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Postpartum Inpatient Management

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521. Child abuse

depression, anxiety, eating disorders, and suicide attempts. One Canadian hospital found that between 36% and 76% of women mental health outpatients had been sexually abused, as had 58% of women and 23% of men schizophrenic inpatients. A recent study has discovered that a crucial structure in the brain's reward circuits is compromised by childhood abuse and neglect, and predicts Depressive Symptoms later in life. In the case of 23 of the 27 illnesses listed in the questionnaire of a French survey, some (...) cases only 81,124 received any sort of counseling or therapy. Treatment is greatly important for abused children. On the other hand, there are some children who are raised in child abuse, but who manage to do unexpectedly well later in life regarding the preconditions. Such children have been termed dandelion children , as inspired from the way that seem to prosper irrespective of soil, sun, drought, or rain. Such children (or currently grown-ups) are of high interest in finding factors

2012 Wikipedia

522. Elective Induction of Nulliparous Labor

): Nathaniel Miller, Madigan Army Medical Center Study Details Study Description Go to Brief Summary: Primary outcome: to evaluate the effect of elective induction of labor (IOL), at 39 weeks gestation, on cesarean delivery rates in nulliparous women compared to expectant management (EM). Secondary outcomes: to evaluate differences in the mean number of clinic visits/antepartum tests avoided with IOL, to compare the differences in utilization of inpatient resources (mean duration of inpatient stay, mean (...) Elective Induction of Nulliparous Labor Elective Induction of Nulliparous Labor - 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. Elective Induction of Nulliparous Labor The safety and scientific validity

2010 Clinical Trials

523. Tubal sterilization trends in the United States. (PubMed)

. Interval sterilizations decreased by 12%. Postpartum sterilizations remained stable and follow 8%-9% of all live births. Tubal sterilizations remain more common in black and Hispanic women; women with lower income, lower education, and higher parity; and among women living in the South. From 1981 to 1995, inpatient interval sterilizations fully migrated to ambulatory surgery care.After two decades of stable rates, there is a recent decline in sterilization. Improved access to a wide range of highly (...) effective reversible contraceptives gives women flexibility when deciding how to manage their reproductive ability.Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

2010 Fertility and Sterility

524. Tenofovir Gel in Pregnancy and Lactation

Tenofovir Gel in Pregnancy and Lactation Tenofovir Gel in Pregnancy and Lactation - 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. Tenofovir Gel in Pregnancy and Lactation The safety and scientific validity (...) and tolerability in infants of lactating mothers [ Time Frame: Measured at Day 14 ] Safety and tolerability in infants of lactating mothers is defined as no inpatient admission (confirmed on review of medical records) with diagnosis of adverse event (AE) judged to be related to study product Tenofovir levels in maternal blood or breast milk [ Time Frame: Measured at Day 6 or delivery, depending on cohort ] Secondary Outcome Measures : Presence of tenofovir in blood among infants of participants

2010 Clinical Trials

525. Epidural Analgesia, Beta-Endorphin Concentrations in Colostrum, and Infant Neurobehavior as Breast-Feeding Predictors

information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Sampling Method: Non-Probability Sample Study Population This study is open to all women, aged 18 and over, who are inpatients on the postpartum floor of MetroHealth Medical Center following the vaginal delivery of a single, healthy neonate. A neonate is "healthy" if neither of the following two conditions exists: 1) admission to the neonatal intensive care unit (...) Epidural Analgesia, Beta-Endorphin Concentrations in Colostrum, and Infant Neurobehavior as Breast-Feeding Predictors Epidural Analgesia, Beta-Endorphin Concentrations in Colostrum, and Infant Neurobehavior as Breast-Feeding Predictors - 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

2010 Clinical Trials

526. Diet-Induced-Obesity Resistant Phenotypes in Humans

Diet-Induced-Obesity Resistant Phenotypes in Humans Diet-Induced-Obesity Resistant Phenotypes in Humans - 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. Diet-Induced-Obesity Resistant Phenotypes in Humans (...) without restrictions. Design: - The entire study will take about 9 weeks and will include the following outpatient and inpatient visits: - Outpatient screening visit and monitoring: Physical examination and blood test at screening; then, one week of physical activity monitoring (e.g., with a pedometer-like device called an accelerometer) and completing a food diary. - Baseline inpatient visit (5 days): Volunteers will eat a normal diet to maintain body weight. Energy expenditure, body

2009 Clinical Trials

527. Glucose Tolerance in Healthy Overweight Adults

Glucose Tolerance in Healthy Overweight Adults Glucose Tolerance in Healthy Overweight Adults - 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. Glucose Tolerance in Healthy Overweight Adults The safety (...) Criteria Inclusion Criteria: Fasting blood glucose level of ≥ 70mg/dL and ≤ 125 mg/dL. Subject states that he/she does not have type 1 or 2 diabetes. Subject is overweight as defined as waist circumference ≥ 101 cm (40 inches) male; ≥ 88 cm (35 inches) female. Subject's BMI is ≥ 25 kg/m2. Subject's blood pressure is < 140 mm Hg systolic and < 90 mm Hg diastolic. Subject is between 20 and 45 years of age, inclusive. Subject is a male or a non-pregnant, non-lactating female, at least 6 weeks postpartum

2009 Clinical Trials

528. Gestational Diabetes Follow Up Study

to internal medicine (for those diagnosed with T2DM) or nutrition counseling (for those found not to have diabetes). The primary hypothesis underlying this proposal is that the introduction of a Promotora providing education and pro-active follow-up into postpartum GDM management will result improve post-partum follow-up for screening, treatment, and preventive services when compared with the standard of care. Study Design Go to Layout table for study information Study Type : Interventional (Clinical (...) to a telephone Is willing to be contacted by the Promotora Is willing to follow-up at LAC+USC for postpartum visit Able to give informed consent Age ≥18 years Residence within 60 miles of LAC+USC ON INPATIENT WARD AT LAC+USC AT TIME OF RECRUITMENT Exclusion Criteria: Diagnosis of diabetes prior to most recent pregnancy (pre-gestational diabetes) Current ICU admission during delivery hospitalization that would interfere with recruitment and participation in the study Currently residing in jail or inpatient

2009 Clinical Trials

529. A Single-arm, Open-label, Study to Assess the Pharmacokinetics of Darunavir and Ritonavir, Darunavir and Cobicistat, Etravirine, and Rilpivirine in HIV-1 Infected Pregnant Women

A Single-arm, Open-label, Study to Assess the Pharmacokinetics of Darunavir and Ritonavir, Darunavir and Cobicistat, Etravirine, and Rilpivirine in HIV-1 Infected Pregnant Women A Single-arm, Open-label, Study to Assess the Pharmacokinetics of Darunavir and Ritonavir, Darunavir and Cobicistat, Etravirine, and Rilpivirine in HIV-1 Infected Pregnant Women - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results (...) with ritonavir, darunavir with cobicistat, etravirine or rilpivirine for HIV-1, and who meets the eligibility criteria for the study, will be allowed to enroll. Patients must be willing to remain on study medication during the course of their pregnancy, and 12 weeks postpartum. The information collected may help answer questions about how to best prescribe these three drugs for pregnant women. Condition or disease Intervention/treatment Phase HIV HIV Infections Pregnancy Drug: Darunavir Drug: Ritonavir Drug

2009 Clinical Trials

530. Comparison of Nutritional Products for People With Type 2 Diabetes

Comparison of Nutritional Products for People With Type 2 Diabetes Comparison of Nutritional Products for People With Type 2 Diabetes - 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. Comparison (...) postpartum prior to screening visit. If female is of childbearing potential, is practicing a method of birth control. Subject's BMI is > 18.5 kg/m2 and < 35 kg/m2. If on a chronic medication such as anti-hypertensive, lipid-lowering, thyroid medication or hormone therapy, subject has been on constant dosage for at least two months prior to screening visit. Exclusion Criteria: Subject uses exogenous insulin for glucose control. Subject states that he/she has type 1 diabetes. Subject states that he/she has

2008 Clinical Trials

531. Schizophrenic Patients in Integrated Care

Schizophrenic Patients in Integrated Care Schizophrenic Patients in Integrated Care - 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. Schizophrenic Patients in Integrated Care (CARE II) The safety (...) by Determination of the Total Cost by Number of Days With Hospitalization [ Time Frame: 4 month ] Any hospitalisation days in inpatients units and emergency ward stays will be recorded. At each hospitalisation, the number of days will be computed and at each visit, the cumulative total number of days will be used to calculate total costs. As higher the number of hospitalisation days as higher the costs per patient. Assess Health Economy Improvements in Terms of a Reduction in Treatment Costs and Loss

2008 Clinical Trials

532. Effects of Nutritional Products on Blood Glucose in Subjects With Type 2 Diabetes

Effects of Nutritional Products on Blood Glucose in Subjects With Type 2 Diabetes Effects of Nutritional Products on Blood Glucose in Subjects With Type 2 Diabetes - 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 (...) information Ages Eligible for Study: 18 Years to 75 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: type 2 diabetes HbA1c >6.5% and <11.0% male/non-pregnant, non-lactating female, at least 6 months postpartum if female of childbearing potential, practicing method of birth control Body Mass Index > 18.5 kg/m2 and < 43.0 kg/m2. weight stable for past two months if on anti-hypertensive, lipid-lowering, thyroid medication or hormone therapy

2008 Clinical Trials

533. Duloxetine for the Treatment of Postpartum Depression

Duloxetine for the Treatment of Postpartum Depression Duloxetine for the Treatment of Postpartum Depression - 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. Duloxetine for the Treatment of Postpartum (...) University Study Details Study Description Go to Brief Summary: The purpose of this study is to assess whether the antidepressant, duloxetine, is equally effective as a treatment for subjects who have a Postpartum Onset Depression compared to subjects who have an onset of Major Depressive Disorder prior to delivery. The hypothesis is that duloxetine will be as effective in subjects with Postpartum Major Depressive Disorder as in subjects with a Major Depressive Disorder. Condition or disease Intervention

2008 Clinical Trials

534. Maternal Morbidity Rates in a Managed Care Population. (PubMed)

Maternal Morbidity Rates in a Managed Care Population. To identify and estimate prevalence rates of maternal morbidities by pregnancy outcome and selected covariates during the antepartum, intrapartum, and postpartum periods in a defined population of pregnant women.We used electronic data systems of a large, vertically integrated, group-model health maintenance organization (HMO) to develop an algorithm that searched International Classification of Diseases, 9th Revision, Clinical Modification (...) (7.0%).A range of mild-to-severe pregnancy complications were identified using linked inpatient and outpatient databases. The most common complications we found usually do not require hospitalization so would be missed in studies that use only hospitalization data. Our data allowed examination of a broad scope of conditions and severity. These findings increase our understanding of the extent of maternal morbidity.II.

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2008 Obstetrics and Gynecology

535. Severity Postoperative Pain Prediction

Severity Postoperative Pain Prediction Severity Postoperative Pain Prediction - 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. Severity Postoperative Pain Prediction The safety and scientific validity (...) preoperative evaluation in assessing level of anxiety, anticipated pain and the intensity rating of an audio tone to predict level of postoperative pain after surgery. Study Design: A total of 400 evaluable patients will be studied using the various surgical populations listed. For statistical purposes, the following will be the surgical population by procedure. Two hundred healthy ASA I-II women scheduled for elective cesarean section, one hundred scheduled for elective postpartum tubal ligations, and one

2008 Clinical Trials

536. Prevention of Deep Vein Thrombosis

reduction in mobility. One or more of the risk factors shown above. Management [ ] All patients Avoid dehydration unless there is a specific clinical reason. Encourage early mobilisation. Aspirin or antiplatelet agents should not be considered adequate prophylaxis. Consider temporary inferior vena cava filters for patients at a very high risk of VTE (eg, active malignancy or previous VTE event) if there are contra-indications to pharmacological and mechanical prophylaxis. These are devices which can (...) graduated compression/anti-embolism stockings can be used unless contra-indicated (eg, in patients with established peripheral arterial disease or diabetic neuropathy). Graduated compression stockings should be used routinely for surgical inpatients. If thigh-length stockings are not appropriate (for reasons of fit or compliance) knee-length stockings may be used instead: [ ] The stocking compression profile should be equivalent to the Sigel profile (a pressure profile for elastic stockings

2008 Mentor

537. Postnatal Depression

prior to pregnancy, or be part of a wider problem - eg, bipolar disorder. Assessment and management are much like that of depression at any other time, the key differences being the implications of the illness and its management for the baby, and the risk of postpartum psychosis. Epidemiology [ , ] Depression in itself is common, and the overall prevalence of PND is probably not significantly more common than at other times. It may be that it is more common in the first few weeks postnatally than (...) to confirm your preferences. Further reading and references ; University of California, San Francisco ; Royal College of General Practitioners ; Motherhood and mental illness--part 2--management and medications. Aust Fam Physician. 2009 Sep38(9):688-92. ; Depression drug treatment outcomes in pregnancy and the postpartum period: a systematic review and meta-analysis. Obstet Gynecol. 2014 Sep124(3):526-34. doi: 10.1097/AOG.0000000000000410. ; Antenatal and postnatal mental health: summary of updated NICE

2008 Mentor

538. Placenta Praevia

is delivered urgently whatever its gestational age. Hysterectomy should also be considered in severe cases. If immediate delivery is not likely, maternal steroids may be indicated in order to promote fetal lung development and reduce the risk of respiratory distress syndrome and intraventricular haemorrhage [ ] . Complications Potentially fatal hypovolaemic shock resulting from severe antepartum, intrapartum or postpartum bleeding. Venous thromboembolism is associated with prolonged inpatient care (...) monitoring. Screening and follow-up A further TVS is recommended for all women whose placenta reaches or overlaps the cervical os at their anomaly scan as follows: Women who bleed should be managed individually according to their needs. In cases of asymptomatic suspected minor praevia, follow-up imaging can be left until 36 weeks. In cases with asymptomatic suspected major placenta praevia, a TVS should be performed at 32 weeks, to clarify the diagnosis and allow planning for third-trimester management

2008 Mentor

539. Edinburgh Postnatal Depression Score Calculator

of a depressive condition occurring prior to pregnancy, or be part of a wider problem - eg, bipolar disorder. Assessment and management are much like that of depression at any other time, the key differences being the implications of the illness and its management for the baby, and the risk of postpartum psychosis. Epidemiology [ , ] Depression in itself is common, and the overall prevalence of PND is probably not significantly more common than at other times. It may be that it is more common in the first few (...) our . Thank you, we just sent a survey email to confirm your preferences. Further reading and references ; University of California, San Francisco ; Royal College of General Practitioners ; Motherhood and mental illness--part 2--management and medications. Aust Fam Physician. 2009 Sep38(9):688-92. ; Depression drug treatment outcomes in pregnancy and the postpartum period: a systematic review and meta-analysis. Obstet Gynecol. 2014 Sep124(3):526-34. doi: 10.1097/AOG.0000000000000410. ; Antenatal

2008 Mentor

540. Antenatal Care

should be given: Information about breast-feeding. Information to prepare her for labour and birth (birth plan, pain relief options, how to recognise the onset of active labour). Information about care of the new baby and preparations needed. Information about routine procedures such as newborn screening and vitamin K prophylaxis. Advice about postnatal self-care, along with information about postnatal depression and "baby blues". At 38 weeks, she should be given: Information about management options (...) advises healthcare professionals, at a woman's first contact with primary care, her booking visit and during the early postnatal period, to: Consider asking questions to screen for depression and anxiety as part of a general discussion about a woman's mental health and well-being. Ask about any past or present severe mental illness. Ask about past or present treatment by a specialist mental health service, including inpatient care Ask about any severe perinatal mental illness in a first-degree

2008 Mentor

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