on this study, postpartum mothers should all realize that the importance of breast care to avoid the lack of launch expenses ASI.

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Aprigliano, Gianfranco, Altin Palloshi, Nuccia Morici, Roberto Ferraresi, Michele Bianchi et Angelo Anzuini. « Acute Coronary Syndrome in Pre- and Post-partum Women – A Review ». Interventional Cardiology Review 8, n^o 1 (2013) : 8. http://dx.doi.org/10.15420/icr.2013.8.1.8.

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Acute coronary syndrome (ACS) during pregnancy and the post-partum period are weighed by a high mortality rate for the mother and foetus. They should be considered as multifactorial diseases with a special role for sexual hormones. In this setting, ACS is mostly related to an early atherosclerotic disease, even if other conditions are responsible. Indeed, an important part is due to spontaneous coronary artery dissection, more common during delivery and the post-partum period. In the remaining situation, an isolated intracoronary thrombus or a normal angiographic pattern can be found at angiography. Pathophysiology is still uncertain with different hypothetical mechanisms. Prompt diagnosis of ACS and aetiology are essential for an optimal therapeutic strategy. Difficulties in treatment management is a matter for debate, especially in pre-partum women. In the last two decades improvements of diagnostic tools, coronary angiography and subsequent percutaneous treatment have changed the natural history of this rare condition.

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Garnsworthy, P. C., A. A. Fouladi-Nashta, G. E. Mann, K. D. Sinclair et R. Webb. « Effect of dietary-induced changes in plasma insulin concentrations during the early post partum period on pregnancy rate in dairy cows ». REPRODUCTION 137, n^o 4 (avril 2009) : 759–68. http://dx.doi.org/10.1530/rep-08-0488.

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Dietary stimulation of insulin in post partum dairy cows has been found to enhance ovarian follicle development but to impair oocyte developmental competence. The objective of this study was to test the hypothesis that pregnancy rate would be improved by feeding a diet to stimulate higher insulin (H) until cows resumed ovarian cyclic activity after parturition, and then feeding a diet to lower insulin (L) during the mating period. Each diet was fed to 30 post partum dairy cows until their first rise in milk progesterone, when 15 cows in each group were transferred to the other diet (treatments HL and LH) and 15 cows in each group remained on their original diet (treatments HH and LL) until 120 days post partum. Treatments did not affect dry matter intake, milk yield and metabolisable energy balance. Plasma insulin concentration was elevated in cows fed on H compared with cows fed on L. Treatment did not affect days to first progesterone rise, first oestrus or first insemination. At 120 days post partum, 27% of cows on each of treatments HH, LL and LH were pregnant, but 60% of cows on treatment HL were pregnant (P=0.021). These findings support the concept that physiological relationships between insulin and the reproductive system vary according to stage of the reproductive cycle, and suggest that pregnancy rate can be enhanced by a two-diet strategy tailored to optimise responses before and after the first post partum ovulation.

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