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CMAJ : Canadian Medical Association... Nov 2021
Topics: Cardiomyopathies; Echocardiography; Female; Heart Failure; Humans; Pregnancy; Pregnancy Complications, Cardiovascular; Puerperal Disorders; Referral and Consultation; Risk
PubMed: 34782377
DOI: 10.1503/cmaj.210468 -
International Urogynecology Journal Jan 2020Lumbo-pelvic pain (LPP) is a common disorder in women after pregnancy due to ligament laxity and postural changes. Transverse abdominis (TrA) and pelvic floor muscle... (Randomized Controlled Trial)
Randomized Controlled Trial
Stabilization exercise affects function of transverse abdominis and pelvic floor muscles in women with postpartum lumbo-pelvic pain: a double-blinded randomized clinical trial study.
INTRODUCTION AND HYPOTHESIS
Lumbo-pelvic pain (LPP) is a common disorder in women after pregnancy due to ligament laxity and postural changes. Transverse abdominis (TrA) and pelvic floor muscle (PFM) activity is important for lumbo-pelvic stability. The purpose of this study was to compare the effect of stabilization exercise (SE) and general exercise (GE) on TrA and PFM muscle activity and pain intensity in women with postpartum LPP.
METHODS
A randomized controlled trial study was conducted on 68 women with postpartum LPP. Patients were randomly divided into two groups of stabilization exercise (SE) and general exercise (GE) and received either SE or GE exercise for 8 weeks three times a week. Ultrasound imaging was utilized to measure the thickness change of TrA muscles during abdominal hollowing (AH) and bladder base displacement. These measurements were used as an indicator of TrA and PFM muscle activity. Pain intensity, thickness changes of the TrA muscle and bladder base displacement were measured pre- and post-intervention.
RESULTS
The results showed that there was no significant difference in pain relief after intervention between groups. The differences in TrA and PFM activity between groups were significant (P < 0.05). PFM and TrA muscle activity was significantly increased after SE in women with postpartum LPP (P < 0.05).
CONCLUSIONS
SE improved both PFM and TrA muscle function more than GE in women with postpartum LPP. However, the clinical outcome of pain relief was not greater in the SE group.
Topics: Adult; Double-Blind Method; Exercise Therapy; Female; Humans; Low Back Pain; Pelvic Floor; Pelvic Pain; Puerperal Disorders; Young Adult
PubMed: 31016337
DOI: 10.1007/s00192-019-03877-1 -
Clinics in Perinatology Dec 2020"Pregnancy-induced hypertension" (HDP) describes a spectrum of disorders, including gestational hypertension, preeclampsia, and chronic hypertension with superimposed... (Review)
Review
"Pregnancy-induced hypertension" (HDP) describes a spectrum of disorders, including gestational hypertension, preeclampsia, and chronic hypertension with superimposed preeclampsia. Each of these disease processes can progress to a more pathologic case with worsening hypertensive disease, end-organ damage, and concerning clinical sequelae. Risk factors for HDP include nulliparity, a prior pregnancy complicated by hypertension, and obesity. Close blood pressure monitoring, serologic and urine testing, and prompt clinical follow-up remain the gold standard for antenatal diagnosis and surveillance. Optimizing maternal and neonatal outcomes involves early prenatal diagnosis, a multidisciplinary team-based approach, and referral to an experienced provider for cases with advanced pathology.
Topics: Anticonvulsants; Antihypertensive Agents; Aspirin; Chronic Disease; Delivery, Obstetric; Eclampsia; Female; Humans; Hypertension; Hypertension, Pregnancy-Induced; Magnesium Sulfate; Obesity, Maternal; Platelet Aggregation Inhibitors; Pre-Eclampsia; Pregnancy; Pregnancy Complications, Cardiovascular; Puerperal Disorders; Risk Assessment; Seizures
PubMed: 33153664
DOI: 10.1016/j.clp.2020.08.011 -
Handbook of Clinical Neurology 2020This chapter provides an overview of current research discoveries beginning to uncover the neurobiology of maternal mental illness. Results are described according to... (Review)
Review
This chapter provides an overview of current research discoveries beginning to uncover the neurobiology of maternal mental illness. Results are described according to standard diagnostic categories (specifically, perinatal depression, perinatal anxiety and OCD, postpartum psychosis and bipolar disorder, and trauma and posttraumatic stress disorder), yet we aim to put this approach in context with the introduction of a classification model for psychiatric research, the research domain criteria, gaining traction in basic and clinical translational fields. We first review a new area of study, the neuroplasticity of the pregnant and postpartum brain, as work here has relevance for understanding the pathophysiology of mental disorders and may provide clues to changes in brain functioning that are related to compromised parenting in the context of postpartum depression. We next provide background information on neuroendocrine and immune changes during pregnancy and, to a lesser extent, the postpartum period, as alterations in these systems are significantly implicated in underlying neurobiology of mental illness for peripartum women. Our discussion of the major mental illnesses for pregnant and postpartum women includes neuroendocrine changes, neuroinflammation, and neurotransmitter alterations, as well as circuit dysfunction. Overall, remarkable progress has been made in identifying variations in neurobiology (and related systems) involved in maternal mental illness; yet, it is clear that, as classified with standard diagnostic systems, these are heterogeneous disorders and there is individual variability in the alterations in neurobiology for the same illness.
Topics: Anxiety Disorders; Bipolar Disorder; Depression, Postpartum; Female; Humans; Peripartum Period; Postpartum Period; Pregnancy; Pregnancy Complications; Puerperal Disorders
PubMed: 32736761
DOI: 10.1016/B978-0-444-64239-4.00005-9 -
The New England Journal of Medicine Apr 2024
Topics: Female; Humans; Peripartum Period; Cardiomyopathies; Puerperal Disorders
PubMed: 38631014
DOI: 10.1056/NEJMc2401629 -
Radiologic Clinics of North America Mar 2020There are various complications that can occur in the postpartum period, including pain, bleeding, and infection. These include complications related to cesarean... (Review)
Review
There are various complications that can occur in the postpartum period, including pain, bleeding, and infection. These include complications related to cesarean section, postpartum hemorrhage and hematomas, bladder injury, torsion and uterine dehiscence, and rupture. It is important the radiologist is aware of these entities and the associated imaging features to help guide timely and appropriate management.
Topics: Adult; Cesarean Section; Female; Humans; Peripartum Period; Postpartum Period; Pregnancy; Pregnancy Complications; Puerperal Disorders; Ultrasonography
PubMed: 32044016
DOI: 10.1016/j.rcl.2019.10.007 -
Tierarztliche Praxis. Ausgabe G,... Aug 2020
Topics: Animals; Cattle; Cattle Diseases; Cross-Sectional Studies; Dairying; Female; Fertility; Pregnancy; Puerperal Disorders; Torsion Abnormality; Uterine Diseases
PubMed: 32823333
DOI: 10.1055/a-1166-8781 -
Medicine Feb 2020Pregnancy and high impact exercise may cause postnatal urinary incontinence. We aimed to evaluate the life impact of postnatal urinary incontinence in women attending...
Prenatal high-low impact exercise program supported by pelvic floor muscle education and training decreases the life impact of postnatal urinary incontinence: A quasiexperimental trial.
BACKGROUND
Pregnancy and high impact exercise may cause postnatal urinary incontinence. We aimed to evaluate the life impact of postnatal urinary incontinence in women attending prenatal, high-low impact exercise program, supported by pelvic floor muscle education and training, in comparison to controls.
METHODS
It was a quasiexperimental trial among 260 postpartum Caucasian women (age 29 ± 4 years; mean ± standard deviation). The training group (n = 133) attended a high-low impact exercise and educational program from the 2nd trimester of pregnancy until birth, 3 times a week. We educated this group to contract and relax pelvic floor muscles with surface electromyography biofeedback and instructed how to exercise postpartum. Control women (n = 127) did not get any intervention. All women reported on the life impact of urinary incontinence 2 months and 1 year postpartum using the Incontinence Impact Questionnaire (IIQ).
RESULTS
Training group started regular pelvic floor muscle exercises substantially earlier postpartum than controls (P < .001). Significantly less training women reported the life impact of urinary incontinence both 2 months (P = .03) and 1 year postpartum (P = .005). Two months after birth, for the symptomatic women the IIQ scores were significantly lower in the training than in the control women (median [Me] = 9.4 vs Me = 18.9; P = .002). Between the 1st and 2nd assessments the number of women affected by incontinence symptoms decreased by 38% in the training group and by 20% in the controls.
CONCLUSION
High-low impact activities supported by pelvic floor muscle exercises and education should be promoted among pregnant, physically active women. Such activities may help women to continue high-intensity exercise with the simultaneous prevention of postnatal urinary incontinence.Thy study was registered at ISRCTN under the title "Pelvic floor muscle training with surface electromyography" (DOI 10.1186/ISRCTN92265528).
Topics: Adult; Exercise Therapy; Female; Humans; Pelvic Floor; Pregnancy; Prenatal Care; Puerperal Disorders; Quality of Life; Surveys and Questionnaires; Treatment Outcome; Urinary Incontinence
PubMed: 32028397
DOI: 10.1097/MD.0000000000018874 -
European Journal of Heart Failure Sep 2022
Topics: Cardiomyopathies; Female; Heart Failure; Humans; Peripartum Period; Pregnancy; Pregnancy Complications, Cardiovascular; Puerperal Disorders
PubMed: 35870186
DOI: 10.1002/ejhf.2636 -
Bipolar Disorders Aug 2021
Topics: Bipolar Disorder; Female; Humans; Postpartum Period; Psychotic Disorders; Puerperal Disorders
PubMed: 34382293
DOI: 10.1111/bdi.13060