Presentation
Although the clinical presentation of this patient was typical of that of PUPPP, it demonstrates an unusual time course with its postpartum presentation. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
We report a case of painful destructive thyroiditis occurring during the postpartum period, which was clinically and biochemically indistinguishable from the variant of painful PPT or subacute thyroiditis. [ncbi.nlm.nih.gov]
- Fatigue
OBJECTIVE: This study aims to determinate the relationship between social support perceived by women, fatigue levels and maternal attachment in postpartum period. [ncbi.nlm.nih.gov]
Top sex-drive killers were fatigue, the baby's sleeping habits and a lack of time. [livescience.com]
Its symptoms include anxiety, despondency, irritability, fatigue, feelings of inadequacy, guilt and tearfulness. [steadyhealth.com]
During the baby blues women may feel weepy, overwhelmed, irritable, anxious, fatigued and have trouble sleeping. If these feelings don't go away or get worse you may be experiencing postpartum depression or anxiety. [wrha.mb.ca]
Postpartum Depression While it is completely normal for parents to feel overwhelmed and exhausted following the birth of a new baby, it is important to recognize the difference between new parent fatigue and a more serious form of depression. [northshore.org]
- Weakness
The weak PFM strength was improved by doing Kegel exercise at home for 6-8 weeks. [ncbi.nlm.nih.gov]
Depression and anxiety are never a sign of weak character, only that the brain is having difficulty functioning at an optimum level. [med.upenn.edu]
- Weight Loss
CASE: A 29-year-old woman had complained of epigastric pain, postprandial vomiting and weight loss during the last 3 months of pregnancy. [ncbi.nlm.nih.gov]
Along with emotional changes, you’ll experience body changes after giving birth, such as weight gain. Weight loss doesn't happen overnight, so be patient. [healthline.com]
Symptoms include irritability, significant weight loss or gain, working nonstop and problems concentrating. They may not know how to embrace fatherhood or could be worried they’re not doing a good job at it. [marketwatch.com]
Symptoms of postpartum depression include: Appetite changes - usually loss of appetite with weight loss Being sad or anxious for more than a couple of weeks Crying a lot for no reason Decreased concentration or ability to make decisions Fatigue, decreased [northshore.org]
Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day Significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in [psychcentral.com]
- Shivering
For some women, something like twenty-five to fifty percent of women, so almost half of all women, start shivering. [khanacademy.org]
Normal postpartum changes Low‑grade fever, shivering, and leukocytosis are common findings during the first 24 hours postpartum and do not necessarily indicate an infection. [amboss.com]
Respiratoric
- Rales
Failure may lead to findings of rales, an audible third heart sound, peripheral edema, and jugular venous distention. [glowm.com]
Gastrointestinal
- Constipation
Constipation can last much longer, though. [healthline.com]
In the meantime, here’s what you can do for an easier transition: Key features: Adjusting to Motherhood Coping with Body Changes Breast Engorgement Constipation Urine Pain Vaginal Discharge Life After Delivery Your baby's health Feeding [play.google.com]
Some of the physical changes that may happen during the postpartum period include sweating, leaking urine, constipation, swelling, soreness, and engorged breasts. You will also experience postpartum bleeding and possibly vaginal discharge. [parentweb.com]
Constipation can also be caused by iron supplements prescribed to get your blood count up to normal, he adds, or if you’re not drinking enough fluids while breastfeeding and become dehydrated. [thebump.com]
To ease constipation, drink plenty of water and eat foods that have a lot of fiber. Ask your doctor if you should try a stool softener. [webmd.com]
- Fecal Incontinence
[2] Adult diapers may be worn in the subacute postpartum period for lochia, as well as urinary and fecal incontinence. [en.wikipedia.org]
Cardiovascular
- Chest Pain
pain, shortness of breath, numbness, tingling or lump in the throat Feel guilty and ashamed, thinking you are not a good mother Not bond or are afraid to be alone with your baby Get Support If you have had any of these symptoms, do not wait; seek help [niagararegion.ca]
Postpartum depression symptoms Physical signs of postpartum depression include chest pain, heart palpitations, headache, hyperventilating, numbness, tingling in limbs. [steadyhealth.com]
pains, heart palpitations (the heart beating fast and feeling like it is skipping beats), or hyperventilation (fast and shallow breathing) Having thoughts about not wanting to be alive or hurting yourself Being afraid that something terrible might happen [www1.nyc.gov]
pain or discomfort Feeling dizzy or faint Fear of losing control Fear of dying **Many people will have only 1 or 2 panic attacks in their lifetime and not require treatment. [med.upenn.edu]
[…] smelling vaginal discharge. • Chest pain or cough. • Painful or frequent urination. • Postpartum bleeding : heavy vaginal bleeding, soaking more than 1 pad per hour or passing large clots. • Painful, red, warm breast may be hard in area and/or flu-like [womens-health-advice.com]
Skin
- Alopecia
"Study of Postpartum Alopecia". Archives of Dermatology. 87 (5): 609. doi : 10.1001/archderm.1963.01590170067011. ISSN 0003-987X. ^ Eastham, John H (February 2001). "Postpartum Alopecia". [en.wikipedia.org]
Neurologic
- Excitement
Postpartum Depression: The Challenges To new parents, the excitement of a new baby can offer the promise of fulfillment in life. We expect pregnancy and new parenthood to be filled with wonderment, hope, and anticipation. [perinatalweb.org]
You were probably filled with pride and excitement. That’s what you always heard it was like having a child – pure joy. Baby bliss. Then, reality sets in. Sleepless nights. A screaming infant needing nearly constant care. Fights with your partner. [postpartummen.com]
Others will expect it with excitement, anticipating and planning for every single detail. [1800ppdmoms.org]
Even as they're feeling joy and excitement, new mothers and fathers "can also experience fear and worry and stress," he said. [cbc.ca]
It’s exciting to imagine the unique skills and gifts you’re going to bring to this amazing work. Your journey starts by choosing a DONA Approved Postpartum Doula Training Workshop. [dona.org]
Urogenital
- Cesarean Section
Eighty-six women, in the immediate postpartum period after vaginal delivery (n=43) and cesarean section (n=43), were evaluated for physical discomforts and their difficulty in performing functional activities. [ncbi.nlm.nih.gov]
- Amenorrhea
Three indicators of postpartum unmet need consider women to be fully exposed to the risk of pregnancy at different times: right after delivery, after six months of amenorrhea, and at the end of amenorrhea. [popcouncil.org]
The Lactational Amenorrhea Method (LAM): Another Choice for Mothers by Miriam H. Labbok, MD, MPH, from Breastfeeding Abstracts, August 1993, Volume 13, Number 1, pp. 3-4. Fact Sheet on the Lactational Amenorrhea Method (LAM) ( PDF version ). [kellymom.com]
Postpartum women are more likely to use injectables and the lactational amenorrhea method and less likely to use female sterilization compared with all currently married women. [dhsprogram.com]
The lactational amenorrhea method (LAM) is considered 98 percent effective in the first six months if followed carefully (exclusively breastfeeding, on demand). [justmommies.com]
- Urinary Incontinence
Most studies evaluating the incidence and impact of postpartum urinary incontinence compare women with any urinary incontinence with women with no incontinence, and do not include descriptions of the severity of incontinence. [ncbi.nlm.nih.gov]
As your body heals, urinary incontinence should resolve itself, usually by the six-week mark. [thebump.com]
incontinence is experienced by about 33% of all women; women who deliver vaginally are about twice as likely to have urinary incontinence as women who give birth via a cesarean. [14] Urinary incontinence in this period increases the risk of long term [en.wikipedia.org]
Workup
Differential diagnosis See the list below: Mastitis Breast abscess Cellulitis Workup No laboratory tests are required. [emedicine.medscape.com]
Treatment
Hyperthyroidism can occur during pregnancy and the postpartum period, and the treatment of hyperthyroidism should be considered in the preconception phase. [ncbi.nlm.nih.gov]
Medical treatment for any medical conditions. [americanaddictioncenters.org]
Prognosis
What Is the Prognosis for Postpartum Depression? Postpartum depression usually goes away during the months after delivery. Some women have symptoms for months or years. [emedicinehealth.com]
Treatment is symptomatic and prognosis is excellent if iatrogenic harm is avoided. 40 Postpartum Depression Postpartum depression has been the subject of many monographs, book chapters, research studies, and media blitzes. [glowm.com]
In fact, she said, the prognosis is “really good, really positive. Full recovery is definitely the most likely outcome.” [mosaicscience.com]
Patients with postpartum psychosis are thought to have a better prognosis than those with nonpuerperal psychosis. Postpartum psychosis generally lasts only 2-3 months. [emedicine.medscape.com]
Etiology
This case report alerts the psychiatric clinician to consider nonpsychiatric etiologies of psychosis appearing during the postpartum period besides postpartum psychosis. [ncbi.nlm.nih.gov]
Epidemiology
Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, IR, Iran. 3 Department of Midwifery, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, IR, Iran. 4 Department of Statistics and Epidemiology [ncbi.nlm.nih.gov]
Expulsions in immediate postpartum insertions of Lippes Loop D and Copper T IUDs and their counterpart Delta devices -- an epidemiological analysis. Contraception 1985;32(2):119-34. 6. Sivin I, Greenslade F, Schmidt F, et al. [un.org]
Epidemiology 1998 ;9: 441 - 445 13. U.S. Census Bureau. California state and county QuickFacts ( http://quickfacts.census.gov/qfd/states/06000.html ). 14. Agency for Healthcare Research and Quality. [nejm.org]
Pathophysiology
In view of its autoimmune pathophysiology the occurrence of this disorder in the postpartum period is not surprising, even though it has not been reported before. [ncbi.nlm.nih.gov]
The biology and pathophysiology of peripartum psychiatric disorders. Primary Psychiatry. 2004;11(3):37–41. Google Scholar Ross LE, Grigoriadis S, Mamisashvili L, Koren G, Steiner M, Dennis CL, et al. [bmcpregnancychildbirth.biomedcentral.com]
Prevention
The postpartum rituals are done to prevent tos. [ethnomed.org]
The most popular, were practices for increasing of breast milk (97.9%), preventing incubus "albasması" (81.8%), getting rid of incubus (74.9%), and preventing postpartum bleeding (14.1%).The findings of the study show that traditional practices towards [ncbi.nlm.nih.gov]