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Results for “PUERPERAL DISORDERS”

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At least 19 recordsLinked to original sources

Long-term outcome of offspring after maternal severe puerperal disorder.

OBJECTIVE: To study adult mental health in offspring of mothers who experienced severe puerperal disorder. METHOD: Mothers, followed up a mean of 23 years after puerperal disorder requiring hospitalization, were interviewed regarding adult psychiatric illness, childhood neurotic symptoms and conduct problems of 48 offspring of the index episode and 62 additional siblings. RESULTS: In these predominantly young adults the lifetime rate of ICD-10 adult psychiatric illness was 26%, and was higher in offspring of puerperal episodes (35% vs. 15%, P = 0.07). There were also high rates of childhood symptoms and problems. CONCLUSION: There are high lifetime rates of adult psychiatric illness in young adult offspring of mothers with puerperal disorder, which are likely to increase further with time, and warrant special attention.

Adolescent↗

[Concentrations of carnitine and further biochemical parameters in the blood serum of healthy dairy cows and cows with abomasal displacement (dislocatio abomasi) and puerperal disorders].

It was the aim of this study to compare the concentrations of total (TC) and free L-carnitine (FC) in blood serum of different groups of lactating cows. The animals were allotted into three groups, a) control animals (N = 11), b) cows with abomasal displacement (AD) (N = 5) and c) cows with puerperal disorders (PD) (N = 5). TC and FC were measured with an radioenzymatic assay. Blood samples were collected from 5 to 0 d before parturition (a. p.) and from 0 to 28 d after parturition (p. p.). It was of interest to examine whether L-carnitine might be limiting under certain conditions of metabolic stress which are typical for high yielding lactating cows. Concentrations of TC and FC (mumol/l) in control cows before and after parturition were 10.0* and 8.6* and 6.0-8.9 and 3.7-4.9, respectively. The corresponding TC and FC values for cows with AD were 19.6* and 8.9* and 10.5-20.7 and 4.8-6.9, respectively. Cows with PD showed TC and FC concentrations a. p. and p. p. of 15.7* and 9.2* and 10.3-13.0 and 4.8-6.3, h other puerperal disorders PD respectively (* only one value). TC and FC concentrations in serum of normal cows were higher before than after parturition. Cows, which developed post partal puerperal disorders had a higher prepartum concentrations of TC and CE, on the other hand, serum concentrations of FC was lower. Post partum cows with metabolic disorders showed higher CE levels than control animals. Cows which developed DA had significantly higher concentrations of TC and CE in serum only on d 7 p.p. than animals with other PD. It appeared that increased fat mobilization was regularly associated with responsive increases of CE concentrations in blood serum.

Abomasum↗

[Metaphylaxis of puerperal disorders in cattle].

The effects of metaphylactic measures in cattle herds with the aim of diminishing puerperal disturbances and ensurement of high reproductive performance were studied. About 5000 cows in more than 30 groups (experimental and controls) were included into the clinical investigations. Dietary supplementation by sodium propionic acid over a period of 4 weeks, oxytocin or parasympathomimetics administered during the first 3 days post partum had a certain metaphylactic effect, only when the therapeutic principle met the prevalent cause of the given puerperal disturbance. In herds with high incidence of noninfectious retention of fetal membranes the metaphylactic application of Se and Vitamin E (10 days ante partum) can be taken into account. Stimulation of the ovarian activity by GnRH is recommended in animals which fail to have developed follicular activity by the 12th-15th day post partum.

Animals↗

[The effect of antepartum doses of selenium-vitamin E combinations on the incidence of puerperal disorders in cattle].

The effect of a single i.m. injection of 0, 5, 25 or 50 mg Se and 60, 300 or 600 mg vitamin E (12 combinations) about ten days before delivery on the incidence of post partum disturbances was investigated using 288 cows with selenium deficiency from six farms. The higher dose of Se, the lower was the frequency of fetal membrane retention (0 mg Se = 23.6%, 5 mg Se = 11.1%, 25 mg Se = 12.5%, 50 mg Se = 6.9%, p < 0.0001). This was independent of vitamin E. A beneficial effect of the higher Se doses together with vitamin E was noted in reduction in incidence of metritis, ovarian dysfunction and cysts. There was no significant difference in conception rate, services per conception or calving interval between the groups.

Animals↗

Pelvic floor exercises during and after pregnancy: a systematic review of their role in preventing pelvic floor dysfunction.

OBJECTIVE: To review the literature on the origin, anatomical rationale, techniques, and evidence-based effectiveness of peripartum pelvic floor exercises (PFEs) in the prevention of pelvic floor problems including urinary and anal incontinence, and prolapse. DATA SOURCES: Literature was reviewed for background information. MEDLINE, EMBASE, CINAHL, and proceedings of scientific meetings were searched for evidence-based data. A comprehensive literature search was performed to find all studies that involved the use of antepartum and/or postpartum PFEs. For the MEDLINE (1966 to 2002) and CINAHL (1980 to 2002) searches, the following key words were used: urinary incontinence (prevention and control, rehabilitation, therapy), fecal incontinence, exercise or exercise therapy, Kegel, muscle contraction, muscle tonus, muscle development, pelvic floor, pregnancy, puerperium, puerperal disorders. For the EMBASE (1980 to 2002) search, the following key words were used: micturition disorder (prevention, rehab, disease management, therapy), fecal incontinence, labour complication, pregnancy disorder, puerperal disorder, antepartum care, pregnancy, kinesiotherapy, exercise, pelvic floor, bladder. A manual search was performed of available abstracts presented at the annual scientific meetings of the International Continence Society (1997, 1999 to 2002), American Urogynecologic Association (1997 to 1998, 2000 to 2002), and International Urogynecological Association (1997, 1999 to 2002). Twelve studies evaluating the role of antepartum PFE were found, of which 3 randomized controlled trials (RCTs) comparing PFEs for the prevention of urinary incontinence to controls were included. Twelve studies evaluating postpartum PFEs for prevention of urinary incontinence were reviewed, of which 4 RCTs were included. Five studies evaluating postpartum PFEs for the prevention of anal incontinence were reviewed, of which 4 RCTs were included. Participants in the studies were primiparous women. DATA TABULATION AND INTEGRATION: Data were extracted using a standardized collection form. Quality of the data was evaluated using the Jadad scale. Where possible, a meta-analysis was conducted using a random effect model. Heterogeneity between trials was assessed and sensitivity analyses were performed. RESULTS: Antepartum PFEs, when used with biofeedback and taught by trained health care personnel, using a conservative model, does not result in significant short-term (3 months) decrease in postpartum urinary incontinence, or pelvic floor strength. Postpartum PFEs, when performed with a vaginal device providing resistance or feedback, appear to decrease postpartum urinary incontinence and to increase strength. Reminder and motivational systems to perform "Kegel" exercises are ineffective in preventing postpartum urinary incontinence. Postpartum PFEs do not consistently reduce the incidence of anal incontinence. CONCLUSION: Postpartum PFEs appear to be effective in decreasing postpartum urinary incontinence. Data regarding the effect of PFEs on prevention of anal incontinence are lacking, and also on its prevention of prolapse.

Evidence-Based Medicine↗

[Prevalence and clinical aspects of puerperal mental disorders at the University Hospital Center of Dakar].

This is a contribution to the survey on psychiatric disorders of puerperality. We are particularly interested in the clinical signs and the ethiopathogenical facts of psychiatric disorders of the post-partum which appear-in our point of view-to be the main point on which we could probably act to reduce the effect of the disease. It is a retrospective survey going from January, 1st 1992 to December, 31st 1996. Here are included all the female patients whose age is more than 15, hospitalised during survey period and who presented a mental pathology linked with puerperality in accordance with diagnosis criterions of World Health Organization. In 1 627 hospitalisations, there were 658 women among whom 52 presented puerperality psychical disorders, that's meaning 7.9% of the female patients hospitalised in psychiatry, with an average age of 24.5 years. Concerning the classification of the diseases, the acute delirious psychosis and the depressive disorders are more important with respectively 56% and 19% of the sample. 92% of the women gave birth by the vaginal normal way and 61.5% presented disorders in the first week following their delivery. The married women are 94%. Concerning their occupations, 98% are house keepers. 52% are primiparas and 48% are multiparas. Psychical disorders of puerperality are frequent in Dakar. Acute psychosis and mood disorders are the main clinical aspects. The management of the future mother to her new roles by health education and prenatal check-ups in health centers by skilled and appropriate personnal is necessary.

Academic Medical Centers↗