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PubMedDate not supplied

Eating habits and attitudes in the postpartum period.

The object of this study was to examine the changes in women's eating habits and attitudes in the 6 months after childbirth, focusing particularly on eating-disorder psychopathology. A general population sample of 97 primigravid women originally studied during pregnancy were followed for 6 months postpartum to describe their changes in eating and weight after childbirth with particular reference to the behaviors and attitudes characteristic of clinical eating disorders. Assessment was by standardized interview. It was found that eating disorder symptoms increased markedly in the 3 months postpartum and then plateaued over the next 6 months. This overall plateauing masked substantial variation in different domains; in particular, weight concern continued to increase to the 6-month assessment, although shape concern decreased. Concern about residual weight gain after the birth of a child was described by many mothers as particularly distressing and seemed to precipitate a clinical eating disorder in a few cases. Many women would have welcomed educational advice about how to deal with changes in eating, weight, and shape after pregnancy. It was concluded, therefore, that overall, there is evidence of an increase in eating-disorder psychopathology in the 6 months after childbirth. It is argued that education about how to deal with the changes in weight and shape after pregnancy might decrease the risk of developing frank eating disorder psychopathology.

Adult↗
PubMed2004

Peliosis hepatis during postpartum period: successful embolization of hepatic artery.

Peliosis hepatis is a rare disorder characterized by the presence of blood-filled spaces in the liver, and it usually has a chronic presentation pattern. It has been reported mainly in adult patients in association with various pharmacological agents and infections. The present report concerns a postpartum patient in whom peliosis hepatis initially presented as active intraperitoneal hemorrhage from peliotic liver lesions, with no obvious etiology. We report here a 31-year-old woman who developed symptomatic peliosis hepatis and underwent superselective hepatic artery embolization, with control of the bleeding. We also present the sonographic, computed tomographic, and magnetic resonance images and laparoscopic findings. The patient recovered well and was discharged without any complaints. The pathogenesis in this patient remains unclear, but it is suggested that in her case estrogens and progesterone could not have been responsible for the development of peliosis hepatis.

Adult↗
PubMed1987

Early and late discharge after hospital birth. Health of mother and infant in the postpartum period.

Early discharge, defined as hospital leave 24-48 hours after birth, was introduced at Falun Hospital in 1984. 164 women interested in participating in an evaluative study of the program were randomly allocated in late pregnancy to an Experimental group (EG) offered early discharge, and a Control group (CG) offered the regular postpartum care in hospital. After medical and other withdrawals 24 h after the birth, 50 women remained in EG and 54 in CG. Infant morbidity and number of prescribed medicaments during the first 6 months after the birth were lower in EG than in CG, but the difference was not statistically significant. EG mothers made fewer visits to the Child Health Centre nurse than did CG mothers (p less than 0.05). No significant difference in puerperal complications was demonstrated, but the intake of sedatives by EG mothers was smaller than that of CG mothers during the first puerperal week (p less than 0.01).

Analgesics↗
PubMed2000

Real-time ultrasonography of ovaries and breeding of the one-humped camel (Camelus dromedarius) during the early postpartum period.

Ovaries of 17 adult, pleuriparous, and lactating one-humped she-camels (Camelus dromedarius) were examined per rectum for uterine involution and for presence of follicles (>/=1.0 cm diameter) by real-time ultrasonography at the National Research Centre on Camel at Bikaner, India at 30, 45, 60, 75, and 90 days postpartum. Involution was completed from 25 to 30 days postpartum and follicles (>/=1.0 cm diameter) could be found in only nine camels (52.7%) from 34 to 70 days postpartum. These nine camels were mated with virile studs. Four conceived and were confirmed pregnant at 60 days.

Animals↗
PubMed2004

[Clinical implications of occurrence of antithyroid antibodies in pregnant women and in the postpartum period].

Antithyroid antibodies are classified to immunoglobulin G. It is a varied group of antibodies as there are antibodies against TSH-receptor, against thyroid peroxidase and also against thyroglobulin. Pregnancy is a period in which the titres of antibodies decrease to protect fetus from abortion; but just after delivery they increase again. The clinical implications of this fact are varied and concern not only the thyroid gland but also other organs. Postpartum thyroid dysfunction (PPD) is one,possible disturbance due to presence of antithyroid antibodies. It can be divided into two various types: a) postpartum thyroiditis, b) Graves'-Basedow disease after delivery. Postpartum thyroiditis (PPT) is an example of autoimmune disease connected with many different factors such as genetic or environmental, but the most important factor is the presence of antibodies against thyroid peroxidase. PPT occurs in 50% of women with high titre of these antibodies. Higher risk of PPT also occurs within women with type I diabetes mellitus in comparison with the population, as well as within women-smokers. It is also proved that women with high titres of antibodies against TSH-receptor are more likely to suffer from Graves'-Basedow disease after delivery. The pathogenesis of postpartum depression is multifactorial. The occurrence of stressful life events (marital disharmony, housing and socioeconomic problems) and some biological factors (e.g. previous psychiatric illnesses) are strongly associated with postpartum depression. Some authors also said that postpartum depression depends on the presence of antithyroid antibodies during pregnancy. It is believed that cytokines which are released during the autoimmune process can affect the central nervous system and can determine changes in behavior. Some authors suggest that changes in concentration of thyroid hormones during the natural history of PPT can be connected with depression after delivery. It is also reported that high titres of antithyroid antibodies are linked with pregnancy loss but the results are not uniform.

Autoantibodies↗
PubMed1995

Erythropoiesis in the postpartum period.

The puerperium is a time of immense physiological changes for the female organism. Erythropoiesis plays one of the central roles in these processes. The aim of this investigation was to describe physiological erythropoiesis in healthy women during the puerperium. Blood samples were taken just before delivery and on days 1, 2, 3, 4 and 14 postpartum. In addition to the usual parameters such as hemoglobin, hematocrit, platelets, leucocytes, ferritin, CRP, endogenous erythropoietin, etc., the absolute and the percentage reticulocyte counts-both the total and for the subpopulations-were determined by flow cytometry. The mean Hb values decreased in the first 24 hours postpartum by 0.8 g/dl and then rose to 0.2 g/dl more than the initial value on day 14. The reticulocytes reflected erythropoietic stimulation with an increase from day 0 to day 1 of 2.1% (79.1 x 10(9)/1) and a continual decrease thereafter. The hematological parameters followed a characteristic course in the puerperium. For the reticulocytes and the subpopulations, a definite erythropoietic stimulation was evident even before delivery, as was an increase in the erythropoietic activity in the early puerperium.

Adult↗