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La Tunisie Medicale 2023Low back pain (LBP) is common during pregnancy and tends to increase in the third trimester. This pregnancy-related condition may even persist through the postpartum...
INTRODUCTION
Low back pain (LBP) is common during pregnancy and tends to increase in the third trimester. This pregnancy-related condition may even persist through the postpartum period, and become a lifelong problem.
AIM
To determine the prevalence of persistent LBP in the postpartum and to identify factors associated with this condition.
METHODS
In this cross-sectional study, we assessed a survey of women under the age of 40 for back pain symptoms during the postpartum period. Questions included sociodemographic data, data related to low back pain during pregnancy and the postpartum period as well as characteristics of the delivery. We identified factors associated with persistent LBP in postpartum. The level of significance was fixed at 0.05.
RESULTS
We interviewed 100 women during their postpartum period. A history of LBP before and during pregnancy was found in 44.6% and 75% of cases respectively. In addition to pregnancy-related LBP, 53% experienced persistent postpartum LBP. A history of previous back pain episodes when not pregnant (p<0,001), as well as during previous pregnancies (p<0,001) were associated with persistent LBP. In contrast, no association was found between LBP in the postpartum and the number of children (p=0.681), body mass index (p=0.37), and physical activity (p=0.726). In multivariate analysis, we did not identify any associated factors for persistent LBP.
CONCLUSIONS
Our study showed that the prevalence of persistent LBP in the postpartum is high. The main factors associated with this condition were previous episodes of back pain while non-pregnant or pregnant. Identification of these risk factors may help in the determination of appropriate prevention strategies and treatment options.
Topics: Child; Pregnancy; Female; Humans; Low Back Pain; Prevalence; Cross-Sectional Studies; Postpartum Period; Body Mass Index
PubMed: 38445403
DOI: No ID Found -
Current Opinion in Obstetrics &... Dec 2023The aim of this study was to describe the common postpartum urinary sequelae including urinary retention and incontinence, and to summarize the management of these... (Review)
Review
PURPOSE OF REVIEW
The aim of this study was to describe the common postpartum urinary sequelae including urinary retention and incontinence, and to summarize the management of these conditions.
RECENT FINDINGS
Despite the high frequency of urinary disorders in obstetrics, screening and management protocols are rarely utilized by providers. Large variation exists in the literature regarding assessment of postpartum urinary retention, values of postvoid residuals and management of indwelling catheters in the immediate postpartum population. Recent expert guidance outlines a strategy for managing this condition.Research also highlights that screening for peripartum urinary incontinence is not a routine practice. The diagnosis is made more challenging by the fact that patients commonly understate and over-normalize their symptoms. Emerging studies have found that pelvic floor muscle training is cost-effective, preventive, and may improve symptoms in the postpartum setting.
SUMMARY
Increased awareness of urinary disorders in pregnancy and postpartum is imperative for appropriate diagnosis and management. Instituting standardized voiding protocols postpartum will allow providers to avoid undiagnosed postpartum urinary retention and its repercussions. Improved screening and education regarding urinary incontinence in the peripartum is important for early management, such as pelvic floor muscle training, and improved quality of life.
Topics: Female; Humans; Exercise Therapy; Pelvic Floor; Pelvic Floor Disorders; Postpartum Period; Quality of Life; Urinary Incontinence; Urinary Retention
PubMed: 37807921
DOI: 10.1097/GCO.0000000000000919 -
Studies in Health Technology and... Oct 2023Family planning reduces maternal and child morbidity and mortality by promoting pregnancy spacing. The postpartum period is an ideal time for patients to access family... (Review)
Review
INTRODUCTION
Family planning reduces maternal and child morbidity and mortality by promoting pregnancy spacing. The postpartum period is an ideal time for patients to access family planning services. Mobile applications can aid in accessing information about family planning.
METHODS
A review was conducted on PubMed from 2012 to 2022, using keywords "mobile app," "family planning, "contraception,".
RESULTS
Numerous studies have found as randomized controlled trials evaluating the use of mobile applications such as Decide + Be Ready in contraception. Other studies focused on healthcare providers' use of mobile apps for postpartum care and monitoring contraceptive methods.
CONCLUSION
Mobile applications in family planning can assist healthcare providers in clinical care delivery is feasible and acceptable, saving time and providing accessible information.
Topics: Female; Humans; Contraception; Delivery of Health Care; Family Planning Services; Mobile Applications; Postpartum Period
PubMed: 37869864
DOI: 10.3233/SHTI230803 -
Nursing Open Aug 2023Our aim is to clarify the concept of paternal perinatal depression including its definition, attributes, antecedents and consequences. (Review)
Review
AIM
Our aim is to clarify the concept of paternal perinatal depression including its definition, attributes, antecedents and consequences.
DESIGN
A concept analysis.
METHODS
To obtain relevant evidence, several databases were searched systematically including PubMed, EMBASE, Web of Science, CINAHL, PsycINFO and the Cochrane Library. Qualitative or quantitative articles published in English that focused on paternal perinatal depression were included. After the literature quality assessment, Walker and Avant's concept analysis strategy was used.
RESULTS
Five defining attributes (i.e. symptoms occur during the partner's pregnancy or 1-year postpartum and last at least 2 weeks, emotional symptoms, somatic symptoms, negative parenting behaviours and 'masked' symptoms), four antecedents (i.e. personal issues, pregnancy-related issues, infant-related issues, social issues) and three consequences (i.e. offspring outcomes, marital relationship, maternal negative emotions) were identified.
Topics: Female; Humans; Infant; Male; Pregnancy; Depression; Depressive Disorder; Fathers; Parenting; Postpartum Period
PubMed: 37147794
DOI: 10.1002/nop2.1797 -
Current Psychiatry Reports Dec 2023Postpartum depression (PPD) and breastfeeding are important, interrelated health factors. It is established that women who breastfeed exclusively have lowered likelihood... (Review)
Review
PURPOSE OF REVIEW
Postpartum depression (PPD) and breastfeeding are important, interrelated health factors. It is established that women who breastfeed exclusively have lowered likelihood of developing significant PPD. Yet, many questions remain around what factors are involved. The purpose of this review is to provide updated information about the relationship between PPD and breastfeeding.
RECENT FINDINGS
Both psychological and physiological factors have emerged as important moderators and mechanisms of the relationship between postpartum depression and breastfeeding. Breastfeeding self-efficacy, self-compassion, and engagement with the infant during feeding all modify or mediate the relationship, and a complex dynamic relationship among cortisol, oxytocin, progesterone, and estrogen is involved. Importantly, recent intervention studies suggest psychosocial interventions may impact both breastfeeding and mood. Providers and researchers should recognize the interrelationship between the breastfeeding and PPD and apply this understanding to patient care through integrated education and care for both mood and breastfeeding enhancement.
Topics: Infant; Female; Humans; Breast Feeding; Depression, Postpartum; Affect; Estrogens; Progesterone; Postpartum Period; Mothers
PubMed: 37906349
DOI: 10.1007/s11920-023-01471-3 -
CMAJ : Canadian Medical Association... Sep 2023
Topics: Female; Humans; Intracranial Hypotension; Seizures; Postpartum Period
PubMed: 37748785
DOI: 10.1503/cmaj.230063-f -
Tierarztliche Praxis. Ausgabe G,... Aug 2023
Topics: Female; Cattle; Animals; Rumen; Postpartum Period
PubMed: 37820630
DOI: 10.1055/a-2121-5679 -
Obstetrics and Gynecology Clinics of... Sep 2023Breastfeeding is the gold standard of infant nutrition and current guidelines suggest exclusive breastfeeding for 6 months, with continued breastfeeding through... (Review)
Review
Breastfeeding is the gold standard of infant nutrition and current guidelines suggest exclusive breastfeeding for 6 months, with continued breastfeeding through 24 months or beyond. Obstetric care professionals can encourage and educate their patients about breastfeeding through the prenatal period when many expectant parents make decisions about their infant feeding choices. Education and support should extend through the postpartum period and include parents who may have concerns surrounding medical comorbidities, breast augmentation, or substance use disorders.
Topics: Pregnancy; Infant; Female; Humans; Breast Feeding; Parents; Postpartum Period; Counseling; Mothers
PubMed: 37500216
DOI: 10.1016/j.ogc.2023.03.007 -
Obstetrics and Gynecology Clinics of... Sep 2023Pregnancy care should include open discussions with patients about their ideal family size and pregnancy spacing. With these patient-voiced goals in mind, clinicians... (Review)
Review
Pregnancy care should include open discussions with patients about their ideal family size and pregnancy spacing. With these patient-voiced goals in mind, clinicians should review contraceptive tools to meet these goals, including special considerations after birth. For patients that desire contraception, it is important to prioritize the provision of their chosen method as soon as safely possible and desired after birth.
Topics: Pregnancy; Female; Humans; Contraceptive Agents; Postpartum Period; Counseling; Contraception; Prenatal Care
PubMed: 37500213
DOI: 10.1016/j.ogc.2023.03.006 -
Translational Psychiatry Nov 2023It remains inconclusive whether postpartum depression (PPD) and depression with onset outside the postpartum period (MDD) are genetically distinct disorders. We aimed to... (Meta-Analysis)
Meta-Analysis
It remains inconclusive whether postpartum depression (PPD) and depression with onset outside the postpartum period (MDD) are genetically distinct disorders. We aimed to investigate whether polygenic risk scores (PGSs) for major mental disorders differ between PPD cases and MDD cases in a nested case-control study of 50,057 women born from 1981 to 1997 in the iPSYCH2015 sample in Demark. We identified 333 women with first-onset postpartum depression (PPD group), who were matched with 993 women with first-onset depression diagnosed outside of postpartum (MDD group), and 999 female population controls. Data on genetics and depressive disorders were retrieved from neonatal biobanks and the Psychiatric Central Research Register. PGSs were calculated from both individual-level genetic data and meta-analysis summary statistics from the Psychiatric Genomics Consortium. Conditional logistic regression was used to calculate the odds ratio (OR), accounting for the selection-related reproductive behavior. After adjustment for covariates, higher PGSs for severe mental disorders were associated with increased ORs of both PPD and MDD. Compared with MDD cases, MDD PGS and attention-deficit/hyperactivity disorder PGS were marginally but not statistically higher for PPD cases, with the OR of PPD versus MDD being 1.12 (95% CI: 0 .97-1.29) and 1.11 (0.97-1.27) per-standard deviation increase, respectively. The ORs of PPD versus MDD did not statistically differ by PGSs of bipolar disorder, schizophrenia, or autism spectrum disorder. Our findings suggest that relying on PGS data, there was no clear evidence of distinct genetic make-up of women with depression occurring during or outside postpartum, after taking the selection-related reproductive behavior into account.
Topics: Infant, Newborn; Humans; Female; Depression, Postpartum; Case-Control Studies; Depressive Disorder, Major; Autism Spectrum Disorder; Postpartum Period; Risk Factors
PubMed: 37953300
DOI: 10.1038/s41398-023-02649-2