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Postpartum Inpatient Management

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1. Postpartum Inpatient Management

Postpartum Inpatient Management Postpartum Inpatient Management Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Postpartum Inpatient (...) Management Postpartum Inpatient Management Aka: Postpartum Inpatient Management From Related Chapters II. Management: Acute s q15 minutes for 1 hour, then q4 hours Document lochia and fundal firmness Activity Ambulate ad lib after 2 hours postpartum if stable Nursing: Inability to void Straight catheterize Record residual Sitz baths as needed with 1:1000 betadine prn Ice pack to perineum on and off for 6 hour postpartum as needed Diet: As tolerated discontinuation Adequate oral intake No signs

2018 FP Notebook

2. The role of hormone therapy in the management of severe postpartum depression in patients with Turner syndrome. (PubMed)

The role of hormone therapy in the management of severe postpartum depression in patients with Turner syndrome. Premature ovarian failure associated with Turner syndrome presents clinicians with a vast range of health concerns, including infertility, cardiovascular disease, and decreased bone mineral density, in addition to psychological sequelae. Hormone therapy is paramount in managing these complications, but the additional needs in the postpartum period for those who are able to carry out (...) a successful pregnancy have not been described.We present a case of severe postpartum depression (PPD) with psychotic features in a patient with Turner syndrome, which presented at 4 weeks after the birth of her first child via egg donation RESULTS:: We describe the case of a previously well 32-year-old patient with an 46 X, i(Xq) karyotype, who went through a 4-week intensive inpatient treatment course for PPD, requiring electroconvulsant therapy for persistent infanticidal and suicidal ideation

2017 Menopause

3. Optimizing Postpartum Care

postpartum visit no later than 12 weeks after birth. The com- prehensive postpartum visit should include a full assessment of physical, social, and psychological well-being, including the following domains: mood and emotional well-being; infant care and feeding; sexuality, contracep- tion, and birth spacing; sleep and fatigue; physical recovery from birth; chronic disease management; and health maintenance. Women with chronic medical conditions such as hypertensive disorders, obesity, diabetes, thyroid (...) preexisting health and social issues, such as substance dependence, intimate partner violence, and other concerns. During this time, postpartum care often is fragmented among maternal and pediatric health care providers, and communication across the transition from inpatient to outpatient set- tings is often inconsistent (5). Home visits are provided in some settings; however, currently, most women in the United States must independently navigate the post- partum transition until the traditional

2018 American College of Obstetricians and Gynecologists

4. Optimizing Postpartum Care

postpartum. This initial assessment should be followed up with ongoing care as needed, concluding with a comprehensive postpartum visit no later than 12 weeks after birth. The comprehensive postpartum visit should include a full assessment of physical, social, and psychological well-being, including the following domains: mood and emotional well-being; infant care and feeding; sexuality, contraception, and birth spacing; sleep and fatigue; physical recovery from birth; chronic disease management (...) also may need to navigate preexisting health and social issues, such as substance dependence, intimate partner violence, and other concerns. During this time, postpartum care often is fragmented among maternal and pediatric health care providers, and communication across the transition from inpatient to outpatient settings is often inconsistent ( ). Home visits are provided in some settings; however, currently, most women in the United States must independently navigate the postpartum transition

2016 American College of Obstetricians and Gynecologists

5. Examination of a four-step treatment algorithm for postpartum psychosis

Examination of a four-step treatment algorithm for postpartum psychosis Examination of a four-step treatment algorithm for postpartum psychosis | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username (...) * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Examination of a four-step treatment algorithm for postpartum psychosis Article Text Pharmacological interventions Examination of a four-step treatment algorithm for postpartum psychosis Andrea Lawson , Ariel Dalfen Statistics from Altmetric.com

2016 Evidence-Based Mental Health

6. Hypertension in pregnancy: diagnosis and management

Hypertension in pregnancy: diagnosis and management Hypertension in pregnancy: diagnosis Hypertension in pregnancy: diagnosis and management and management NICE guideline Published: 25 June 2019 www.nice.org.uk/guidance/ng133 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration (...) be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Hypertension in pregnancy: diagnosis and management (NG133) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 54Contents Contents Overview 5 Who

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

7. Postpartum Inpatient Management

Postpartum Inpatient Management Postpartum Inpatient Management Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Postpartum Inpatient (...) Management Postpartum Inpatient Management Aka: Postpartum Inpatient Management From Related Chapters II. Management: Acute s q15 minutes for 1 hour, then q4 hours Document lochia and fundal firmness Activity Ambulate ad lib after 2 hours postpartum if stable Nursing: Inability to void Straight catheterize Record residual Sitz baths as needed with 1:1000 betadine prn Ice pack to perineum on and off for 6 hour postpartum as needed Diet: As tolerated discontinuation Adequate oral intake No signs

2015 FP Notebook

8. Preterm Premature Rupture of Membranes, Outpatient Management vs Inpatient Management

Preterm Premature Rupture of Membranes, Outpatient Management vs Inpatient Management Preterm Premature Rupture of Membranes, Outpatient Management vs Inpatient Management - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before (...) adding more. Preterm Premature Rupture of Membranes, Outpatient Management vs Inpatient Management The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02548013 Recruitment Status : Unknown Verified September 2015 by dina mostafa ibrahim, Ain Shams Maternity Hospital. Recruitment status was: Recruiting

2015 Clinical Trials

9. A cost-effectiveness analysis of maternal genotyping to guide treatment for postpartum pain and avert infant adverse events

A cost-effectiveness analysis of maternal genotyping to guide treatment for postpartum pain and avert infant adverse events The Hospital for Sick Children Technology Assessment at SickKids (TASK) FULL REPORT A COST-EFFECTIVENESS ANALYSIS OF MATERNAL GENOTYPING TO GUIDE TREATMENT FOR POSTPARTUM PAIN AND AVERT INFANT ADVERSE EVENTS Authors: Myla E. Moretti, PhD Research Associate, Clinical Trials Support Unit, The Hospital for Sick Children, Toronto Daniella F. Lato, BSc Research Assistant (...) , Motherisk Program, The Hospital for Sick Children, Toronto Wendy J. Ungar. MSc, PhD Senior Scientist, Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto Professor, Health Policy, Management & Evaluation, University of Toronto Howard Berger, MD Head, Maternal Fetal Medicine, St. Michael’s Hospital, Toronto Adjunct Scientist, Keenan Research Centre of the Li Ka Shing Knowledge Institute Assistant Professor, Health Policy, Management and Evaluation, University of Toronto Gideon Koren

2015 SickKids Reports

10. Innovation in Postpartum Care for Women With Hypertensive Disorders of Pregnancy

Innovation in Postpartum Care for Women With Hypertensive Disorders of Pregnancy Innovation in Postpartum Care for Women With Hypertensive Disorders of Pregnancy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding (...) . Condition or disease Intervention/treatment Phase Hypertension in Pregnancy Hypertension, Pregnancy-Induced Postpartum Preeclampsia Blood Pressure Disorders Other: At-home Blood Pressure Monitoring Not Applicable Detailed Description: Hypertensive disorders of pregnancy (HDP) affect up to 10% of mother-infant dyads and account for 7.4% of cases of maternal mortality in the United States. Prompt recognition and treatment of hypertension remain one of the key features of management of mothers affected

2018 Clinical Trials

11. Furosemide for Accelerated Recovery of Blood Pressure Postpartum

: Hypertensive disorders of pregnancy are recognized causes of significant maternal/fetal morbidity and mortality, accounting for approximately 18% of maternal deaths worldwide. While significant research has been done on the evaluation and management of hypertension during pregnancy, studies of postpartum hypertension (PPHTN) are usually limited by their retrospective design and focus on inpatients in the immediate postpartum period (2-6 days), or patients who were readmitted due to complications related (...) Furosemide for Accelerated Recovery of Blood Pressure Postpartum Furosemide for Accelerated Recovery of Blood Pressure Postpartum - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Furosemide for Accelerated

2018 Clinical Trials

12. Diagnosis and management of epilepsy in adults

ContentsDiagnosis and management of epilepsy in adults Diagnosis and management of epilepsy in adults 5.6 Fetal, neonatal and childhood outcomes 43 5.7 Postpartum advice for mothers 47 5.8 Advice about breastfeeding 48 5.9 Menopause and epilepsy 49 6 Psychiatric comorbidity 50 6.1 Screening 50 6.2 Treatment options 52 7 Sleep 54 7.1 Sleep deprivation and sleep hygiene 54 7.2 Obstructive sleep apnoea and epilepsy 54 7.3 Sudden unexpected death in epilepsy and sleep 54 8 Mortality 55 8.1 Sudden unexpected death (...) Diagnosis and management of epilepsy in adults SIGN 143 • Diagnosis and management of epilepsy in adults A national clinical guideline Evidence May 2015 · Revised 2018KEY TO EVIDENCE STATEMENTS AND GRADES OF RECOMMENDATIONS LEVELS OF EVIDENCE 1 ++ High-quality meta-analyses, systematic reviews of RCTs, or RCTs with a very low risk of bias 1 + Well-conducted meta-analyses, systematic reviews, or RCTs with a low risk of bias 1 - Meta-analyses, systematic reviews, or RCTs with a high risk of bias

2018 SIGN

13. Medical management of abortion

additional hospital resources are required, such as blood transfusion, inpatient management or analgesic measures, we assume that the costs associated with this care will be higher. We were unable to determine the impact that the use of mifepristone has on costs. While there may be an increased upfront cost in the delivery of a combination regimen (mifepristone and misoprostol), the overall resource use (and cost) may be decreased due to a shorter abortion process and higher success rates. Acceptability (...) -effectiveness. Studies on medical abortion include analgesic options ranging from oral to parenteral administration, including opiates, depending on gestational age. In cases where additional An enabling regulatory and policy environment is needed to ensure that every individual who can become pregnant and who is legally eligible has ready access to safe abortion care.28 Recommendations hospital resources are required, such as blood transfusion, inpatient management, analgesic measures or foeticide, we

2019 World Health Organisation Guidelines

14. Placenta Praevia and Placenta Accreta: Diagnosis and Management

the placental edge is less than 20 mm from the internal os, and as normal when the placental edge is 20 mm or more from the internal os on TAS or TVS. This new classification could better define the risks of perinatal complications, such as antepartum haemorrhage and major postpartum haemorrhage (PPH), , and has the potential of improving the obstetric management of placenta praevia. Recent articles reviewed in this guideline refer to the AIUM classification. The estimated incidence of placenta praevia (...) or threat of bleeding, the decision to transfuse should be made on an informed individual basis . In an extreme situation and when the blood group is unknown, group O rhesus D‐negative red cells should be given. Further recommendations are provided in RCOG Green‐top Guideline No. 52 Prevention and Management of Postpartum Haemorrhage . [Evidence level 4] There is no evidence to support the use of autologous blood transfusion for placenta praevia. [Evidence level 4] Cell salvage was not often used

2018 Royal College of Obstetricians and Gynaecologists

15. 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza

2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza Influenza Search Search Clinical Practice Guidelines by the Infectious Diseases Society of America: 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza Published : 19 December 2018 Timothy M. Uyeki, Henry H. Bernstein, John S. Bradley, Janet A. Englund, Thomas M. File Jr, Alicia M. Fry, Stefan Gravenstein, Frederick G (...) diagnostic testing, treatment and chemoprophylaxis with antiviral medications, and issues related to institutional outbreak management for seasonal influenza. It is intended for use by primary care clinicians, obstetricians, emergency medicine providers, hospitalists, laboratorians, and infectious disease specialists, as well as other clinicians managing patients with suspected or laboratory-confirmed influenza. The guidelines consider the care of children and adults, including special populations

2019 Infectious Diseases Society of America

16. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice

perinatal depression occurrence. , It was followed by a clinical report from the AAP that was focused on recognition and management of perinatal and postpartum depression in 2010 and the US Healthy People 2020 objectives to reduce the proportion of mothers experiencing perinatal depression (maternal, infant, and child health objective 34) and to improve overall maternal and child perinatal health. It is within this context that the National Institute for Health Care Management released a report (...) % of MDD identified during the postpartum period actually begins before delivery. With this change, there is emphasis on the utility of early screening, detection, and management throughout pregnancy, not just after delivery. In fact, in 2015, the ACOG released a committee opinion recommending mothers be screened for depression at least once during the perinatal period expanding the window for recommended screening into the antenatal period. Despite changes in nomenclature and disease conceptualization

2019 American Academy of Pediatrics

17. Hypertension In Postpartum Preeclampsia Study

Hypertension In Postpartum Preeclampsia Study Hypertension In Postpartum Preeclampsia Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Hypertension In Postpartum Preeclampsia Study (HIPPS) The safety (...) , Pregnancy-Induced Drug: Acetaminophen Drug: Ibuprofen Not Applicable Detailed Description: Non-steroidal antiinflammatory drugs (NSAIDs) are effective agents for the management of pain in the postpartum period. The addition of NSAIDs to post-cesarean analgesic regimen has been shown to improve post-cesarean pain and reduce opioid requirements. However, concern has been raised over use of NSAIDs in hypertensive pregnant patients, as recent evidence suggests the potential for increased blood pressure

2017 Clinical Trials

18. Postpartum Opioid Prescribing Patterns and Patient Utilization

Postpartum Opioid Prescribing Patterns and Patient Utilization Postpartum Opioid Prescribing Patterns and Patient Utilization - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Postpartum Opioid Prescribing (...) Criteria Inclusion Criteria: Women who deliver during the recruitment period English-speaking Opiate-naïve (as determined by admission medication reconciliation) Receive oral opioid medications during inpatient postpartum admission 18 years or older Exclusion Criteria: Contraindication to NSAID use Required use of general anesthesia without concurrent neuraxial analgesia Undergo hysterectomy, or unanticipated surgical procedures during the postpartum period Are admitted to the intensive care unit

2017 Clinical Trials

19. Patient portal readiness among postpartum patients in a safety net setting (PubMed)

Patient portal readiness among postpartum patients in a safety net setting Maternity patients interact with the healthcare system over an approximately ten-month interval, requiring multiple visits, acquiring pregnancy-specific education, and sharing health information among providers. Many features of a web-based patient portal could help pregnant women manage their interactions with the healthcare system; however, it is unclear whether pregnant women in safety-net settings have the resources (...) -reported literacy, interest in health information, awareness of portal functions, and perceived barriers to use. The questionnaire was administered in person to women in an inpatient setting.Of the 100 participants surveyed, 95% reported routine internet use and 56% used it to search for health information. Most participants had never heard of a patient portal, yet 92% believed that the portal functions were important. The two most appealing functions were to check results and manage appointments.Most

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2017 Applied clinical informatics

20. Inpatient Versus Outpatient Cervical Ripening

Inpatient Versus Outpatient Cervical Ripening Inpatient Versus Outpatient Cervical Ripening - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Inpatient Versus Outpatient Cervical Ripening The safety (...) are a safe, inexpensive and effective option for cervical ripening. A study by Sciscione et al in 2001 compared Foley bulb use in inpatient versus outpatient settings and found the outpatient use to be as effective for cervical ripening. The primary objective of this study was to compare efficacy of these two approaches and the outcomes were similar. There were no cases of endomyometritis or chorioamnionitis(9). While they did report a shorter amount of time in the hospital with outpatient management

2017 Clinical Trials

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