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Antepartum Depression

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181. Peripartum Risk to the Fetus

Peripartum Risk to the Fetus Aka: Peripartum Risk to the Fetus From Related Chapters II. Indications intensity (e.g. continuous or intermittent monitoring) III. Risk Factors: Antenatal Fetal factors Abnormal umbilical artery velocimetry restriction Oligohydramnios Maternal factors Antepartum Maternal cardiac disease ( ) Maternal Morbid Maternal renal disease Maternal vascular disease IV. Risk Factors: Intrapartum Fetal factors Abnormal on Meconium stained amniotic fluid Maternal factors Hypertonic (...) Induced labor or augmented labor Intrauterine infection or (>42 weeks gestation) (<32 weeks gestation) Previous ceserean delivery Prolonged >24 hours (at term) Regional analgesia in labor V. Risk Factors: Specific Conditions and their associated risks Preterm delivery Asphyxia Blood Group Incompatibility ABO incompatibility or Fetal asphyxia Preterm (<38 weeks) or Postterm (>42 weeks) delivery Asphyxia ( ) Fetal Asphyxia Prematurity Neonatal Depression Hypovolemia VI. References Images: Related links

2018 FP Notebook

182. Neonatal Distress Causes

: SSICCCFIT s CNS Formula Intestinal Toxins IV. Causes: Immediate (follows delivery) Mnemonic: TAMM Asphyxia Medications Malformations Mnemonic: DATA Drugs Asphyxia Anomalies Specific Causes of peripartum distress Intrauterine Asphyxia Depressants and other Medications (maternal) or prescribed s Barbiturates s Cerebral edema Cerebral (rare) Congenital Anomalies or Malformations Prematurity Mechanical airway obstruction Parenchymal lung disease Neurologic disorders V. Risk Factors: Antepartum See causes

2018 FP Notebook

183. Reduced Fetal Movements

and depressed Apgar scores. However, further evaluation of this technology is required before clinical recommendations can be made. 65 © Royal College of Obstetricians and Gynaecologists 7 of 16 RCOG Green-top Guideline No. 57 B B Evidence level 2+ B Evidence level 3 PSeveral studies have concluded that if the term fetus does not experience a fetal heart rate acceleration for more than 80 minutes, fetal compromise is likely to be present. 66–68 However, a systematic review in the Cochrane Database (...) . The study reported no increase in the number of preterm births, infants requiring transfer to neonatal care or infants with severe neonatal depression or FGR. There was more than a doubling in the number of ultrasound scans RCOG Green-top Guideline No. 57 8 of 16 © Royal College of Obstetricians and Gynaecologists Evidence level 2– Evidence level 2+ P B C A Evidence level 2+ Evidence level 2–(OR 2.64; 95% CI 2.02–3.45), but this seemed to be compensated by a reduction in additional follow-up

2011 Royal College of Obstetricians and Gynaecologists

184. Maternal Collapse in Pregnancy and the Puerperium

as a reference point. The common causes of maternal collapse are discussed below, but this is not an exhaustive list, as this is beyond the scope of this guideline. 4.2.1 Haemorrhage This is the most common cause of maternal collapse, and was responsible for 17 maternal deaths in the last triennium. 1 Major obstetric haemorrhage has an estimated incidence of 3.7/1000 maternities. 20 Causes of major obstetric haemorrhage include postpartum haemorrhage, major antepartum haemorrhage from placenta praevia (...) fluid embolism Haemorrhage: splenic artery rupture hepatic rupture uterine (antepartum haemorrhage/ postpartum haemorrhage) Pulmonary embolism Eclampsia Intracranial haemorrhage Cardiac causes: arrhythmias myocardial infarction cardiomyopathy Sepsis Drugs: magnesium sulphate local anaesthetic illicit drugs Hypoglycaemia Aortic dissection Figure 1. Causes of maternal collapse Reversible cause Cause in pregnancy 4 H’s Hypovolaemia Bleeding (may be concealed) (obstetric/other) or relative hypovolaemia

2011 Royal College of Obstetricians and Gynaecologists

186. Longitudinal course of ante- and postpartum generalized anxiety symptoms and associated factors in West-African women from Ghana and Côte d'Ivoire. (Abstract)

. The majority of women (79.8%) had consistent low anxiety symptoms, while 11.4% had elevated anxiety scores before and around childbirth that decreased gradually. 5.4% of women showed increasing anxiety symptoms over time. Few women (3.3%) had transient anxiety with elevated scores at three and 12 months postpartum. Risk factors for elevated anxiety levels around childbirth were antepartum depressive symptoms, higher levels of stress (economic, marital and social stress), lower child birth weight (...) /2010 and 03/2014. Anxiety symptoms were measured using the seven-item Generalized Anxiety Disorder scale (GAD-7) at three months antepartum and three, 12 and 24 months postpartum. Growth mixture modeling was applied to identify latent trajectory classes of anxiety. Multinomial logistic regression was used to investigate the associations of psychosocial, sociodemographic, obstetric and clinical characteristics with different trajectories.Four distinct trajectories of anxiety were identified

2016 Journal of Affective Disorders

187. Childhood Abuse and Suicidal Ideation in a Cohort of Pregnant Peruvian Women. Full Text available with Trip Pro

in this cohort was 71.8% and antepartum suicidal ideation was 15.8%. The prevalence of antepartum suicidal ideation was higher among women who reported experiencing any childhood abuse compared to those reporting none (89.3% vs 10.7%, P < .0001). After adjusting for potential confounders, including antepartum depression and lifetime intimate partner violence, those with history of any childhood abuse had a 2.9-fold (2.90, adjusted odds ratio; 95% confidence interval, 2.12-3.97) increased odds of reporting (...) ideation among pregnant women.A cross-sectional study was conducted among 2964 pregnant women attending prenatal clinics in Lima, Peru. Childhood abuse was assessed using the Childhood Physical and Sexual Abuse Questionnaire. Depression and suicidal ideation were assessed using the Patient Health Questionnaire-9 scale. Logistic regression procedures were performed to estimate adjusted odds ratios and 95% confidence intervals adjusted for potential confounders.Overall, the prevalence of childhood abuse

2016 American Journal of Obstetrics and Gynecology

188. Maternity Care Pathway

Additional Care This pathway is designed for all pregnant women, most of whom are healthy. Women with the following conditions in the current pregnancy may require additional care or services or referral to a specialist: Cardiac disease, including hypertension • Renal disease • Endocrine disorders or pre-existing diabetes • Psychiatric disorders • Haematological disorders • Autoimmune disorders • Pharmacological therapy (anti-depressants, • anticonvulsants etc.) History of infertility or assisted (...) for testing and treatment for GBS • Normal birth • 54 Preparation for labour (including latent phase) and birth including the woman’s preferences, recognition of the • signs of active labour and coping with pain Variations from normal birth and possible interventions • 14 British Columbia Perinatal Health Program Labour support and doula • 55 care On-call arrangements, when and who to call when in labour • Postnatal self-care, awareness of ‘baby blues’ and postnatal depression • Procedure/Test

2010 British Columbia Perinatal Health Program

189. Psychometric Evaluation of the Ford Insomnia Response to Stress Test (FIRST) in Early Pregnancy Full Text available with Trip Pro

% of the variance. The FIRST-S items showed good internal consistency (Cronbach α = 0.81). CFA results corroborated the one-factor structure finding from the EFA; and yielded measures indicating goodness of fit (comparative fit index of 0.902) and accuracy (root mean square error of approximation of 0.057). The FIRST-S had good construct validity as demonstrated by statistically significant associations of FIRST-S scores with sleep quality, antepartum depression and anxiety symptoms. Finally, results from IRT (...) exploratory and confirmatory factor analyses (EFA and CFA). Internal consistency and construct validity were also assessed by evaluating the association between the FIRST-S with symptoms of depression, anxiety, and sleep quality. Item response theory (IRT) analyses were conducted to complement classical test theory (CTT) analytic approaches.The mean score of the FIRST-S was 13.8 (range: 9-33). The results of the EFA showed that the FIRST-S contained a one-factor solution that accounted for 69.8

2016 Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

190. Suicidal Ideation in Pregnancy: An Epidemiologic Review Full Text available with Trip Pro

and suicidal ideation. Of the 57 included articles, 20 reported prevalence, 26 reported risk factors, 21 reported consequences of antepartum suicidal ideation, and 5 reported on screening measures. Available evidence indicates that pregnant women are more likely than the general population to endorse suicidal ideation. Additionally, a number of risk factors for antepartum suicidal ideation were identified including intimate partner violence, <12-year education, and major depressive disorder (...) . There is a need for enhanced screening for antepartum suicidal ideation. The few screening instruments that exist are limited as they were primarily developed to measure antepartum and postpartum depression. Given a substantial proportion of women with suicidal ideation that does not meet clinical thresholds of depression and given the stress-diathesis model that shows susceptibility to suicidal behavior independent of depressive disorders, innovative approaches to improve screening and detection

2016 Archives of women's mental health

191. Suicidal Ideation During the Postpartum Period Full Text available with Trip Pro

Depression Scale and from the Patient Health Questionnaire.Two percent of participants presented with SI during the first 6 months postpartum. In bivariate analyses, race/ethnicity, nativity, insurance, and language were significantly correlated with SI 3 weeks, 3 months, and 6 months postpartum. Screening positive for depression (p = 0.0245) and anxiety (0.0454), assessed 1-2 days postpartum, was significantly correlated with later SI in bivariate analyses, as were antepartum complications (p = 0.001 (...) ), depressive history (0.001), and self-efficacy (0.045). In adjusted models, antepartum complications (OR = 4.681, 95% CI = 1.99-10.99) and depressive history (OR-3.780, 95% CI = 1.514-9.441) were significantly associated with later postpartum SI. Heightened self-efficacy reduced the odds of later SI (p = 0.050).Findings suggest that SI among a relatively healthy group of new mothers occurs with some frequency. Mothers with a history of depression and antepartum complications may be at increased risk.

2016 Journal of Women's Health

192. Pharmacokinetics of Quetiapine Across Pregnancy and Postpartum

. Condition or disease Intervention/treatment Bipolar Disorder Drug: Quetiapine Detailed Description: Bipolar Disorder (BD) and Schizophrenia (SCHZ) in pregnancy are associated with pregnancy complications and increased maternal mortality due to physiological and psychosocial changes independent of SGA use. Untreated BD and SCHZ have been associated with an increased risk of placental abnormalities, antepartum hemorrhage, preterm birth, pre-eclampsia, low birth-weight, intrauterine growth retardation (...) -delivery and banked for later analysis Cerebrospinal Fluid (CSF) Quetiapine and 7-N-desalkyquetiapine Concentrations [ Time Frame: CSF to be obtained within 10 minutes of the epidural placement during labor ] Scores on Depression assessment, Inventory of Depression Symptomatology- Self Report (IDS-SR) [ Time Frame: Participants will complete these assessments an average of every 10 weeks from the time they enter the study, up to 12 weeks postpartum ] To determine if there is a pattern of increasing

2016 Clinical Trials

193. Postoperative Cesarean Delivery Pain Relief; Diclofenac Versus Bupivacaine

conditions: CPD, fail induction of labor, antepartum hemorrhage without hypovolemic shock, dystocia, previous cesarean section and active labor, malpresentation in labor, macrosomic presentation in labor Pregnant women more than 20 years of age Gestational age more than 37 week Cesarean section under regional or general anesthesia Ability to communicating, writing and reading Thai language Exclusion Criteria: Inability to communicating or writing or reading Thai language Contraindicated to bupivacaine (...) Numbers: RJBUPI First Posted: February 1, 2017 Last Update Posted: October 10, 2017 Last Verified: October 2017 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: No Additional relevant MeSH terms: Layout table for MeSH terms Bupivacaine Diclofenac Anesthetics, Local Anesthetics Central Nervous System Depressants Physiological Effects of Drugs Sensory System Agents Peripheral Nervous System Agents Anti-Inflammatory Agents, Non-Steroidal Analgesics, Non-Narcotic Analgesics Anti

2016 Clinical Trials

194. Relationship Between Postpartum Mood Disorders and Delivery Experience

birth at the University of Michigan Speaks English without translator Live pregnancy not desiring termination Smartphone owner Woman whose delivery date is >28 weeks gestational age Exclusion Criteria: History of previous postpartum depression (PPD) or posttraumatic stress disorder (PTSD) from a birth experience Non-English speaker requiring a translator Patients who have a fetus with major fetal anomalies Positive screening at 28 weeks antepartum for Edinburgh Postnatal Depression Scale (EPDS (...) Kountanis, University of Michigan Study Details Study Description Go to Brief Summary: The purpose of this study is to evaluate potential risk factors for developing postpartum depression or posttraumatic stress disorder during the first year postpartum in patients who have no preexisting history of PTSD or PPD. Condition or disease Postpartum Period Depression Stress Disorders, Post-Traumatic Detailed Description: It is theorized that poor pain control during labor and cesarean delivery, non-elective

2016 Clinical Trials

195. Chloroprocaine 3%

and /or formulations ingredients; ascertained or presumptive hypersensitivity to the amide and ester-type anaesthetics Diseases: significant history of renal, hepatic, gastrointestinal, cardiovascular, respiratory, skin, haematological, endocrine or neurological diseases that may interfere with the aim of the study; ascertained psychiatric diseases, eclampsia, antepartum haemorrhage, sepsis, blood coagulation disorders, insulin dependent diabetes mellitus, terminal kidney failure Medications: Medication known (...) : September 29, 2016 Last Update Posted: January 30, 2019 Last Verified: January 2019 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: Yes Additional relevant MeSH terms: Layout table for MeSH terms Pharmaceutical Solutions Anesthetics Ropivacaine Chloroprocaine Procaine Central Nervous System Depressants Physiological Effects of Drugs Anesthetics, Local Sensory System Agents Peripheral Nervous System Agents

2016 Clinical Trials

196. Late Intrauterine Fetal Death and Stillbirth

associated antepartum conditions include congenital malformation, congenital fetal infection, antepartum haemorrhage, pre-eclampsia and maternal disease such as diabetes mellitus. 3,4 The common causes of intrapartum death include placental abruption, maternal and fetal infection, cord prolapse, idiopathic hypoxia–acidosis and uterine rupture. 3,4 Transplacental infections associated with IUFD include cytomegalovirus 30 (Evidence level 2+), syphilis 31–34 (Evidence level 1+) and parvovirus B19 34,35 (...) and preoperative assessment should be cancelled. 8. Psychological and social aspects of care 8.1 What psychological problems can follow late IUFD? Carers must be alert to the fact that mothers, partners and children are all at risk of prolonged severe psychological reactions including post-traumatic stress disorder but that their reactions might be very different. Perinatal death is associated with increased rates of admission owing to postnatal depression. 139 Unresolved normal grief responses can evolve

2010 Royal College of Obstetricians and Gynaecologists

197. Subcutaneous Wound Infiltration of Ketamine or Bupivacaine Pain Perception After Cesarean Section

for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: singleton term pregnancy, between 38-41th weeks of gestation, absence of any medical or obstetrical problems. Exclusion Criteria: multiple pregnancies, intrauterine fetal deaths, active stage of labor, obstetric emergencies such as antepartum hemorrhage, eclampsia and acute fetal distress, special request for general (...) anesthesia, history of allergic reaction or sensitivity to any of the drugs used in the study, reflected anxiety and depression during the cesarean operation, any systemic diseases (chronic hypertension, thyroid diseases, renal or hepatic insufficiency, psychiatric disorders, chronic pain syndrome, epilepsy or intracranial hypertension) medications that would affect the perception of pain, current or past history of narcotic use or a history of narcotic abuse, inability to understand how to score a 10-cm

2015 Clinical Trials

198. Bump on the Ball: Impact of a Prenatal Exercise & Education Program on Birth Outcomes & Maternal Quality of Life

is increased three to four fold with operative delivery. This randomized, controlled trial will compare rates of operative vaginal delivery and severe birth trauma in two groups of women: (1) an intervention group who will participate in the antepartum Total Control® fitness and education program modified for pregnancy; and (2) a control group. Women will be recruited and followed from the second trimester until 6 weeks postpartum; all will complete validated questionnaires regarding their (1) level (...) of worry and knowledge about their birthing experience (2) pelvic floor symptoms and quality of life (3) sexual function (4) satisfaction with their birthing experience and (5) level of depressive symptoms at various time points during and after their pregnancy. Obstetrical data will also be collected. Condition or disease Intervention/treatment Phase Pregnancy Behavioral: Total Control Program Not Applicable Detailed Description: This will be a randomized controlled trial of primiparous women

2015 Clinical Trials

199. Chinese Herbal Medicine and Micronized Progesterone for Threatened Miscarriage RCT

of gestation ] Number of patients who have a pregnancy loss before 20 weeks of gestation Pregnancy loss rate [ Time Frame: After 20 weeks of gestation ] Number of patients who have a pregnancy loss after 20 weeks of gestation Serum Progesterone Level [ Time Frame: Up to 1 years ] Units: ng/ml Pregnancy-induced hypertension [ Time Frame: Up to 1 years ] Diabetes [ Time Frame: Up to 1 years ] The number of participants with diabetes Antepartum haemorrhage [ Time Frame: Up to 1 years ] The number (...) of participants with antepartum haemorrhage Preterm birth [ Time Frame: Up to 1 years ] Preterm birth rate Postdate delivery [ Time Frame: Up to 1 years ] Postdate delivery rate Preeclampsia [ Time Frame: Up to 1 years ] The number of participants with Preeclampsia Intrauterine Growth Retardation [ Time Frame: Up to 1 years ] Intrauterine Growth Retardation Rate Small for gestational age infant [ Time Frame: Up to 1 years ] The number of small for gestational age infant Stillbirth [ Time Frame: Up to 1 years

2015 Clinical Trials

200. Lidocaine-Prilocaine Cream (EMLA) Topical Application Versus Wound Infiltration With Lidocaine After Cesarean Section

complications as antepartum hemorrhage, pre-eclampsia or eclampsia. Women having metabolic, hormonal, respiratory, renal and hepatic disease. Women with any severe allergic condition or severe asthma. Mental condition rendering the patients unable to understand the nature, scope and possible consequences of the study. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact (...) Hospital: EMLA CREAM LIDOCAINE INFILTERATION PAIN RELIEF Additional relevant MeSH terms: Layout table for MeSH terms Pain, Postoperative Postoperative Complications Pathologic Processes Pain Neurologic Manifestations Signs and Symptoms Lidocaine Prilocaine Lidocaine, Prilocaine Drug Combination Anesthetics, Local Anesthetics Central Nervous System Depressants Physiological Effects of Drugs Sensory System Agents Peripheral Nervous System Agents Anti-Arrhythmia Agents Voltage-Gated Sodium Channel

2015 Clinical Trials

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