PubMed Central. Background One of the most important causes of maternal mortality and severe morbidity worldwide is post partum haemorrhage PPH. Factors as substandard care are frequently reported in the international literature and there are similar reports in the Netherlands. Therefore measurement of the actual care will be performed in a representative sample of 20 hospitals.

Author:Mezizahn Zolosho
Language:English (Spanish)
Published (Last):3 October 2019
PDF File Size:15.38 Mb
ePub File Size:14.49 Mb
Price:Free* [*Free Regsitration Required]

PubMed Central. Background One of the most important causes of maternal mortality and severe morbidity worldwide is post partum haemorrhage PPH. Factors as substandard care are frequently reported in the international literature and there are similar reports in the Netherlands. Therefore measurement of the actual care will be performed in a representative sample of 20 hospitals.

In the next step barriers and facilitators for guideline adherence will be analyzed by performance of semi structured interviews with 30 professionals and 10 patients, followed by a questionnaire study among all Dutch gynaecologists and midwives to quantify the barriers mentioned. Based on the outcomes, a tailored strategy to implement the NVOG guideline and MOET-instructions will be developed and tested in a feasibility study in 4 hospitals, including effect-, process- and cost evaluation.

In the post-partum period the immune alterations are associated with the multiple autoimmune diseases relapse. After birth, immune-tolerance variation slowly disappear, and is observed a return to a normal state - after an exacerbation period - of autoimmune reactivity, during which a great increase in T cells and autoantibodies is observed.

In this period - 3 to 9 months after birth - the thyroid autoimmune disease relapses or reappears. The reactivation of the immune system in the post-partum period unchains an acute phase of celular destruction which characterizes the post-partum thyroiditis. The objective of this work is to update our knowledge of PPD giving particular emphasis to etiopathogenetic hypotheses.

An accurate search of the literature on this topic was conducted using free dedicated websites such as PubMed. The most recent studies reveal that PPD is a complex disease, whose pathogenesis is not yet clarified, determined by a mix of genetic, biological and environmental factors.

The involvement of these systems might provide an explanation of the relations among genetic alterations, hormonal fluctuations in the post partum , changes in neurotransmission and mood fluctuations typical of PPD. The results obtained so far are not exhaustive. However, there is a substantial evidence showing that patients with PPD may have a high genetic vulnerability, although we have not been able yet to pinpoint a specific biological marker of the disease. Post -traumatic Stress Disorder Post Partum.

Traumatic birth experiences may lead to serious psychological impairment. Recent studies show that a considerable number of women can develop post -traumatic stress disorder PTSD , in some cases in a subsyndromal form. Until now, the possibility that postpartum psychological symptoms might be a continuum of a pre-existing disorder in pregnancy has rarely been considered.

This study therefore aimed to evaluate the proportion of women who develop post -traumatic stress disorder as a result of childbirth. Materials and Methods: 56 multiparous women were recruited for the study. The data were collected in structured interviews in the 30th to 38th week of gestation and in the 6th week post partum. Uncontrolled results showed that Conclusions: The present study is the first prospective longitudinal study to demonstrate the occurrence of full criteria PTSD in multiparous women as a result of childbirth after having excluded pre-existing PTSD.

The results of our study show a high prevalence rate of PTSD during pregnancy. A number of women report all aspects of post -traumatic stress disorder as a result of childbirth.

Post-partum period is associated with specific characteristics in women with gestational disorders or preeclampsia. For breastfeeding women, the choice of antihypertensive treatment should take into account the impact on child health.

The impact of breastfeeding on health mother must be also discussed. Moreover, for lactation inhibition, bromocriptine should not be used, especially in the context of gestational disorders. In post-partum period, the best contraceptive strategy is only-progestin contraception or non-hormonal contraceptives use. However, this choice will depend on the stabilization or normalization of blood pressure in early post-partum period. Finally, several consultations should be suggested: an information and announcement to explain the consequences of these gestational disorders and organize their multidisciplinary management and follow-up.

A preconceptional consultation takes its place to anticipate potential recurrent preeclampsia or gestational hypertension and to schedule a future pregnancy in optimal conditions. The goal of this prospective study was to analyse the epidemiologic data and the prognosis of this complication in the post-partum stage. We enrolled between January 1st to December 31st all eclampsia admitted to the intensive care unit of the maternity of the university hospital centre Ibn Rochd of Casablanca, Morocco.

We noted for each patient epidemiologic, clinical, biological and radiologic data. We releaved outcomoe also. Eighty-two percent had the crisis in the first 24 hours; we noted a crisis in the sixth, seventh and lately in the sixtieth day. The post-partum eclampsia has best out come than these occurring in prepartum, with significantly p post-partum stage.

We must give more attention for severe preeclamptic patient in this period. Neurologic complications of post-partum are serious and usually secondary to eclampsia or stroke. We here report a year-old female who presented with severe headaches, blurred vision, and repeated generalized seizures secondary to posterior reversible encephalopathy that occurred after a caesarean section for fetal death in utero. Outcome was favourable. Although uncommon, this neurologic complication of the post-partum should be discussed in the presence of any sign of encephalopathy occurring in the context of acute hypertension.

Published by Elsevier SAS. All rights reserved. It is commonly believed that pregnancy is a time of good mental health. However it has been observed, until recently, that many pregnant women, above all in post partum period, manifest depressive symptoms like sadness, social withdrawal and lack of motivation. The consequences are enormous, for mother mental health and for the psychical development of the baby. It becomes therefore necessary to screening and to precociously intervene on these pathological conditions and thanks also to the suitable knowledge of the risk factors for the potential development of depression post partum.

Post-partum time is an eventful period with modifications of somatic but also biological and psychological status of women, leading to increased risk of anxious and depressive disorders. PPB is usually benign; thus a punctual help is usually sufficient.

PPD can be difficult to diagnose because of multiple clinical forms and specially variations in intensity. So it is necessary that the different practitioners can exchange informations. A treatment of PPD is essential because it has an important impact on mother and child's health.

General practitioner involves from prenatal period deflection of risk factors to the diagnosis, the look out and the following of mothers and children in collaboration with obstetric, pediatric and psychiatric teams. Posterior reversible encephalopathy syndrome PRES is a complex clinical condition with vasogenic subcortical oedema caused by hypertension.

Oedema is often seen on magnetic resonance imaging. The wide clinical spectrum ranges from headaches to vision loss and even death. Early diagnosis and treatment is important for the reversibility of the condition. In this case report we emphasize the importance of blood pressure control in a post-partum woman, who had a rather complicated pregnancy. The symptoms of PRES were not recognized immediately because of failure to use and acknowledge a blood pressure test.

Limbic encephalitis presenting as a post-partum psychiatric condition. We describe a woman who presented with a psychiatric disorder post-partum and subsequently developed seizures and cognitive dysfunction prompting further investigation. A diagnosis of limbic encephalitis LE was made and antibodies to voltage-gated potassium channel complex VGKC detected.

These antibodies are found in many non-paraneoplastic patients with LE. Although antibody-mediated conditions tend to present or relapse post-partum , VGKC-LE in the post-partum period has not been described. Case report. Clinical and imaging data were consistent with limbic encephalitis.

The similarities between the psychiatric symptomatology of VGKC-LE and post-partum psychiatric disorders raise the possibility that some instances of post-partum psychiatric conditions are manifestations of immune-mediated, non-paraneoplastic LE. It is the most common cause of pre-mature mortality of women world wide. Our objective was to evaluate the most common etiology and method of management of Post partum Hemorrhage in a tertiary care hospital of Karachi.

Review include mode of delivery, possible cause of postpartum hemorrhage, supportive, medical and surgical interventions. All the women admitted with post partum hemorrhage or develop PPH in hospital after delivery were included in our study.

Bleeding disorder and use of anticoagulants were set as exclusion criteria. Diagnosis was made on the basis of blood loss assessment which was made via subjective and objective evaluation.

No deaths were reported and all cases were referred and unbooked cases. All Patients were conscious, tachycardiac and hypotensive. Most of the women were suffering from hemorrhage during or after the birth of their 1st child. Primary post partum hemorrhage emerge as the most common type of post partum hemorrhage and uterine atony was detected as the most common cause of primary post partum hemorrhage. Retained products of conception was the most common cause of secondary post partum hemorrhage and hysterectomy was found to be the most frequent method of management of post partum hemorrhage.

Conclusion This study highlights the existing variable practices for the management of postpartum hemorrhage. Hemorrhage associated morbidity and mortality can be prevented by critical judgment, early referral and resuscitation by attendants. Introduction of an evidence-based management model can potentially reduce the practice variability and improve the quality of. Why kidneys fail post-partum : a tubulocentric viewpoint. Kidneys may fail post-partum in a number of circumstances due, for example, to post-partum haemorrhage, preeclampsia, amniotic fluid embolism or septic abortion.

All these conditions in pregnancy and post partum represent a threat not only to the endothelium but also to the renal tubular epithelium, and as such may lead to rapid and also irreversible impairment of the renal function.

This paper is a non-systematic review of the literature and of our experience, in which we discuss the main open issues on kidney disease in pregnancy and following delivery, in particular as regards tubular damage, with the aim to help reasoning on acute kidney injury AKI following delivery. Post-partum pyogenic abscess containing Ascaris lumbricoides. We report an unusual case of multiple pyogenic liver abscesses containing Ascariasis lumbricoides in a year-old post-partum female who had delivered 1 month back.

Open drainage of liver abscess along with liver worm was done. Patient did well post -operatively. Short term post-partum heat stress in dairy cows. Forty four cows, calving during late summer, were paired with one member of each pair stressed HS for the first 10 post-partum days in a hot barn.

Controls CC were kept in a cooled section of the barn. Plasma drawn weekly for 7 weeks was analyzed in an autoanalyzer for calcium, inor. Ovaries and uteri were palpated weekly.


Catalog Record: Tank - Tango. Roman | HathiTrust Digital Library

The book is on livestock with specific reference to heat stress and its alleviation. The topic is very pertinent in light of the impacts of climate change on livestock production and health. Work related to effect of heat stress on animal productivity, immunity and hormonal levels is discussed in detail. Heat stress occurs in animals when there is an imbalance between heat production within the body and its dissipation.


Heat Stress and Animal Productivity


Related Articles