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Journal of Obstetric, Gynecologic, and... Jan 2019
Topics: Female; Humans; Postnatal Care; Postpartum Period; Quality Improvement; United States; Women's Health; Women's Health Services
PubMed: 30543765
DOI: 10.1016/j.jogn.2018.12.001 -
Journal of Traditional Chinese Medicine... Feb 2020To investigate the effect of acupressure on postpartum low back pain (LBP), salivary cortisol, physical limitations, and postpartum depression. (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVE
To investigate the effect of acupressure on postpartum low back pain (LBP), salivary cortisol, physical limitations, and postpartum depression.
METHODS
Participants were 70 postpartum women who were randomly assigned to either an intervention (n = 35) or a control (n = 35) group. The intervention group received 10 acupressure sessions (1 session per day, 5 d per week). The control group received 10 sham acupressure sessions. Outcomes were assessed using a visual analogue scale (LBP intensity), salivary cortisol values (LBP biomarker), and Chinese versions of the Roland-Morris Disability Questionnaire (daily activity limitations), Oswestry Disability Index (physical activity limitations), and the Edinburgh Postnatal Depression Scale (postpartum depression).
RESULTS
Participants in the intervention group had significantly lower levels of LBP intensity, daily activity limitations, physical activity limitations, and postpartum depression than those in the control group. There was no significant between-group difference in salivary cortisol.
CONCLUSION
Acupressure may reduce postpartum LBP intensity and limitations in daily and physical activity, and alleviate postpartum depressive symptoms. Acupressure should be offered in postpartum care settings as an alternative treatment for postpartum women with LBP.
Topics: Acupressure; Adult; Depression; Exercise; Female; Humans; Hydrocortisone; Low Back Pain; Pilot Projects; Postpartum Period; Saliva; Treatment Outcome
PubMed: 32227774
DOI: No ID Found -
Nature Reviews. Disease Primers Apr 2018
Review
Topics: Adult; Female; Humans; Mental Disorders; Postpartum Period; Quality of Life
PubMed: 29695819
DOI: 10.1038/nrdp.2018.23 -
Western Journal of Nursing Research Aug 2023Postpartum weight retention (PPWR) is a significant contributor to maternal cardiometabolic disease risk. The transition to motherhood is a stressful time period in... (Review)
Review
Postpartum weight retention (PPWR) is a significant contributor to maternal cardiometabolic disease risk. The transition to motherhood is a stressful time period in which women report consuming food to cope, an eating behavior that is associated with PPWR. In this scoping review, we identified original research and review articles published since 2010 that examined relationships among PPWR, maternal stress, and disinhibited eating. In total, 16 articles met the inclusion criteria. Findings were inconsistent related to PPWR and stress. PPWR and disinhibited eating were not significantly correlated; however, disinhibition scores were higher during the postpartum period compared to prenatally. Stress and disinhibited eating were directly correlated in 4 studies. Our findings suggest these concepts, particularly disinhibited eating, have not been robustly examined during the postpartum period. Additionally, instruments used to measure maternal stress vary widely and should be further studied and refined.
Topics: Female; Humans; Gestational Weight Gain; Postpartum Period; Feeding Behavior
PubMed: 37161311
DOI: 10.1177/01939459231175197 -
Primary Care Sep 1993Scientific studies investigating the postpartum period are scarce, and observational studies greatly outnumber controlled trials. Many studies are biased in their... (Review)
Review
Scientific studies investigating the postpartum period are scarce, and observational studies greatly outnumber controlled trials. Many studies are biased in their assumptions about the social roles of women and men and in the interpretation of observations and treatment strategies. The published literature is fragmentary; few researchers have attempted a comprehensive, biopsychosocial system-oriented view of postpartum health. More research is needed on the occurrence and treatment of such common postpartum problems as urinary incontinence, sexual dysfunction, and back pain. Widespread application of what is already known about support for breast-feeding, prevention of fatigue and depression, contraception, and maintenance of healthy lifestyles will require innovations in healthcare delivery, professional practices, and social policy, particularly in the occupational arena. Many postpartum problems have been found to be iatrogenic and responsive to changes in the routine care of mothers and newborns. Finally, it is clear that women of lower education and socioeconomic status and those with less social support are consistently at higher risk for postpartum and parenting problems; great benefits are likely from interventions that enhance the well-being of these mothers and infants.
Topics: Breast Feeding; Contraception; Female; Humans; Lactation; Postnatal Care; Postpartum Period; Pregnancy
PubMed: 8378463
DOI: No ID Found -
Theriogenology Dec 2017In this review, mucosal immune defense mechanisms used to control infections in the bovine genital tract (vestibule, vagina, cervix, uterus and oviduct) during the... (Review)
Review
In this review, mucosal immune defense mechanisms used to control infections in the bovine genital tract (vestibule, vagina, cervix, uterus and oviduct) during the postpartum period are reviewed. Knowledge gaps are highlighted to emphasize the need for further investigations. Physical barriers to the entry of microbes include vulvar sealing, vestibule-vaginal constriction, a narrow cervical opening and the mucosal epithelium along with the overlying mucus layer. Genital tract mucosal epithelial cells recognize damage-associated molecular patterns and pathogen-associated molecular patterns and respond by secreting antimicrobial peptides and cytokines to recruit and activate immune cells. Neutrophils and macrophages represent the first line of innate immune defenses recruited by cytokines to the site of inflammation. Macrophages, endometrial epithelial cells and dendritic cells interact with T-cells to elicit cellular responses and regulate antibody responses. Immune regulatory components such as M2-macrophages and regulatory T-cells, although less studied, may work in conjunction with epithelial cell regeneration to coordinate involution of the postpartum uterus and prepare the genital tract for the next pregnancy. A role for the vaginal and uterine microbiome in modulating uterine inflammation is an emerging research focus and further studies are required to integrate information on the nutritional and metabolic status of cows with innate immune responses and host-microbiome interactions. A greater understanding of these complex interactions is critical for developing more effective therapies for the prevention and treatment of uterine inflammation.
Topics: Animals; Cattle; Female; Genitalia, Female; Immunity, Mucosal; Postpartum Period; Pregnancy
PubMed: 28822242
DOI: 10.1016/j.theriogenology.2017.08.010 -
Hu Li Za Zhi the Journal of Nursing Dec 2004The postpartum period is a critical one, in which a mother's period when women's physical and mental condition will change as a result of her giving birth. Research has...
The postpartum period is a critical one, in which a mother's period when women's physical and mental condition will change as a result of her giving birth. Research has shown that 44% to 95% of postpartum mothers in the United States experience postpartum fatigue, i.e., that postpartum fatigue is a common problem. The condition is viewed as a complex phenomenon related to physiological, psychological and situational factors and experienced as "an unpleasant symptom". Postpartum fatigue can interfere with the new mother's ability to care for her infant, and is also considered to affect her quality of life adversely. This article provides an overview of the concept of postpartum fatigue including a definition, significance, an explanation of it and an outline of factors influencing it. It also makes recommendations for nurses involved in practice, research, and health policy.
Topics: Fatigue; Female; Humans; Postpartum Period; Pregnancy; Quality of Life
PubMed: 15614680
DOI: No ID Found -
Frontiers in Bioscience (Landmark... Mar 2020Women may present with psychiatric disorders during pregnancy, normal labor, following delivery by caesarean section, or in the postpartum period. The accumulating... (Review)
Review
Women may present with psychiatric disorders during pregnancy, normal labor, following delivery by caesarean section, or in the postpartum period. The accumulating evidence suggests that these disorders may be due to changes in immune responses. During pregnancy complications such as the prolongation of cervical ripening or descent, placental abruption, premature labor, and preeclampsia increase the risk of postpartum psychiatric disorders. Women may exhibit depression and postpartum psychosis following either normal birth or caesarean section. Since psychiatric disorders like schizophrenia, major depression, and bipolar disorder are associated with both alterations in the immune response and changes in immune cell subpopulations, in this study we have chosen to examine whether the psychiatric disorders in women during labor or postpartum also lead to aberrant immune responses.
Topics: Adult; Female; Humans; Immunity; Mental Disorders; Obstetric Labor Complications; Postpartum Period; Pregnancy; Pregnancy Complications; Puerperal Disorders
PubMed: 32114440
DOI: 10.2741/4863 -
Neurologic Clinics Aug 2012For women with epilepsy (WWE), the postpartum period is a vulnerable time owing to medication alterations, disrupted sleep, increased stress, and the challenges of... (Review)
Review
For women with epilepsy (WWE), the postpartum period is a vulnerable time owing to medication alterations, disrupted sleep, increased stress, and the challenges of breastfeeding. Sleep deprivation and the stress of having a new child can be challenging for WWE. Concerns over antiepileptic drugs (AEDs) in breast milk and sleep disruption associated with breastfeeding leads some WWE to discontinue breastfeeding. Adjustment of AEDs in the postpartum period can lead to difficulties in seizure control. Postpartum depression is increased in WWE, and patient education about newborn safety remains a concern. This article covers these important topics in postpartum WWE.
Topics: Adult; Anticonvulsants; Breast Feeding; Epilepsy; Female; Humans; Milk, Human; Postpartum Period
PubMed: 22840793
DOI: 10.1016/j.ncl.2012.06.001 -
Maternal Sleep in Pregnancy and Postpartum Part I: Mental, Physical, and Interpersonal Consequences.Current Psychiatry Reports Mar 2019Sleep is a critical restorative behavior which occupies approximately one third of people's lives. Extensive data link sleep health with disease and mortality risk in... (Review)
Review
PURPOSE OF REVIEW
Sleep is a critical restorative behavior which occupies approximately one third of people's lives. Extensive data link sleep health with disease and mortality risk in the general population. During pregnancy and following childbirth, unique factors contribute to overall sleep health. In addition, there are unique implications of poor sleep during these time periods.
RECENT FINDINGS
Poor maternal sleep may contribute to risk for adverse birth outcomes as well as poor maternal physical and mental health in pregnancy, postpartum, and longer term during childrearing. Moreover, the extent to which notable racial disparities in sleep contribute to disparities in adverse perinatal health outcomes remains to be fully explicated. Part I of this two-part review details these implications of poor sleep for mental health, physical health outcomes, and relationship functioning, while Part II delves into biological mechanisms as well as treatment approaches.
Topics: Female; Humans; Interpersonal Relations; Mental Health; Postpartum Period; Pregnancy; Sleep; Sleep Initiation and Maintenance Disorders
PubMed: 30826881
DOI: 10.1007/s11920-019-0999-y