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Postpartum Inpatient Management

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121. Management of Atrial Fibrillation

Through Pacing 8.4 Upstream Therapy 8.4.1 Angiotensin-converting Enzyme Inhibitors and Angiotensin Receptor Blockers 8.4.2 Statins 8.4.3 Polyunsaturated Fatty Acids and Aldosterone Antagonist 9 Management – Special Populations xiv9.1 Post-Operative AF 9.1.1 Prevention Of Post-operative AF 9.1.2 Treatment of Post-operative AF 9.2 Acute Coronary Syndrome 9.3 Wolff-Parkinson-White (WPW) Pre-excitation Syndromes 9.3.1 Sudden Death And Risk Stratification 9.4 Hyperthyroidism 9.5 Pregnancy 9.6 Hypertrophic (...) Management of Atrial Fibrillation MOH/P/PAK/259.12(GU)STATEMENT OF INTENT This guideline is meant to be a guide for clinical practice, based on the best available evidence at the time of development. Adherence to this guideline may not necessarily guarantee the best outcome in every case. Every health care provider is responsible for the management of his/her unique patient based on the clinical picture presented by the patient and the management options available locally. This guideline

2012 Ministry of Health, Malaysia

122. 2012 KDIGO Clinical Practice Guideline for the Evaluation and Management of CKD

, but many would not. Different choices will be appropriate for different patients.Each patient needshelp to arrive at a management decision consistent with her or his values and preferences. The recommendation is likely to require substantial debate and involvement of stakeholders before policy can be determined. *The additional category ‘Not Graded’ was used, typically, to provide guidance based on common sense or where the topic does not allow adequate application of evidence. The most common examples (...) generated has led to new insights which require contextualizing in the current era, providing the evidence drivers for updating guidance for de?ning, diagnosing, staging and managing CKD, and promoting improved care of those with early CKD. Successive interna- tional controversies conferences, under the direction of Kidney Disease: Improving Global Outcomes (KDIGO), have shaped the scope of this international update through: 1. Facilitating global implementation of the definition and classification

2012 National Kidney Foundation

123. Diagnosis and management of thrombocytopenic purpura and other thrombotic microangiopathies

, and practical guidance on the management of TTP and related thrombotic microangiopathies, defined by thrombocytopenia, microangiopathic haemolytic anaemia (MAHA) and small vessel thrombosis. Pathogenesis Thrombotic thrombocytopenic purpura (TTP) is rare, with a reported incidence of six cases per million per year in the UK (Scully et al , ). It is an important diagnosis to make because the untreated mortality is 90%, which can be reduced with the prompt delivery of plasma exchange (PEX). Early death still (...) cases (Ridolfi & Bell, ; Vesely et al , ; Scully et al , ), which are late onset adult congenital TTP or acute idiopathic TTP. Differentiating TTP from the more common pregnancy‐related TMAs, such as pre‐eclampsia, HELLP syndrome (haemolysis, elevated liver enzymes, low platelets) and HUS is difficult, especially if TTP presents postpartum (Table ). Thrombosis occurs in the placenta in untreated TTP pregnancies and results in fetal growth restriction, intrauterine fetal death and pre eclampsia

2012 British Committee for Standards in Haematology

124. Diagnosis and management of Heparin induced thrombocytopenia: second edition

et al , ). Excessive blood loss and slow drug elimination was seen in the four patients with pre‐existing renal failure but there were no haemorrhagic deaths. In 53 patients managed using a fixed dose danaparoid regimen severe post‐operative bleeding occurred in 21% of patients. In addition clots were seen in the operative field in a third of patients (Magnani et al , ). There are published protocols for the use of lepirudin, bivalirudin and danaparoid in cardiac surgery (Warkentin & Greinacher (...) Diagnosis and management of Heparin induced thrombocytopenia: second edition Guidelines on the diagnosis and management of heparin‐induced thrombocytopenia: second edition - Watson - 2012 - British Journal of Haematology - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term The full text of this article hosted at iucr.org is unavailable due to technical difficulties. guideline Free Access Guidelines

2012 British Committee for Standards in Haematology

125. A Postpartum Sleep and Fatigue Intervention Feasibility Pilot Study. Full Text available with Trip Pro

A Postpartum Sleep and Fatigue Intervention Feasibility Pilot Study. The purpose of this pilot study was to evaluate the feasibility, acceptability, and cost of a self-management intervention for postpartum fatigue and sleep in socioeconomically disadvantaged urban women. Helping U Get Sleep (HUGS) is a theory-guided intervention developed from the Individual and Family Self-Management Theory. Medicaid-enrolled participants in the United States were recruited from an inpatient postpartum unit (...) . Treatment and attention control interventions were delivered (15 HUGS, 12 comparison) at a week 3 postpartum home visit and 4 follow-up phone calls. Over the 9-week protocol, the HUGS group demonstrated significant improvements in subjective fatigue and subjective sleep disturbance relative to the comparison group. The HUGS intervention was feasible and acceptable, delivered on average, in 100 min and costing US$79 per participant.

2016 Behavioral sleep medicine

126. Committee Opinion No. 666 Summary: Optimizing Postpartum Care. (Abstract)

Committee Opinion No. 666 Summary: Optimizing Postpartum Care. In the weeks after birth, postpartum care often is fragmented among maternal and pediatric health care providers, and communication between inpatient and outpatient settings is inconsistent. To optimize postpartum care, anticipatory guidance should begin during pregnancy. During antenatal care, it is recommended that the patient and her obstetrician-gynecologist or other obstetric care provider formulate a postpartum care plan (...) and identify the health care professionals who will comprise the postpartum care team for the woman and her infant. Ideally, during the postpartum period, a single health care practice assumes responsibility for coordinating the woman's care. At discharge from maternity care, the woman should receive contact information for her postpartum care team and written instructions regarding the timing of follow-up postpartum care. It is recommended that all women undergo a comprehensive postpartum visit within

2016 Obstetrics and Gynecology

127. Committee Opinion No. 666: Optimizing Postpartum Care. (Abstract)

Committee Opinion No. 666: Optimizing Postpartum Care. In the weeks after birth, postpartum care often is fragmented among maternal and pediatric health care providers, and communication between inpatient and outpatient settings is inconsistent. To optimize postpartum care, anticipatory guidance should begin during pregnancy. During antenatal care, it is recommended that the patient and her obstetrician-gynecologist or other obstetric care provider formulate a postpartum care plan and identify (...) the health care professionals who will comprise the postpartum care team for the woman and her infant. Ideally, during the postpartum period, a single health care practice assumes responsibility for coordinating the woman's care. At discharge from maternity care, the woman should receive contact information for her postpartum care team and written instructions regarding the timing of follow-up postpartum care. It is recommended that all women undergo a comprehensive postpartum visit within the first 6

2016 Obstetrics and Gynecology

128. An update on the risk factors for and management of obstetric haemorrhage Full Text available with Trip Pro

An update on the risk factors for and management of obstetric haemorrhage Obstetric haemorrhage is associated with increased risk of serious maternal morbidity and mortality. Postpartum haemorrhage is the commonest form of obstetric haemorrhage, and worldwide, a woman dies due to massive postpartum haemorrhage approximately every 4 min. In addition, many experience serious morbidity such as multi-organ failure, complications of multiple blood transfusions, peripartum hysterectomy and unintended (...) damage to pelvic organs, loss of fertility and psychological sequelae, including posttraumatic stress disorders. Anticipation of massive postpartum haemorrhage, prompt recognition of the cause and institution of timely and appropriate measures to control bleeding and replacement of the lost blood volume and restoration of oxygen carrying capacity (i.e. haemoglobin) and correction of the 'washout phenomenon' leading to coagulopathy will help save lives. Obstetric shock index may help in avoidance

2017 Women's Health

129. Consensus-Based Clinical Practice Guideline for the Management of Volatile Substance Use in Australia

3.1. Legislation governing health care in general 45 3.2. State and territory legislation relevant to VSu 46 4. Managing acute intoxication 51 4.1 Acute intoxication 51 4.2 Recommendations 52 4.3 Summary of evidence and expert opinion 62 5. Managing withdrawal symptoms 63 5.1 dependence and withdrawal 63 5.2 Recommendations 64 5.3 Summary of evidence and expert opinion 66 6. Comprehensive post-acute assessment 67 6.1 initial and further assessments for VSu 67 6.2 Recommendations 69 6.3 Summary (...) NATiONAL HEALTH ANd MEdiCAL RESEARCH COuNCiL Consensus-based clinical practice guideline for the management of volatile substance use in Australia Recommendation T ype Section Page Clinical question/s Comprehensive post-acute assessment Assessment considerations Comprehensive assessment should be made when the person has recovered from acute intoxication. CBR 6.2.1 69 3.1–3.7 Explain the purpose of the assessment and obtain the person’s consent before conducting any assessments (see section 3.1.2

2011 National Health and Medical Research Council

130. HIV and adolescents: Guidance for HIV testing and counselling and care for adolescents living with HIV

HIV and adolescents: Guidance for HIV testing and counselling and care for adolescents living with HIV RECOMMENDATIONS FOR A PUBLIC HEALTH APPROACH AND CONSIDERATIONS FOR POLICY-MAKERS AND MANAGERS HIV AND ADOLESCENTS: GUIDANCE FOR HIV TESTING AND COUNSELLING AND CARE FOR ADOLESCENTS LIVING WITH HIV United Nations Educational, Scienti?c and Cultural Organization ISBN 978 92 4 150616 8 HIV AND ADOLESCENTS: GUIDANCE FOR HIV TESTING AND COUNSELLING AND CARE FOR ADOLESCENTS LIVING WITH HIV ? World (...) Health Organization 20, avenue Appia CH–1211 Geneva 27 Switzerland For more information, contact: ? Department of HIV/AIDS E-mail: hiv-aids@who.int http://www.who.int/hiv/en/ ? Department of Maternal, Newborn, Child and Adolescent Health Email: mncah@who.int http://www.who.int/maternal_child_adolescent/en/RECOMMENDATIONS FOR A PUBLIC HEALTH APPROACH AND CONSIDERATIONS FOR POLICY-MAKERS AND MANAGERS HIV AND ADOLESCENTS: GUIDANCE FOR HIV TESTING AND COUNSELLING AND CARE FOR ADOLESCENTS LIVING

2013 World Health Organisation HIV Guidelines

131. Evidence based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity

the use of benzo- diazepines. One difference, however, was that the CG100 guidelines, whose remit was management within a general medical inpatient set- ting, recommended a ‘symptom-triggered’ regimen (see Hecksel et al. (2008) regarding issues of managing in general medical setting) (III). However, the CG115 guidelines emphasised that this approach was only for inpatients or residential settings if the appropriate level of monitoring was available. These NICE guidelines recommended a fixed-dose (...) Evidence based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity Journal of Psychopharmacology 0(0) 1 –54 © The Author(s) 2012 Reprints and permission: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0269881112444324 jop.sagepub.com Introduction The first British Association for Psychopharmacology evidence- based guidelines for ‘the pharmacological management of substance misuse, addiction and comorbidity’ were published in 2004

2012 British Association for Psychopharmacology

132. Effect of Ejiao Compound in the Treatment of Postpartum Anemia of Qi-blood Deficiency Syndrome

Effect of Ejiao Compound in the Treatment of Postpartum Anemia of Qi-blood Deficiency Syndrome Effect of Ejiao Compound in the Treatment of Postpartum Anemia of Qi-blood Deficiency Syndrome - 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 (...) of Traditional Chinese Medicine. Recruitment status was: Recruiting First Posted : January 14, 2016 Last Update Posted : March 29, 2016 Sponsor: The First Affiliated Hospital, Guangzhou University of Traditional Chinese Medicine Information provided by (Responsible Party): Yanfang Li, The First Affiliated Hospital, Guangzhou University of Traditional Chinese Medicine Study Details Study Description Go to Brief Summary: The prevalence of postpartum anemia is a great threat for maternal and infant health

2015 Clinical Trials

133. Outpatient Foley Catheter Compared to Usual Inpatient Care for Labor Induction

Outpatient Foley Catheter Compared to Usual Inpatient Care for Labor Induction Outpatient Foley Catheter Compared to Usual Inpatient Care for Labor Induction - 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 (...) . Outpatient Foley Catheter Compared to Usual Inpatient Care for Labor Induction 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: NCT02546193 Recruitment Status : Terminated (Unable to recruit/accrue adequate numbers of participants within funding period.) First Posted : September 10, 2015 Last Update Posted

2015 Clinical Trials

134. Diagnosis and Management of Cerebral Venous Thrombosis Full Text available with Trip Pro

evidence and were approved by all members of the writing group. Despite major progress in the evaluation and management of this rare condition in recent years, much of the literature remains descriptive. In some areas, evidence is lacking to guide decision making; however, the writing group made an effort to highlight those areas and provide suggestions, with the understanding that some physicians may need more guidance, particularly in making decisions when extensive evidence is not available (...) thrombosis; CTV, CT venography; MRV, magnetic resonance venography; and DSA, digital subtraction angiography. * Wetzel et al. Figure 4. Proposed algorithm for the management of CVT. The CVT writing group recognize the challenges facing primary care, emergency physicians and general neurologists in the diagnosis and management of CVT. The aim of this algorithm is to provide guidance to physicians in the initial management of CVT. Anticoagulation remains the principal therapy and is aimed at preventing

2011 Congress of Neurological Surgeons

135. Management of haemophilia in the fetus and neonate

trimester pre‐natal diagnosis should be available for couples who wish to consider this option. Issues related to genetic testing and prenatal diagnosis are covered in detail in a separate UKHCDO guideline ( ). In the presence of a continuing pregnancy, where the mother is a confirmed or suspected carrier of haemophilia A or B, fetal sexing should be performed as part of antenatal care as this will be helpful in managing pregnancy and delivery. This should be offered even if the mother wishes to remain (...) haemorrhagic problems in the newborn period but has not been the subject of any systematic studies to date. Proponents of early prophylaxis have argued that it is illogical to manage potential cranial trauma in the neonate expectantly, when older children, even following relatively minor head trauma, generally receive prompt replacement therapy. Potential disadvantages of this treatment include the risk of trauma during the administration of factor concentrates and the likelihood that time in hospital post

2011 British Committee for Standards in Haematology

136. What is known about options and approaches to intrapartum management of women with gestational diabetes mellitus (GDM)?

, frequency, and implications of testing. 11 A compilation of resources on fetal monitoring is available here: http://www.gfmer.ch/Guidelines/Labour_delivery_ postpartum/Fetal_monitoring.htm KTA Evidence Summary: Intrapartum Management of Patients with Gestational Diabetes Mellitus (GDM) Page 5 of 19 May 2010 Is fetal surveillance necessary in well-controlled (A-1) GDM? S In a 2002 review of literature and opinion paper on the necessity of fetal surveillance in pregnancy complicated by diabetes (...) on induced labours: http://www.gfmer.ch/Guidelines/Labour_delivery_ postpartum/Induced_labour.htm Bottom Line: Delivery before full term is not indicated in GDM unless there are other complicating factors (e.g. macrosomia, poor metabolic control). KTA Evidence Summary: Intrapartum Management of Patients with Gestational Diabetes Mellitus (GDM) Page 12 of 19 May 2010 Does induction of labour improve/worsen outcomes? 49 50 B In a 2007 opinion paper, the authors state that the risk of stillbirth

2010 OHRI Knowledge to Action

137. Rapid advice: Diagnosis, prevention and management of cryptococcal disease in HIV-infected adults, adolescents and children

in recommendations for induction and consolidation regimens and doses, as well as gaps in guidance on important aspects of management, such as the optimal timing of ART initiation, the monitoring and management of amphotericin B toxicity, and the frequent complication of raised intracranial pressure 4 . An approach leading to earlier diagnosis, and improved treatment of cryptococcal disease and its complications, therefore, is urgently needed to reduce the incidence and associated high mortality in RLS. 1 Park (...) feasibility assessment. The key recommendations contained here are released as Rapid Advice because several countries are in the process of updating their national guidelines for HIV care and OI management. There is also important new evidence in the diagnosis and management of cryptococcal disease of relevance to RLS, that needs to be incorporated into guidance, including: i. a new point-of-care (POC) assay for detection of cryptococcal antigen lateral flow assay (LFA) for use in diagnosis and screening

2011 World Health Organisation HIV Guidelines

138. Guidelines for the Management of Iron Deficiency Anaemia

Guidelines for the Management of Iron Deficiency Anaemia Guidelines for the management of iron de?ciency anaemia Andrew F Goddard, 1 Martin W James, 2 Alistair S McIntyre, 3 Brian B Scott, 4 on behalf of the British Society of Gastroenterology ABSTRACT Background 50 or with marked anaemia or a signi?cant family history of colorectal carcinoma, lower GI investigation should still be considered even if coeliac disease is found (B). 50 after discussing the risk and potential bene?t with them (C (...) is not available, duodenal biopsy specimens should be taken. If coeliac serology is negative, small-bowel biopsies need not be performed at OGD unless there are other features, such as diarrhoea, which make coeliac disease more likely (B). The pretest probability ofcoeliac diseasein those withIDAaloneisw5%.ThenegativelikelihoodratioforthetTG antibody test using human recombinant tTG is 0.06. 27 Thus, if the tTG antibody test is negative, the post-test probability of coeliac disease is 0.3%, which is less than

2011 British Society of Gastroenterology

139. Postpartum Depression (Treatment)

and postpartum depression. [ ] Woolhouse et al found intimate partner violence to be common among women reporting postnatal depressive symptoms, which may be an important factor to consider in the management of these patients. [ , ] Alternatively, postpartum employment and social support have been associated with a lower rate of depressive symptoms. [ ] Biologic vulnerability Women with a previous history of depression, a family history of a mood disorder, or depression during the current pregnancy (...) of depression may remit spontaneously, many women are still depressed 1 year after childbirth. [ , , , ] Screening of all mothers during the antepartum and postpartum period is indicated. [ , , , , , ] Screening women for depressive symptoms during pregnancy may also help to identify those women at higher risk for postpartum depression. [ ] Screening tools The Edinburgh Postnatal Depression Scale (EPDS) is a 10-item, self-rated questionnaire used extensively for detection of postpartum depression. A score

2014 eMedicine.com

140. Postpartum Depression (Overview)

and postpartum depression. [ ] Woolhouse et al found intimate partner violence to be common among women reporting postnatal depressive symptoms, which may be an important factor to consider in the management of these patients. [ , ] Alternatively, postpartum employment and social support have been associated with a lower rate of depressive symptoms. [ ] Biologic vulnerability Women with a previous history of depression, a family history of a mood disorder, or depression during the current pregnancy (...) of depression may remit spontaneously, many women are still depressed 1 year after childbirth. [ , , , ] Screening of all mothers during the antepartum and postpartum period is indicated. [ , , , , , ] Screening women for depressive symptoms during pregnancy may also help to identify those women at higher risk for postpartum depression. [ ] Screening tools The Edinburgh Postnatal Depression Scale (EPDS) is a 10-item, self-rated questionnaire used extensively for detection of postpartum depression. A score

2014 eMedicine.com

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