Journal articles: 'Puerperium'

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Avilés Sáez, Zaraida, Esther María López Martínez, Celia Driéguez Castaño, and María Belén Conesa Ferrer. "Estudio comparativo de la recuperación postparto en base a los Patrones de Marjory Gordon." Enfermería Global 18, no. 1 (October 9, 2018): 183–214. http://dx.doi.org/10.6018/eglobal.18.1.303051.

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Objetivo: Analizar si existen diferencias en el nivel de recuperación en las distintas fases del puerperio según el tipo de lesión perineal.Material y método: Estudio cuantitativo de tipo descriptivo longitudinal prospectivo, siguiendo los Patrones Funcionales de Salud de Marjory Gordon. La recogida de datos se realiza en tres fases (puerperio inmediato, clínico y tardío), empleando entrevistas semiestructuradas que se completan en un primer momento en una entrevista personal y vía telefónica a los 10 y a los 30 días, respectivamente.Resultados: En España existe un índice de episiotomías, inducciones y partos instrumentales muy superior al recomendado. La técnica de la episiotomía produjo desgarros importantes (16,7%) en este estudio. Durante el puerperio inmediato, las mujeres con episiotomía tienen dificultades en la movilidad (p=0,0005), la eliminación (p=0,007), cuidado del bebé (p=0,015), descanso (p=0,15) y dolor percibido (p=0,005), mientras que en el puerperio clínico están afectados sólo la movilidad (p=0,05), la eliminación (p=0,042) y el dolor percibido (p=0,006). A los 30 días, en el puerperio tardío, no existen diferencias estadísticamente significativas entre ambos grupos. Se necesitan más estudios que reafirmen estos hechos y aporten nuevos conocimientos.Conclusiones: La episiotomía produce más efectos negativos que los desgarros espontáneos en el puerperio inmediato y clínico en la mujer. El dolor que genera esta técnica a corto, medio y largo plazo es el que limita muchas de las actividades cotidianas de estas mujeres. Objective: Analyse if there is any difference in recovery rate according to their puerperium stage depending on perineal lesion.Material and method: Prospective longitudinal descriptive quantitative study, following the Marjory Gordon’s Functional Health Patterns. Data collection will be performed in three phases (immediate, clinical and remote puerperium), through semi-structured interview completed in first instance in a face-to-face interview and phone call interview at 10 and 30 days, respectively. Results: In Spain there is an episiotomy, induction and assisted delivery rate much higher than recommended. Episiotomy technique lead to significant tear (16,7%) in this study. During immediate puerperium, women who were practiced an episiotomy shown mobility difficulties (p=0,0005), elimination (p=0,0007), baby care (p=0,015), rest (p=0,15) and perceived pain (p=0,005), whereas in the clinical puerperium are affected only mobility (p=0,05), elimination (p=0,042) and perceived pain (p=0,006). After 30 days, remote puerperium, there is not statistical significant differences in both groups. More research is needed to confirm these facts as well as provide new knowledge.Conclusions: Episiotomy produce more negative effects than spontaneous tears at the immediate and clinical puerperium of women. Pain produced by this technique as a short, medium and long term limit many daily activities of women.

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Musnandar, Endri, and Bayu Rosadi. "Puerperium dan Skor Kondisi Tubuh Sapi Peranakan Simmental pada Ketinggian Tempat yang Berbeda." Journal of Livestock and Animal Health 5, no. 1 (February 28, 2022): 23–28. http://dx.doi.org/10.32530/jlah.v5i1.507.

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Puerperium adalah periode mulai melahirkan sampai organ-organ reproduksi kembali ke kondisi fisiologis dan histologis yang normal dalam keadaan tidak bunting. Penelitian ini bertujuan untuk mengidentifikasi status puerperium dan skor kondisi tubuh pada sapi Peranakan Simmental (PS) yang dipelihara pada ketinggian tempat yang berbeda. Penelitian dilaksanakan menggunakan metode survey di tiga kabupaten yaitu Kabupaten Tanjung Jabung Barat dan Kabupaten Tebo (dataran rendah-sedang) dan Kabupaten Kerinci (dataran tinggi). Sampel dipilih secara purposive sampling dengan kriteria induk sapi PS pasca melahirkan, induk yang dipilih diperkirakan minimal mempunyai 75% darah Simmental berdasarkan penampilan eksteriornya. Setiap daerah dengan tinggi yang berbeda masing-masing diambil 20 ekor sampel. Induk yang memiliki masa puerperum lebih dari 60 hari dikategorikan mengalami gangguan reproduksi (gangrep). Untuk menilai kondisi kesehatan secara keseluruhan dilakukan pemeriksaan Skor Kondisi Tubuh (SKT). Data SKT disajikan dalam bentuk rataan ± standar deviasi. Perbedaan lama puerperium dan SKT dianalisis dengan uji-t, sedangkan proporsi induk yang mengalami gangguan reproduksi dilakukan uji khi- kuadrat. Semua perhitungan statistik menggunakan perangkat lunak SPSS. Hasil penelitian menunjukkan bahwa pada dataran rendah-sedang gangrep terjadi pada 70% induk lebih banyak dibandingkan dataran tinggi yaitu 25% (P<0,05). Masa puerperium sapi PS di daerah dataran rendah-sedang rata-rata 116,4 ± 19,2 hari lebih lama dibandingkan daerah dataran tinggi (71,6 ± 11,7 hari; P<0,05). Nilai SKT induk sapi PS yang mengalami gangrep lebih rendah dari nilai SKT induk sapi PS yang normal (P<0,05). Di dataran rendah-sedang pada induk yang normal SKT 3,10 ±0,32 dan SKT gangrep 2,17± 0,29, sedangkan di dataran tinggi nilai SKT yang normal 3,07 ± 0,26 dan SKT gangrep 2,30 ±0,4.

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Gummer, Bruce. "Organizational Puerperium:." Administration in Social Work 11, no. 1 (May 14, 1987): 81–94. http://dx.doi.org/10.1300/j147v11n01_08.

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Dunlop, William. "The puerperium." Fetal and Maternal Medicine Review 1, no. 01 (January 1989): 43. http://dx.doi.org/10.1017/s0965539500000073.

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Pacheco, Ingrid, Bruna Felisberto de Souza, Daniella Yamada Baragatti, Monika Wernet, and Diene Monique Carlos. "Rede social pessoal de mães adolescentes durante o puerpério." Revista Recien - Revista Científica de Enfermagem 13, no. 41 (March 27, 2023): 400–411. http://dx.doi.org/10.24276/rrecien2023.13.41.400-411.

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Conhecer e descrever os vínculos da rede social pessoal de mães adolescentes durante o puerpério. Trata-se de uma pesquisa qualitativa. A coleta de dados ocorreu setembro de 2021. Foram realizadas dez entrevistas semiestruturadas de forma online, com puérperas adolescentes indicadas de um ambulatório no interior paulista. Foram construídos “Mapa Mínimo de Rede de Social”. Os dados foram analisados tematicamente. Foram puérperas adolescentes de 16 a19 anos de até 180 dias pós parto. Os mapas apresentaram rede social pequena e frágil. Os vínculos centrais a família, houve ausência da comunidade. Nos relatos emergiram duas categorias: “É muito difícil ser sozinha”: vivências adolescentes no puerpério e “Será que eu vou conseguir?”: o cuidado ao filho no puerpério. O puerpério na adolescência foi representado como solitário, desafiador e questões sociais foram interligadas ao cuidado ao filho. Descritores: Gravidez na Adolescência, Período Pós-parto, Apoio Social, Saúde do Adolescente. Personal social network of teenage mothers during the puerperium Abstract: To know and describe the bonds of the personal social network of adolescent mothers during the puerperium. This is qualitative research. Data collection took place in September 2021. Ten semi-structured online interviews were carried out with adolescent mothers referred from an outpatient clinic in the interior of São Paulo. “Minimum Map of Social Network” were built. Data were analyzed thematically. They were adolescent mothers aged 16 to 19 years up to 180 days postpartum. The maps showed a small and fragile social network. The central links to the family, there was an absence of the community. In the reports, two categories emerged: “It is very difficult to be alone”: adolescent experiences in the puerperium and “Will I be able to?”: caring for the child in the puerperium. The postpartum period in adolescence was represented as lonely, challenging and social issues were intertwined with child care. Descritores: Pregnancy in Adolescence, Postpartum Period, Social Networking, Adolescent Health. Red social personal de madres adolescentes durante el puerperio Resumen: Conocer y describir los vínculos de la red social personal de las madres adolescentes durante el puerperio. Se trata de una investigación cualitativa. La recolección de datos ocurrió en septiembre de 2021. Se realizaron diez entrevistas en línea semiestructuradas con madres adolescentes derivadas de un ambulatorio del interior de São Paulo. Se construyeron “Mapa Mínimo de Redes Sociales”. Los datos fueron analizados temáticamente. Fueron madres adolescentes de 16 a 19 años hasta 180 días posparto. Los mapas mostraban una red social pequeña y frágil. Los vínculos centrales con la familia, hubo una ausencia de la comunidad. En los relatos surgieron dos categorías: “Es muy difícil estar solo”: experiencias del adolescente en el puerperio y “¿Podré?”: cuidar al niño en el puerperio. El puerperio en la adolescencia fue representado como solitario, desafiante y las cuestiones sociales se entrelazaron con el cuidado del niño. Descritores: Embarazo en Adolescencia, Periodo Posparto, Red Social, Salud del Adolescente.

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Pereira, Priscilla F. V., Ana P. Reway, Aline Félix, Edsel A. Beutemmüller, Lucienne G. Pretto-Giordano, Amauri A. Alfieri, Júlio A. N. Lisbôa, and Ernst E. Müller. "Mammary gland health of Santa Inês ewes at the drying and puerperium and evaluation of a dry-off terapy with gentamicin." Pesquisa Veterinária Brasileira 38, no. 12 (December 2018): 2194–200. http://dx.doi.org/10.1590/1678-5150-pvb-5563.

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ABSTRACT: Mastitis represents an important health problem for Santa Inês breed, causing losses to the producer, due to loss of ewes or the decrease in weight gain of lambs. The aim of this work was to assess the health of the mammary gland of Santa Inês ewes at the drying and puerperium and to investigate the efficacy of a dry-off therapy with gentamicin. In this study, 64 ewes were divided in a control group (GC) and treatment group (GT), and the health of the mammary gland was assessed at the drying and puerperium. The GT ewes received 250mg of gentamicin (Gentocin® DryCow/Schering-Plough, product indicated for use in dairy cows) in each mammary half. For diagnosis, clinical examination, California Mastitis Test, somatic cell count and milk culture was performed. In the GC, of the 45 (70.3%) healthy mammary halves at the drying, 12 developed subclinical mastitis and nine clinical mastitis at the puerperium. In the GT, among 51 (79.7%) healthy mammary halves at the drying, six developed subclinical mastitis and 11 clinical mastitis at the puerperium. No association was observed between treatment and the occurrence of mastitis at puerperium. Of the 19 (29.7%) mammary halves of the GC that presented subclinical mastitis at the drying, three remained with subclinical mastitis and five developed clinical mastitis at the puerperium. In the GT, of the 13 (20.3%) mammary halves that had subclinical mastitis at the drying, four remained with subclinical mastitis and four developed clinical mastitis. No association was observed between treatment and cure or persistence of mastitis at the puerperium. The main microorganisms isolated, at the drying and puerperium, from animals with subclinical or clinical mastitis were Staphylococcus spp., predominantly coagulase negative Staphylococcus (CSN). At the puerperium, 29 cases of clinical mastitis occurred, 19 with isolation, where 10 were CNS and six S. aureus. Mannheimia haemolytica was isolated in one case of subclinical mastitis and other of clinical mastitis. News protocols and different ways of handling at drying and at puerperium must be investigated.

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Windarti, Yunik, and Rizki Amalia. "The Effect Of The Implementation Of Puerperium Intensive Care On Exclusive Breastfeeding." STRADA Jurnal Ilmiah Kesehatan 9, no. 2 (November 1, 2020): 970–75. http://dx.doi.org/10.30994/sjik.v9i2.402.

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Exclusive breastfeeding is one of programs that grabs attention, where it is known that its achievements have never been successful according to the target that has been announced by the Indonesian government. Intensive care it is hoped that it will encourage mothers to provide exclusive breastfeeding. The aim to analyze effect of puerperium intensive care on the achievement of exclusive breastfeeding. Quasi experimental design, nonequivalent control group. Independent variables puerperium intensive care, dependent variable exclusive breastfeeding. Population of post-partum mothers using incidental sampling for 6 months in Wonokromo, instrument a questionnaire. Analyzed using chi-square test. Of the 31 respondents who received puerperium intensive care, most (58.06%) gave exclusive breastfeeding, of the 31 respondents who did not receive puerperium intensive care, most (67.74%) did not provide exclusive breastfeeding. The p value = 0.041 <α = 0.05 means there is an effect of puerperium intensive care on the achievement of exclusive breastfeeding

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Susanti, Dewi, and Elen Parengkuan. "Pemberian KIE Dengan Pengetahuan Ibu Nifas Mengenai Infeksi Masa Nifas Di Dusun Kelapa Dua." Jurnal Pengabmas Masyarakat Sehat (JPMS) 2, no. 4 (April 11, 2021): 235–37. http://dx.doi.org/10.33992/ms.v2i4.1371.

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The puerperium begins after the placenta is born and ends when the uterus organs return to their pre-pregnancy state. The puerperium lasts about 6 weeks or 40 days but will recover completely within 3 months. The puerperium or postpartum period is also called puerperium which comes from the Latin word "puer" which means baby and "parous "which means giving birth. Based on data obtained according to recording and reporting from districts/cities, the maternal mortality rate (MMR / MMR) in Maluku Province fluctuated from 2006 to 2010. However, it decreased from 369 per 100,000 live births in 2006 to 288 per 100,000 births. live in 2010.Keywords: KIE, Knowledge, puerperal infection

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Andina Díaz, Elena, Maria Fátima Silva Vieira Martins, and José Siles-González. "Creencias y prácticas alimentarias en embarazo y puerperio: aplicación del Modelo de Tradiciones de Salud." Enfermería Global 20, no. 1 (January 1, 2021): 98–121. http://dx.doi.org/10.6018/eglobal.413651.

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Objetivo: Describir las creencias y prácticas culturales relacionadas con la alimentación durante el embarazo y puerperio en mujeres adultas (mayores de 60 años) en dos culturas diferentes, aplicando el Modelo de Tradiciones de Salud. Método: Se llevó a cabo un estudio cualitativo. Participaron 16 mujeres residentes durante su embarazo/parto/puerperio en un área rural de Braga (Portugal), o León (España). La técnica de recogida de información fue la entrevista semiestructurada. Se hizo un análisis de contenido, siguiendo el Modelo de Tradiciones de Salud. Resultados: Se identificaron creencias y prácticas relacionadas con la alimentación, encaminadas a proteger, mantener y recuperar la salud de la madre/recién nacido, desde la esfera física/mental/espiritual (9 dimensiones interrelacionadas). Conclusión: Se describieron creencias y prácticas alimentarias en embarazo/puerperio de mujeres mayores, constatando el papel de la cultura en las mismas. Se consideraron 9 dimensiones interrelacionadas, y el rol relevante de familiares/allegadas. Estos datos pueden ayudarnos a planificar acciones de salud maternal en la actualidad, participativas (familia/comunidad), corregir ciertas prácticas, y proporcionar cuidados congruentes con la cultura de las mujeres. Ello puede ayudar a transformar creencias, o valores y actitudes que incardinan una determinada forma cultural en la enfermería. Objective: To describe the cultural beliefs and practices related to food during pregnancy and the puerperium in adult women (over 60 years old) in two different cultures by applying the Health Traditions Model. Method: A qualitative study was carried out with the participation of 16 women resident during their pregnancy / childbirth / puerperium in a rural area of Braga (Portugal), and León (Spain). The information collection technique was the semi-structured interview. A content analysis was made, following the Health Traditions Model. Results: Beliefs and dietary practices related to feeding were identified, aimed at protecting, maintaining and recovering the health of the mother / newborn, from the physical / mental / spiritual sphere (9 interrelated dimensions). Conclusion: Eating beliefs and practices in pregnancy / puerperium of older women were described, confirming the role of culture in them. 9 interrelated dimensions were considered, as well as the relevant role of family / relatives. These data can help us plan for current, participatory (family / community) maternal health actions, correct certain practices, and provide care consistent with the culture of women. This can help transform beliefs, or values and attitudes that embody a certain cultural form in nursing.

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Agarwal, A. "Miliary Tuberculosis Presenting as Puerperial Fever." Case Reports in Infectious Diseases 2011 (2011): 1–3. http://dx.doi.org/10.1155/2011/893515.

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Miliary tuberculosis as a cause of puerperial fever is extremely rare. It is a serious illness with nonspecific clinical manifestations and typical chest radiographic findings may not be seen until late in the course of the disease. It is often associated with maternal immunocompromised status. Here, we report a case of miliary tuberculosis in a nonimmunocompromised mother presenting as fever of unknown origin in immediate puerperium. Prolonged workup of eight weeks led to the diagnosis of miliary tuberculosis as the cause of postpartum fever that responded well to antituberculous drugs.

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Anudeepa Nath and Dipak Kumar Goswami. "Sutika Paricharya - Post Natal Care in Ayurveda." Journal of Ayurveda and Integrated Medical Sciences 8, no. 8 (October 10, 2023): 97–101. http://dx.doi.org/10.21760/jaims.8.8.14.

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Ayurveda gives importance to the care of women at every stage of life like during Rajasvala (during menstruation), Garbhini (during pregnancy) and Sutika (during puerperium). A postnatal period beginning immediately after the expulsion of placenta and extending up to 12 weeks, otherwise puerperium, puerperal period. In Ayurveda puerperial period is called Sutika Kala and postnatal care is named as Sutika Paricharya. During delivery due to loss of blood and other important Dhatus of body a Sutika becomes more prone to disease; therefore, she needs special and proper care which also ensures the healthy child to grow in a healthy way. Archaryas have explained 74 types of Sutika Roga which occurs due to improper Sutika Paricharya, Apatarpana, Vata Prakopa, Dhatu Ksheenata. Prognosis of Sutika Roga is incurable or difficult to cure as purifying measures are contraindicated in this stage. Sutika Paricharya includes the regimen that helps the women to regain her vitality and helps her body to revert back in pre-pregnant state. Three factors have been emphasized that is Dhatu Pratipurnata, Sharira Samavasthita, Sanchita Rudhira Yoni for which Acharyas have mentioned certain Ahara, Vihara, Aushadi, Yogasana, some Pathya and Apathya.

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Luqmanasari, Endah, and Jelita Yusriani Markus. "Asuhan kebidanan Pada Ny. "N" Pada Ibu 2 Jam Post Partum dengan Preeklamsia di RS Amelia Pare Kediri Tahun 2022." Jurnal Vokasi Kesehatan 1, no. 2 (December 29, 2022): 65–70. http://dx.doi.org/10.58222/juvokes.v1i2.62.

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The puerperium period or also known as the puerperium period is a period when the reproductive organs slowly undergo changes like the state before pregnancy (Maritalia, 2014). In the puerperium, it is quite important for health workers to always monitor, especially related to complications of pre-eclampsia and eclampsia. It is a disease caused by pregnancy. The purpose of this case study is to provide Obstetric care to Mrs." N" with preeclampsia of the Puerperium period. The research design used is a case study with research subjects in Ny. "N" . Data collection methods through interviews, observation and documentation studies. The results of midwifery care in Mrs." N" obtained data on the puerperium of the mother experiencing mild preeclampsia. The problem experienced by the mother is high blood pressure. Problem management has been given according to the diagnosis and advice of the doctor. Midwifery care can increase the effectiveness of health care in mothers as a whole so that it does not endanger the mother and increase patient satisfaction in obtaining midwifery services.

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Kabele, Pavel, Martina Mojhová, and Dita Smíšková. "Hand-foot-mouth disease in puerperium." Česká gynekologie 87, no. 1 (February 22, 2022): 47–49. http://dx.doi.org/10.48095/cccg202247.

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Our case report describes a case of an otherwise predominantly childhood disease in a young adult woman with a good socioeconomic background who developed pruritic exanthema on the 2nd day after spontaneous delivery. The aim of the paper is to characterize the disease and to describe the possible risks for mother and child according to the available literature, as well as complications not only in puerperium but also during pregnancy. Key words: hand – foot – mouth disease – exanthema – gravidity – postpartum period – Coxsackie

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BEREAN, Daniel, Liviu Marian BOGDAN, Ileana BOGDAN, Ovidiu GIURGIU, Anamaria Blaga PETREAN, Simona CIUPE, Emoke PALL, and Sidonia BOGDAN. "Control of Puerperium in a Dairy Farm using an Intrauterine Suspension." Bulletin of University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca. Veterinary Medicine 78, no. 1 (May 20, 2021): 44. http://dx.doi.org/10.15835/buasvmcn-vm:2020.0016.

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The purpose of this research was to evaluate a product developed at the Faculty of Veterinary Medicine of Cluj Napoca and his efficiency in the control of the puerperium at cows. The study was carried out between January 2017 to December 2018 in a dairy farm from Mures county, Romania. In this study were enclosed 60 cows, randomly divided in 3 groups: Puerperal group (group 1), Puerperal and Estrumate group (group 2), and control group (group 3). For each group the treatment applied for the control of puerperium was different. For each group were followed: the evolution of puerperium, the appearance of the first postpartum estrous cycle, the interval of service period and the number of artificial inseminations necessary for one gestation. For the puerperium control and to avoid the postpartum complications Puerperal intrauterine suspension it’s a good option.

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Daise, Tahmina Afreen, Nazneen Kabir, Saria Tasnim, Nahid Yesmin, and AKM Badrul Ahasan. "Psychiatric Disorders in Puerperium." Bangladesh Journal of Obstetrics & Gynaecology 28, no. 1 (October 23, 2016): 38–43. http://dx.doi.org/10.3329/bjog.v28i1.30083.

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Introduction: Post partum psychiatric illness was initially conceptualized as a group of disorders specifically linked to pregnancy and childbirth and thus was considered diagnostically distinct from other types. More recent evidence suggest that Post partum psychiatric disorder is virtually indistinguishable from psychiatric disorders that occur at other times during a womans life. A wide variety of disorders are seen. Recognition of disorders for the mother-infant relationship is important, because these have pernicious long-term effects but generally respond to treatment.Objective: The objective of this review is to highlight the different type of psychiatric disorders in the puerperium and their management.Materials and Methods: Literature of reputed journals were used to prepare this article with the help of pshychiatric consultant.Results: Psychiatric disorder in puperium has got different severity. Commonly encountered disorders are: Maternity blues, Post natal depression, Post partum psychosis. Most common is related to manic depression, in which neuroleptic drugs should be used with caution. Eighty five (85%) of women experiences mood changes in postpartum. About 10%-15% of women develops post partum depression. 0.1% -0.2% experience postpartum psychosis. 4,00000 children are born to depressed mothers every year.Conclusion: The obstetrics team should alert both to possible interaction between psychological and obstretics factors and to the range of psychiatric disorders that may occur during pregnancy and puperium. The obstetrics and psychiatric teams should work together to improve their services locally and high light the need for greater service provision every where ic stress disorder, obsessions of child harm, and a range of anxiety disorders all require specific psychological treatments. Postpartum depression necessitates thorough exploration. Cessation of breastfeeding is not necessary, because most antidepressant drugs seem not to affect the infant. Controlled trials have shown the benefit of involving the childs father in therapy and of interventions promoting interaction between mother and infant. Owing to its complexity, multidisciplinary specialist teams have an important place in postpartum period. It should have clinical priority those are suffering from psychiatric problem during puperium as they are in crucial situation. It is important to recognize earliar to avoid undesirable consequences, which are harmful both for mother and infant.. According to severity patient may need counseling, social support, sometimes patient may need hospitalization in severe cases. There are several traditional methods worldwide sometimes they are beneficial and sometimes harmful to mother and infant.Bangladesh J Obstet Gynaecol, 2013; Vol. 28(1) : 38-43

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Palmer, Andrea B., and Eric J. Knudtson. "Abetalipoproteinemia Complicating the Puerperium." Obstetrics & Gynecology 111, no. 2, Part 2 (February 2008): 575–77. http://dx.doi.org/10.1097/01.aog.0000295869.92443.ce.

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Labbok, Miriam H., and Christine Colie. "Puerperium and breast-feeding." Current Opinion in Obstetrics and Gynecology 4, no. 6 (December 1992): 818???825. http://dx.doi.org/10.1097/00001703-199212000-00007.

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Burkman, Ronald T. "Puerperium and breast-feeding." Current Opinion in Obstetrics and Gynecology 5, no. 5 (October 1993): 683–87. http://dx.doi.org/10.1097/00001703-199310000-00017.

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Sel Wyn Crawford, J., Margo Lewis, and JudithB Weaver. "HYPERTENSION IN THE PUERPERIUM." Lancet 330, no. 8560 (September 1987): 693–94. http://dx.doi.org/10.1016/s0140-6736(87)92488-3.

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Walters, B. N. J., and T. Walters. "HYPERTENSION IN THE PUERPERIUM." Lancet 330, no. 8554 (August 1987): 330. http://dx.doi.org/10.1016/s0140-6736(87)90912-3.

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Wilkes, R. G., T. H. L. Bryson, and A. Kent. "HYPERTENSION IN THE PUERPERIUM." Lancet 330, no. 8567 (November 1987): 1089. http://dx.doi.org/10.1016/s0140-6736(87)91518-2.

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Gonzalez Macias, C., M. Gordillo Montaño, J. Cala Gonzalez, and D. De la Vega Sanchez. "Manic Episode in Puerperium." European Psychiatry 30 (March 2015): 1143. http://dx.doi.org/10.1016/s0924-9338(15)30905-6.

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Capuzzo, E., F. Polatti, and C. Zara. "Glanzmann's thrombasthenia and puerperium." International Journal of Gynecology & Obstetrics 57, no. 3 (June 1997): 313–14. http://dx.doi.org/10.1016/s0020-7292(97)02908-1.

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Biswas, R., V. Baghel, and S. Shanker. "A gibbus in puerperium." Case Reports 2008, no. 12 1 (November 20, 2008): bcr0620080154. http://dx.doi.org/10.1136/bcr.06.2008.0154.

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Stray-Pedersen, Babill, Merete Blakstad, and Tom Bergin. "Bacteriuria in the puerperium." American Journal of Obstetrics and Gynecology 162, no. 3 (March 1990): 792–97. http://dx.doi.org/10.1016/0002-9378(90)91012-2.

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Ramsay, Ian N., Paul A. F. Hughes, Alan M. Mathers, T. Edgar Torbet, and Nigel Rice. "Uroflowmetry in the puerperium." Neurourology and Urodynamics 12, no. 1 (1993): 33–38. http://dx.doi.org/10.1002/nau.1930120105.

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Fauziah, Fauziah, Fitriana Fitriana, and Siti Noorbaya. "Efektivitas Pemberian Ikan Gabus Kukus Terhadap Penyembuhan Laserasi Perineum Pada Ibu Postpartum." Indonesian Journal of Midwifery (IJM) 3, no. 2 (September 27, 2020): 92. http://dx.doi.org/10.35473/ijm.v3i2.622.

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Postpartum, also called the puerperium or puerperium, is the time since the baby is born and the placenta is separated from the uterus until the next 6 (six) weeks, accompanied by the recovery of the organs associated with the womb, which have undergone changes related to childbirth. The changes that occur during the puerperium include all systems including the reproductive organs such as the uterus and vulva, from physiological to pathological changes as a result of complications during the puerperium. Complications of the puerperium are abnormal conditions during the puerperium caused by the entry of germs to the genetalia during labor and the puerperium, one of the complications of the puerperium, namely a rupture, is also called a perineal tear or laceration. This study aims to analyze the effectiveness of giving boiled snakehead fish on the healing of perineal lacerations in postpartum mothers in Samarinda City. In this study, the authors used a quasi-experimental method with a post-test only control group design in which the measurement of variables was given a special intervention, namely giving 100 g of steamed fish a day for 10 days, then observing its effect on post-partum maternal wound healing. As a comparison, also a control group without treatment with inclusion and exclusion criteria. The research location is at Kartika Jaya Clinic, Samarinda City. In this study, the samples were selected using purposive sampling. Data collection methods used in two ways, namely through interviews and observations. The test used Mann Whitney. The results of data analysis using the Mann-Whitney obtained the sig (2-tiled) value of 0.000 <0.05 with the average healing time of the experimental group was 7 days. Meanwhile, the average healing time for the control group was 10 days. So it can be concluded that there is an effect of giving steamed cork fish on the healing of perineal lacerations in postpartum mothers with a difference of 3.2 days. The conclusion of this study is that the administration of steamed snakehead fish is more effective in treating perineal lacerations of postpartum mothers

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Hayati, Fatihatul. "Personal Hygiene pada Masa Nifas." Jurnal Abdimas Kesehatan (JAK) 2, no. 1 (January 31, 2020): 4. http://dx.doi.org/10.36565/jak.v2i1.62.

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ABSTRACT Infection during the puerperium is one of the leading causes of maternal death in developing countries. Puerperal morbidity is an increase in body temperature to 38 ° C or more for 2 days in the first 10 days postpartum, except on the first day. Infections caused by personal hygiene is not good, therefore personal hygiene during the postpartum period of a mother is very important to maintain personal hygiene so as not prone to infection. Maintain overall personal hygiene to avoid infection in both stitches and skin. If a postpartum mother does not perform personal hygiene properly, there can be an infection during the puerperium, namely inflammation caused by the entry of germs into the genetals, effective health education is needed for pregnant women, not only preparation for delivery but also preparation for the period the puerperium, including education about personal hygiene during the puerperium.

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Rahmawati, Rahajeng Siti Nur, Ratih Novitasari, and Lorensa Chiantiko Putri Supriyono. "THE DIFFERENCES IN HEALTH EDUCATION ON HAZARD SIGNS IN POSTPARTUM USING THE MEDIA FLIP CHART AND LEAFLETS ON KNOWLEDGE OF POSTPARTUM MOTHERS IN AURA SYIFA HOSPITAL KEDIRI." JURNAL KEBIDANAN KESTRA (JKK) 3, no. 1 (October 31, 2020): 39–47. http://dx.doi.org/10.35451/jkk.v3i1.478.

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Most maternal deaths occur during the puerperium period so that health workers should be more careful in handling postpartum mothers. There were 8 of the 10 (80%) normal primiparous postpartum mothers in the Aura Syifa Hospital Puerperal Room who did not know about the danger signs during the puerperium. Providing information and health education regarding danger signs during puerperium is one of the efforts in dealing with this. Health education is carried out using the media of leaflets, booklets, flipcharts, and audiovisuals. The purpose of this study was to determine the differences in health education about danger signs during puerperium using flip chart and leaflet media on knowledge of postpartum mothers in Aura Syifa Hospital Kediri. This study used a Pre-Experimental research design with research design using posttest design. The sampling technique used is simple random sampling. The number of samples in this study were 32 respondents who were in accordance with the inclusion and exclusion criteria which were divided into 2 groups. The Data was collected using questionnaires and data were analyzed using the Mann Whitney U-Test statistical test with a significance value of 0.05. The results of the study shows ρ value of 0.002 <0.05, which means that there is a significant difference in health education about danger signs during puerperium using flip chart media and leaflets on knowledge of postpartum mothers. Thus it is known that flip chart media is more effective than leaflet media in health education on the knowledge of postpartum mothers about danger signs during the puerperium.

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Raj K, Soumya, Reshma Rajan, and Suvi Kj. "INCIDENCE OF MINOR AILMENTS OF PUERPERIUM AND RELATED KNOWLEDGE AMONG POSTNATAL MOTHERS." Asian Journal of Pharmaceutical and Clinical Research 11, no. 1 (January 1, 2018): 261. http://dx.doi.org/10.22159/ajpcr.2017.v11i1.21022.

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Objective: The objective of the study was to identify the incidence and knowledge of minor ailments of puerperium among postnatal mothers and to develop an information leaflet on the management of minor ailments of puerperium.Methods: A quantitative approach with descriptive design and convenience sampling technique was used in this study. With these methods, the researcher selected 100 postnatal mothers attending Obstetrics and Gynecology ward, AIMS, Kochi. A semi-structured questionnaire along with a checklist was used to assess the knowledge and the incidence of minor ailments among postnatal mothers.Result: The result showed that the common incidence of minor ailments was afterpain (67%), perineal discomfort (50%), constipation (43%), and fatigue (67%). Majority of the postnatal mothers had average knowledge (65%) level, and some of them had good knowledge (21%), and some of them had poor knowledge (14%).Conclusion: The study revealed that the main four problems of minor ailments of puerperium were afterpain, perineal discomfort, constipation, and fatigue. Number of studies from different part of the world, including India, shows that a large proportion of postnatal mother experiences minor ailments of puerperium. This provides evidence for giving importance to minor ailments of puerperium. Researchers also provided a baseline information leaflet on the management of minor ailments of puerperium.

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Raj K, Soumya, Reshma Rajan, and Suvi Kj. "INCIDENCE OF MINOR AILMENTS OF PUERPERIUM AND RELATED KNOWLEDGE AMONG POSTNATAL MOTHERS." Asian Journal of Pharmaceutical and Clinical Research 11, no. 1 (January 1, 2018): 261. http://dx.doi.org/10.22159/ajpcr.2018.v11i1.21022.

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Objective: The objective of the study was to identify the incidence and knowledge of minor ailments of puerperium among postnatal mothers and to develop an information leaflet on the management of minor ailments of puerperium.Methods: A quantitative approach with descriptive design and convenience sampling technique was used in this study. With these methods, the researcher selected 100 postnatal mothers attending Obstetrics and Gynecology ward, AIMS, Kochi. A semi-structured questionnaire along with a checklist was used to assess the knowledge and the incidence of minor ailments among postnatal mothers.Result: The result showed that the common incidence of minor ailments was afterpain (67%), perineal discomfort (50%), constipation (43%), and fatigue (67%). Majority of the postnatal mothers had average knowledge (65%) level, and some of them had good knowledge (21%), and some of them had poor knowledge (14%).Conclusion: The study revealed that the main four problems of minor ailments of puerperium were afterpain, perineal discomfort, constipation, and fatigue. Number of studies from different part of the world, including India, shows that a large proportion of postnatal mother experiences minor ailments of puerperium. This provides evidence for giving importance to minor ailments of puerperium. Researchers also provided a baseline information leaflet on the management of minor ailments of puerperium.

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Brito, Renatha Celiana da Silva, José Jailson de Almeida Junior, and Anna Cecília Queiroz de Medeiros. "Puerperium Online: interactions of a virtual support group." Revista Brasileira de Saúde Materno Infantil 22, no. 3 (July 2022): 683–89. http://dx.doi.org/10.1590/1806-9304202200030014.

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Abstract Objectives: due to the accessibility, online support groups have been used as an alternative in the constitution of a support network for women in the puerperium period. Thus, this resource is given relatively a short time of use, the present work sought to present an overview of the virtual group of puerperal women’s interactions. Methods: qualitative and exploratory study that analyzed a virtual group composed of 9 pregnant women’s interactions, predominantly during the puerperium period, users of basic health services in the city of Currais Novos/RN, during the period of January to June 2020. The corpus, duly previously prepared, was submitted to Análise da Classificação Hierárquica Descendente (ACHD) (Analysis of Descending Hierarchical Classification) via IRAMUTEQ software, followed by content analysis, according to Bardin. Results: the ACHD resulted in convergence around three themes, with class 1 - “Puerperium Itinerary”, which represented 56.1% of the elementary context units (ECUs) of the total corpus, being the object of interest in the present study. The main dimensions extracted from this class dealt with difficulties inherent to daily life and demands for support and care during the puerperium period, as well as the limitations inherent to this moment. Conclusions: it was noticed that virtual groups can strengthen the support network necessities to face the difficulties of the puerperium by exchanging experiences.

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Zang, Shuang, Meizhen Zhao, Yalan Zhu, Ying Zhang, Yu Chen, and Xin Wang. "Medical expenditure of women during pregnancy, childbirth and puerperium at the beginning of China’s universal two-child policy enactment: a population-based retrospective study." BMJ Open 12, no. 3 (March 2022): e054037. http://dx.doi.org/10.1136/bmjopen-2021-054037.

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ObjectivesTo describe and explore women’s medical expenditures during pregnancy, childbirth and puerperium at the beginning of the universal two-child policy enactment in China.DesignPopulation-based retrospective study.SettingDalian, China.ParticipantsUnder the System of Health Accounts 2011 framework, the macroscopic dataset was obtained from the annual report at the provincial and municipal levels in China. The research sample incorporated 65 535 inpatient and outpatient records matching International Classification of Diseases, 10th Revision codes O00–O99 in Dalian city from 2015 through 2017.Primary and secondary outcome measuresThe study delineates women’s current curative expenditure (CCE) during pregnancy, childbirth and puerperium at the beginning of the universal two-child policy in China. The temporal changes of medical expenditure of women during pregnancy, childbirth and puerperium at the beginning of China’s universal two-child policy enactment were assessed. The generalised linear model and structural equation model were used to test the association between medical expenditure and study variables.ResultsUnlike the inverted V-shaped trend in the number of live newborns in Dalian over the 3 studied years, CCE on pregnancy, childbirth and puerperium dipped slightly in 2016 (¥260.29 million) from 2015 (¥263.28 million) and saw a surge in 2017 (¥288.65 million). The ratio of out-of-pocket payment/CCE reduced year by year. There was a rapid increase in CCE in women older than 35 years since 2016. Length of stay mediated the relationship between hospital level, year, age, reimbursement ratio and medical expenditure.ConclusionsThe rise in CCE on pregnancy, delivery and puerperium lagged 1 year behind the surge of newborns at the beginning of China’s universal two-child policy. Length of stay acted as a crucial mediator driving up maternal medical expenditure. Reducing medical expenditure by shortening the length of stay could be a feasible way to effectively address the issue of cost in women during pregnancy, childbirth and puerperium.

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Prihatini, Ike Johan, Sri Achadi Nugraheni, and Sutopo Patria Jati. "Bottleneck Pelayanan Nifas pada Upaya Penurunan Risiko Kejadian Kematian Ibu di Wilayah Dinas Kesehatan Kota Semarang." Jurnal Manajemen Kesehatan Indonesia 5, no. 3 (December 31, 2017): 28–35. http://dx.doi.org/10.14710/jmki.5.3.2017.28-35.

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Maternal and child health was a priority of health program in Indonesia. Maternal Mortality Rate in Semarang was ranked second highest in Central Java. The highest proportion of maternal deaths occurred during puerperium. That’s indicates, there was a problem in a process of maternal health services during puerperium period in health facilities. This study was conducted to examine constraints on health systems that limit range of interventions or health services that were important for postpartum, bottlenecks related to postpartum services in Public Health Center (PHC), especially infrastructure, human resources, access to PHC, post partum visits (KF1 and KF3), as well as quality of post partum services on risk reduction of maternal mortality. This case study used a qualitative approach. Data collection through interviews to five midwives as main informants, 5 midwives coordinator and 5 heads of PHC as informant triangulation. Data analsyis used content analysis method, then assigned priority bottleneck through MCUA (Multiple Criteria Utility Assessment) techniques. WHO's scale-up BNA plan to analyze bottleneck causes. Results showed, there was a bottleneck on childbirth services in PHC. The causes of bottleneck risk reduction efforts of maternal mortality incidence in puerperium period has never been analyzed workload of health personnel in PHC, lack of monitoring and evaluation of an availability infrastructure facilities in PHC, there has not been regular training, especially on delivery until puerperium services, and PHC has not received more detailed and operational information about puerperium so their maternal knowledge about puerperium has not increased much and couldn’t raise mother's awareness to do so. Semarang Public Health Office (Dinas Kesehatan Kota Semarang) needs to conduct periodic monitoring and evaluation implementation of postpartum services and improve quality of childbirth services in PHC.Keywords: Bottleneck analysis, health services, post partum, Primary Health Care, Puskesmas, Maternal Mortality Rate

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Yuniantini, Ummy, and Ismaulidia Nurvembrianti. "The Effect of Malay Health Care on Postpartum Mothers in Pontianak." Journal of Asian Multicultural Research for Medical and Health Science Study 3, no. 3 (September 30, 2022): 41–46. http://dx.doi.org/10.47616/jamrmhss.v3i3.326.

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The Malay ethnic group occupies the first position in the city of Pontianak. The customs are also attached to the majority of the people who are there and are carried out from generation to generation and are believed to be beneficial for them. The Malays believe that during the puerperium a mother's health must be very concerned, because the complications that occur during the puerperium are very dangerous for the mother and can cause death. This study aims to analyze postpartum maternal health care for Malays in Pontianak. This study uses a qualitative descriptive method through a case study approach. This research was conducted in the District of East Pontianak, in the ethnic Malay community in the Malay village. Data was collected through observation, and interviews. The results of the study showed that there were health treatments during the puerperium carried out by Malays, namely bejah, drinking herbs and decoctions, using poultice, param and pilis. There are many benefits of health care during the puerperium in Malay people, but there are also side effects and disadvantages of this health care.

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Ribeiro, Juliane Portella, Fernanda Bicca da Costa De Lima, Tatiane Machado da Silva Soares, Bruna Bubolz Oliveira, Fabiane Voss Klemtz, Karen Barcelos Lopes, and Melissa Hartmann. "Necessidades sentidas pelas mulheres no período puerperal." Revista de Enfermagem UFPE on line 13, no. 1 (January 3, 2019): 61. http://dx.doi.org/10.5205/1981-8963-v13i1a235022p61-69-2019.

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ABSTRACT Objective: to know the needs felt by women in the puerperal period. Method: this is a qualitative, exploratory, descriptive study with 20 women. The data were collected through semi-structured interviews and then analyzed and categorized according to the Content Analysis technique in the Thematic Analysis modality. Results: the theme “Needs felt by women in the puerperal period” emerged, constituted by the subcategories “immediate puerperium”, “Remote puerperium”. Conclusion: it is shown that women feel different needs throughout the puerperal period, provoking the work of professionals from prenatal to prepare the woman for the situations that will be experienced in the puerperium, as well as the work with the family in strengthening relationships and in the preparation of the support network for the arrival of the new member. Descriptors: Postpartum Period; Women's Health; Maternal and Child Health; Maternal-Child Health Services; Obstetric Nursing; Nursing.RESUMOObjetivo: conhecer as necessidades sentidas pelas mulheres no período puerperal. Método: tratase de estudo qualitativo, exploratório, descritivo, com 20 mulheres. Coletaram-se os dados por meio de entrevistas semiestruturadas e, posteriormente, analisadas e categorizadas conforme a técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: emergiu-se a temática “Necessidades sentidas pelas mulheres no período puerperal”, que se constitui pelas subcategorias “Puerpério imediato”, “Puerpério remoto”. Conclusão: mostra-se que as mulheres sentem necessidades distintas ao longo do período puerperal suscitando a atuação dos profissionais desde o pré-natal para preparar a mulher para as situações que serão vivenciadas no puerpério, bem como o trabalho com a família no fortalecimento das relações e no preparo da rede de apoio para a chegada do novo membro. Descritores: Período Pós-Parto; Saúde da Mulher; Saúde Materno-Infantil; Serviços de Saúde Materno-Infantil; Enfermagem Obstétrica; Enfermagem. RESUMEN Objetivo: conocer las necesidades sentidas por las mujeres en el período puerperal. Método: se trata de un estudio cualitativo, exploratorio, descriptivo, con 20 mujeres. Se recogieron los datos por medio de entrevistas semi-estructuradas y, posteriormente, analizadas y categorizadas conforme la técnica de Análisis de Contenido en la modalidad Análisis Temático. Resultados: surgió la temática “Necesidades sentidas por las mujeres en el período puerperal”, que se constituye por las subcategorías “Puerperio inmediato”, “Puerperio remoto”. Conclusión: se muestra que las mujeres sienten necesidades distintas a lo largo del período puerperal sucitando la actuación de los profesionales desde el pre-natal para preparar a la mujer para las situaciones que serán vividas en el puerperio, así como el trabajo junto a la familia en el fortalecimiento de las relaciones y en la preparación de la red de apoyo para la llegada del nuevo miembro. Descriptores: Período Posparto; Salud de la Mujer; Salud Materno-Infantil; Servicios de Salud Materno-Infantil; Enfermería Obstétrica; Enfermería.

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Yosali, Magdalena Agu, and Retno Sugesti. "Beberapa Faktor yang Berpengaruh terhadap Pencegahan Puerperium Infections." Jurnal Ilmiah Kebidanan Indonesia 8, no. 01 (June 29, 2018): 8–21. http://dx.doi.org/10.33221/jiki.v8i01.88.

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Infeksi nifas bisa berasal dari luka pada jalan lahir yang merupakan media yang baik untuk berkembangnya kuman. Penanganan komplikasi yang lambat dapat menyebabkan terjadinya kematian ibu post partum. Tujuan penelitian ini adalah mengetahui pengaruh langsung dan tidak langsung serta besarannya sumber informasi, peran nakes, peran kader, peran keluarga dan personal hygiene perception terhadap pencegahan puerperium infections pada ibu nifas di UPTD Puskesmas Kecamatan Pontianak Selatan Kalimantan Barat tahun 2018. Metode yang digunakan dalam penelitian ini adalah pendekatan kuantitatif yang menggunakan desain cross-setional (potong lintang). Sampel yang digunakan sebanyak 60 klien sebagai responden. Metode analisis yang digunakan adalah Structural Equation Model (SEM). Hasil pengujian hipotesis menghasilkan temuan penelitian yaitu variabel pencegahan puerperium infections dipengaruhi oleh sumber informasi (7,31%), peran tenaga kesehatan (23,02%), peran kader (19,26%), peran keluarga (18,77%), personal hygiene Perception (13,08%). Peran tenaga kesehatan merupakan faktor yang dominan yang sangat mempengaruhi pencegahan puerperium infections di UPTD Puskesmas Kecamatan Pontianak Selatan. Pengaruh langsung pencegahan puerperium infections sebesar 81,44%, pengaruh tidak langsung sebesar 1,89% dan pengaruh total langsung dan tidak langsung sebesar 83,34%. Diharapkan adanya peran dari petugas kesehatan dalam memberikan pemahaman mengenai pencegahan infeksi nifas dan memberikan bimbingan kepada kader wilayah kerja mengenai pencegahan infeksi nifas.

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Edith, Namulema, Nakubulwa Sarah, and Muhamadi Lubega. "Burden and factors for the early resumption of sexual intercourse in the puerperium among new mothers at Kawempe national referral hospital and Mengo hospital, Uganda." African Health Sciences 23, no. 4 (December 27, 2023): 415–24. http://dx.doi.org/10.4314/ahs.v23i4.45.

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Background: Early resumption of sexual intercourse in the puerperium is a concern for couples because it is often not discussedduring pre-natal or postpartum care.Objective: This cross-sectional survey aimed to establish the current burden and factors associated with the early resumption of sexual intercourse within the puerperium at the National Referral Hospital and Mengo Hospital.Methods: We conducted a descriptive cross-sectional study among 445 parous women attending the six-week postpartum reviewand the young child clinic at Kawempe National Referral and Mengo Hospitals between March and May 2021.Results: The prevalence of ERSP within the puerperium was 39%. This study's earliest time to resume sexual intercourse was one week; the majority had resumed by week four (9.2%). Factors associated with the early resumption of sexual relations were the person’s tribe, going to the husband’s home after birth, and parity. The prevalence of sexual morbidities was 13%. Seventy-five (75%) of mothers did not receive information from the health care workers on when they can resume sex following childbirth.Conclusion: Puerperal sexual intercourse is still prevalent in Uganda. Interventions to reduce the resumption of sexual intercoursein the puerperium should focus on these determinants to delay puerperal sexual intercourse.

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Alcahuz-Griñan, Monserrat, Pilar Nieto-Gil, Pedro Perez-Soriano, and Gabriel Gijon-Nogueron. "Morphological and Postural Changes in the Foot during Pregnancy and Puerperium: A Longitudinal Study." International Journal of Environmental Research and Public Health 18, no. 5 (March 2, 2021): 2423. http://dx.doi.org/10.3390/ijerph18052423.

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The aim of this study is to observe the morphological and postural changes to the foot that take place during pregnancy and the puerperium. Method: In this descriptive, observational, longitudinal study, we analysed 23 pregnant women, with particular attention to morphological and postural aspects of the foot, at three time points during and after pregnancy: in weeks 9–13 of gestation, weeks 32–35 of gestation and weeks 4–6 after delivery. The parameters considered were changes in foot length, the Foot Posture Index (FPI) and the Hernández Corvo Index, which were analysed using a pedigraph and taking into account the Body Mass Index (BMI). The same procedure was conducted in each review. Results: The statistical analyses obtained for each foot did not differ significantly between the three measurement times. A pronator-type footprint was most frequently observed during the third trimester of pregnancy; it was predominantly neutral during the postpartum period. Statistically significant differences between the measurement times were obtained in the right foot for cavus vs. neutral foot type (between the first and third trimesters and also between the first trimester and the puerperium) (in both cases, p < 0.0001). Conclusions: Foot length increases in the third trimester and returns to normal in the puerperium. According to FPI findings, the third trimester of pregnancy is characterised by pronation, while the posture returns to neutrality during the postpartum period. During pregnancy, the plantar arch flattens, and this persists during the puerperium. The incidence of cavus foot increases significantly in the third trimester and in the puerperium.

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De Stefano, Valerio, Emanuela Taioli, Katia Paciaroni, Elena Rossi, Mannucci Pier, and Ida Martinelli. "Inherited Thrombophilia and First Venous Thromboembolism during Pregnancy and Puerperium." Thrombosis and Haemostasis 87, no. 05 (2002): 791–95. http://dx.doi.org/10.1055/s-0037-1613085.

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SummaryVenous thromboembolism is a rare but threatening complication of pregnancy. Little conclusive information is available on the actual risk of venous thromboembolism during pregnancy or puerperium in women with inherited thrombophilia, particularly in carriers of factor V Leiden and of the G20210A prothrombin gene mutation. To determine the pregnancy-related and puerperium-related risk of venous thromboembolism in women with inherited thrombophilia, we performed a case-control study on 119 women who had a first episode of deep vein thrombosis and/or pulmonary embolism during pregnancy or puerperium and 232 healthy women who had at least one pregnancy without thrombosis. Inherited thrombophilia was diagnosed in 47 patients (39.5%) and 15 controls (6.5%). The relative risk of venous thromboembolism was 10.6 (95% CI, 5.6-20.4) for heterozygous carriers of factor V Leiden, 2.9 (95% CI, 1.0-8.6) for heterozygous carriers of the prothrombin mutation and 13.1 (95% CI, 5.0-34.2) for those with antithrombin, protein C or protein S deficiency taken together. Sixty-eight of the 119 women (57%) had thrombosis after delivery, confirming the puerperium as a particularly high-risk period. When women were divided into two groups of those with antenatal or postnatal thrombosis, the relative risks associated with each type of inherited thrombophilia were of similar magnitude. In conclusion, women with inherited thrombophilia have an increased risk of venous thromboembolism during pregnancy. Among thrombophilic abnormalities, the prothrombin mutation was the weakest risk factor. Thrombosis occurred more frequently in puerperium than in pregnancy, whether or not thrombophilia was diagnosed.

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Karjalainen, Liisa, Minna Tikkanen, Kirsi Rantanen, Karoliina Aarnio, Aino Korhonen, Anna Saaros, Hannele Laivuori, Mika Gissler, and Petra Ijäs. "Stroke in Pregnancy and Puerperium." Neurology 96, no. 21 (April 7, 2021): e2564-e2575. http://dx.doi.org/10.1212/wnl.0000000000011990.

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ObjectiveTo investigate whether previously reported increasing incidence of pregnancy-associated stroke (PAS) is observed in chart-validated register data in Finland. In an exploratory analysis, we studied risk factors for PAS.MethodsWe performed a retrospective population-based cohort study and nested case-control study in Finland from 1987 to 2016. The Medical Birth Register (MBR) was linked to the Hospital Discharge Register to identify women with incident stroke (ischemic stroke, cerebral venous thrombosis, intracerebral or subarachnoid hemorrhage) during pregnancy or puerperium. Cases were verified from patient records. Incidence of PAS over the study period in 5-year age groups and pregnancy/postpartum period was calculated per number of deliveries. Three matched controls were selected for each case from MBR to compare risk factors.ResultsAfter chart review, 29.6% (257 of 868) of cases were PAS. The incidence of PAS was 14.5 (95% confidence interval [CI] 12.8–16.3) per 100,000 deliveries. Incidence increased from 11.1 to 25.2 per 100,000 deliveries from 1987 to 1991 to 2012 to 2016 (p < 0.0001). Incidence increased by age from 9.8 to 29.9 per 100,000 deliveries from 20 to 24 years to >40 years of age (p < 0.0001). During the early postpartum period, incidence was 5-fold greater compared to the first trimester. Maternal mortality was 6.6%. In the multivariable-adjusted model, smoking beyond 12 gestational weeks (odds ratio [OR] 1.8, 95% CI 1.2–2.7), migraine (OR 16.3, 95% CI 5.3–49.8), and hypertensive disorders of pregnancy (OR 4.0, 95% CI 2.5–6.3) were the most important risk factors for PAS.ConclusionPAS incidence is increasing, stressing the importance of careful pregnancy surveillance and risk factor management, particularly in older expectant mothers and extending to puerperium.Classification of EvidenceThis study provides Class III evidence that smoking beyond 12 gestational weeks, migraine, and hypertensive disorders of pregnancy are associated with an increased risk of PAS.

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Jeenwal, Aarti, Hemlata Jharbade, and Nishita Singh. "An evaluation of abnormal puerperium." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 4 (March 26, 2019): 1491. http://dx.doi.org/10.18203/2320-1770.ijrcog20191205.

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Background: Puerperium is strictly defined as the period of confinement during and just after birth. It is the period following childbirth during which body tissues specially the genital organ reverts back approximately to the pre-pregnant state both anatomically and physiologically. At some stages some of these well-orchestrated changes can go away resulting in complications which can endanger life.Methods: Retrospective c study was conducted in Department of Obstetrics and Gynecology of M.G.M. Medical College and M. Y. Hospitals, Indore. The cases were selected randomly from the patient who were admitted in M.Y. Hospital who had either a vaginal or caesarean delivery (both in our institution as well as outside institution) during the study period, irrespective of age, parity and registration status. Data was recorded in predesigned coded case report forms and statistical analysis was performed.Results: Authors found that puerperal pyrexia was the most common complication, accounting for 38.96% of total cases. The second most common complication was perineal pain affecting 28.15% of cases. The other complication was wound gaping/discharge (11.71%), mastitis and breast abscess (6.81%), secondary postpartum hemorrhage (5.33%), episiotomy gaping and infection (4%), perineal hematoma (0.59%), wound dehiscence (0.3%) and other rare causes accounted for 4.15% of the complication.Conclusions: Puerperal period is as important as antenatal period. Anaemia, suboptimal personal hygiene as well as improper sterilization can resulted in severe health hazards such as septicemia, disseminated intravascular coagulation as well as death. So, risk factor should be treated vigorously.

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Karamustafaoğlu Balcı, Burçin, and Gökhan Göynümer. "Pregnancy and puerperium during lactation." Perinatal Journal 23, no. 3 (December 1, 2015): 194–200. http://dx.doi.org/10.2399/prn.15.0233012.

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Dewan, Farhana, Mariha Alam Chowdhury, and Khairun Nessa. "Thrombophilia in Pregnancy and Puerperium." Bangladesh Journal of Medical Science 18, no. 2 (March 25, 2019): 178–83. http://dx.doi.org/10.3329/bjms.v18i2.40682.

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Mundhra, Rajlaxmi, Neha Gami, Kiran Guleria, and Vinita Rathi. "Sagittal sinus thrombosis in puerperium." Journal of Emergencies, Trauma, and Shock 8, no. 3 (2015): 173. http://dx.doi.org/10.4103/0974-2700.145417.

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Hunter, R. W. "Intestinal obstruction in the puerperium." Journal of Obstetrics and Gynaecology 13, no. 4 (January 1993): 257–58. http://dx.doi.org/10.3109/01443619309151857.

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Smith, Bryan L. "ACUTE APPENDICITIS IN THE PUERPERIUM." Southern Medical Journal 86, Supplement (September 1993): 35. http://dx.doi.org/10.1097/00007611-199309001-00087.

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Hayashi, Robert H. "Dystocias, cesarean section, and puerperium." Current Opinion in Obstetrics and Gynecology 1, no. 2 (December 1989): 172–76. http://dx.doi.org/10.1097/00001703-198901020-00009.

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Hayashi, Robert H. "Dystocias, cesarean section, and puerperium." Current Opinion in Obstetrics and Gynecology 1, no. 1 (October 1989): 172–76. http://dx.doi.org/10.1097/00001703-198910000-00008.

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Hayashi, Robert H. "Dystocias, cesarean section, and puerperium." Current Opinion in Obstetrics and Gynecology 1, no. 2 (December 1989): 172–76. http://dx.doi.org/10.1097/00001703-198912000-00009.

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Journal articles on the topic 'Puerperium'

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