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Postpartum Inpatient Management

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161. Acute Myocardial Infarction During Pregnancy and the Puerperium in the United States. (PubMed)

Acute Myocardial Infarction During Pregnancy and the Puerperium in the United States. To analyze trends in the incidence, in-hospital management, and outcomes of acute myocardial infarction (AMI) complicating pregnancy and the puerperium in the United States.Women 18 years or older hospitalized during pregnancy and the puerperium were identified from the National Inpatient Sample database from January 1, 2002, to December 31, 2014. International Classification of Diseases, Ninth Revision (...) diagnosis and procedure codes were used to identify AMI during pregnancy-related admissions.Overall, 55,402,290 pregnancy-related hospitalizations were identified. A total of 4471 cases of AMI (8.1 [95% CI, 7.5-8.6] cases per 100,000 hospitalizations) occurred, with 922 AMI cases (20.6%) identified in the antepartum period, 1061 (23.7%) during labor and delivery, and 2390 (53.5%) in the postpartum period. ST-segment elevation myocardial infarction occurred in 1895 cases (42.4%), and non-ST-segment

2018 Mayo Clinic Proceedings

162. Adverse obstetric and neonatal outcomes complicated by psychosis among pregnant women in the United States. (PubMed)

Adverse obstetric and neonatal outcomes complicated by psychosis among pregnant women in the United States. Adverse obstetric and neonatal outcomes among women with psychosis, particularly affective psychosis, has rarely been studied at the population level. We aimed to assess the risk of adverse obstetric and neonatal outcomes among women with psychosis (schizophrenia, affective psychosis, and other psychoses).From the 2007 - 2012 National (Nationwide) Inpatient Sample, 23,507,597 delivery (...) at a heightened risk for cesarean delivery (aOR = 1.26; 95% CI: 1.23 - 1.29), induced labor (aOR = 1.05; 95% CI: 1.02 - 1.09), antepartum hemorrhage (aOR = 1.22; 95% CI: 1.14 - 1.31), placental abruption (aOR = 1.22; 95% CI: 1.13 - 1.32), postpartum hemorrhage (aOR = 1.18; 95% CI: 1.10 - 1.27), premature delivery (aOR = 1.40; 95% CI: 1.36 - 1.46), stillbirth (aOR = 1.37; 95% CI: 1.23 - 1.53), premature rupture of membranes (aOR = 1.22; 95% CI: 1.15 - 1.29), fetal abnormalities (aOR = 1.49; 95% CI: 1.38 - 1.61

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2018 BMC Pregnancy and Childbirth

163. Draft Opioid-Prescribing Guidelines for Uncomplicated Normal Spontaneous Vaginal Birth. (PubMed)

to be more relevant and appropriate for the inpatient normal spontaneous vaginal delivery population. After three rounds of the surveying process, seven of the eight adapted guidelines were endorsed by the survey participants. These seven draft consensus guidelines could now be used as a starting point to develop more broadly endorsed and studied guidelines for appropriately managing pain control for women with uncomplicated spontaneous vaginal birth. (...) Draft Opioid-Prescribing Guidelines for Uncomplicated Normal Spontaneous Vaginal Birth. Women who experience an uncomplicated vaginal delivery have acute intrapartum pain and variable pain in the immediate postpartum period. Although the Centers for Disease Control and Prevention (CDC) has urged clinicians to improve opioid-prescribing behavior, there are no published clinical practice guidelines for prescribing opioids during labor and delivery and at discharge for patients with uncomplicated

2018 Obstetrics and Gynecology

164. Longitudinal Observation of Insulin Requirements and Sensor Use in Pregnancy

Longitudinal Observation of Insulin Requirements and Sensor Use in Pregnancy Longitudinal Observation of Insulin Requirements and Sensor Use in 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 more (...) will be given Dexcom G6 CGM and a study glucometer. Outcome Measures Go to Primary Outcome Measures : Time in range glucose levels as determined by CGM [ Time Frame: Prior to 16 weeks gestation (enrollment) through up to 6 weeks postpartum ] Time in range defined as 63-140 mg/dL as determined by CGM analysis Secondary Outcome Measures : Time spent below target glucose range [ Time Frame: Prior to 16 weeks gestation (enrollment) through up to 6 weeks postpartum ] Time spent below target cgm glucose range

2018 Clinical Trials

165. Systematic review and meta-analysis: Evidence relating to the effectiveness of community-based interventions to improve the quality of life for children of parents with serious mental illness is weak; better quality studies are required

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 (...) relevant journals, reference checking and searching the grey literature, forward tracking and key author contact, with searches conducted up to May 2012. Studies were included if ≥50% of parents participating in the intervention had a severe mental illness (SMI) or severe depression, and children were ≤18 years of age. Non-English language publications and inpatient interventions were excluded. Study quality was assessed via Cochrane criteria for randomised/non-randomised designs and the Critical

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2015 Evidence-Based Nursing

166. Heart failure - chronic

be prescribed. One drug should be introduced at a time, adding the second drug once the person is stable on the first drug. If the person is still symptomatic despite optimal treatment with an ACE-inhibitor and beta-blocker, a referral for specialist management should be arranged. For people with confirmed heart failure with preserved ejection fraction, a low to medium dose diuretic should be prescribed if necessary and a specialist referral should be arranged. In all people with confirmed heart failure (...) : Prescribing an antiplatelet drug and statin should be considered. Comorbidities and precipitating factors should be managed. Screening for depression or anxiety should be undertaken. A supervised exercise-based rehabilitation programme should be offered. Appropriate vaccinations should be offered. Self-care advice should be given. Nutritional status should be assessed. Follow-up and advanced care planning should be offered, if appropriate. Women of child-bearing age should be given advice about

2016 NICE Clinical Knowledge Summaries

167. Diabetes - type 2

perfusion). Reduced urine output (indicating decreased renal perfusion). [ ; ; ] Basis for recommendation Basis for recommendation These recommendations are based on (and in some cases extrapolated from) the National Institute for Health and Care Excellence (NICE) guidelines Diabetes (type 1 and type 2) in children and young people: diagnosis and management [ ] and Type 1 diabetes in adults: diagnosis and management [ ] the Joint British Diabetes Societies Inpatient Care Group guideline The management (...) %) or more. Children and young people with suspected type 2 diabetes should be referred immediately (on the same day) to a multidisciplinary paediatric diabetes care team with the competencies needed to confirm the diagnosis and provide immediate care. Lifestyle interventions (such as diet and physical activity) are initially used to manage type 2 diabetes. However, over time, many people will require antidiabetic drug treatments (including insulin). Primary care management of people with type 2 diabetes

2016 NICE Clinical Knowledge Summaries

168. Maternal Collapse in Pregnancy and the Puerperium

, depends on prompt and effective resuscitation. The purpose of this guide- line is to discuss the identification of women at increased risk of maternal collapse and the different causes of maternal collapse, to delineate the initial and continuing management of maternal collapse and to review mater- nal and neonatal outcomes. It covers both hospital and community settings, and includes all gestations and the postpartum period. The resuscitation team and equipment and training requirements will also (...) cause of the collapse, and appropriate senior staff must be involved early. It is essential the woman is transferred to an appropriate environment to ensure optimal contiuing care. This would usually mean transfer to a high-dependency/critical care area with appropriate staff and monitoring facilities. 65 4.6.1 Haemorrhage The continuing management of major postpartum haemorrhage is comprehensively covered in the RCOG Green-top Guideline No. 52: Prevention and Management of Postpartum Haemorrhage

2011 Royal College of Obstetricians and Gynaecologists

169. The Care of Women Requesting Induced Abortion

: what women need to know 8 2.3 Pre-abortion management 10 2.4 Abortion procedures 12 2.5 Care after the abortion 14 3. Legal aspects of abortion 17 3.1 The Abortion Act 17 3.2 Good professional practice 19 3.3 Professionals’ rights: conscientious objection to abortion 20 3.4 Confidentiality 21 3.5 Disposal of fetal tissue 21 3.6 Use of fetal tissue for research purposes 22 3.7 Issues relating to consent to treatment 22 3.8 Abuse of children and vulnerable people 25 3.9 Rights of the spouse (...) Future reproductive outcome 43 5.6 Psychological sequelae 45 6. Pre-abortion management 47 6.1 The abortion decision 47 6.2 Initial assessment 49 6.3 Cervical cytology 51 6.4 Ultrasound scanning 51 6.5 Prevention of infective complications 53 6.6 Contraception 56 6.7 Feticide 57 7. Abortion procedures 59 7.1 Surgical methods of abortion 59 7.2 Medical methods of abortion 68 7.3 Histopathology 75 8. Care after the abortion 77 8.1 Rhesus prophylaxis 77 8.2 Information after the abortion 78 8.3 Follow

2011 Royal College of Obstetricians and Gynaecologists

170. Getting a Life: Work?Life Balance in Obstetrics and Gynaecology

Helen Moffatt 6 Maintaining service standards 32 Tahir Mahmood 7 Career development: taking on additional responsibilities 40 Maggie Blott 8 Issues in training, including less than full-time working 45 Melissa Whitten 9 Conclusions and recommendations 49 Allan Templeton Appendix 1: The identification and management of stress 53 Richard Warren Appendix 2: Academy of Medical Royal Colleges Advice on Supporting Professional Activities in consultant job planning 55Abbreviations ARCP annual review (...) lifestyle outside the profession. Expectations must be managed within the conflicting demands of the NHS and an individual’s financial planning is essential, as a higher income does not always bring happiness. Working in teams and not in isolation brings rewards and flexibility and promotes governance and good practice. Many obstetricians and gynaecologists find their roles fulfilling, satisfying and very enjoyable; however, work–life balance in the specialty of obstetrics and gynaecology has become

2011 Royal College of Obstetricians and Gynaecologists

171. Low Versus High Transverse

Low Versus High Transverse Low Versus High Transverse - 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. Low Versus High Transverse The safety and scientific validity of this study is the responsibility (...) patient and inpatient records of obese patients (BMI of 30 or greater) who have had a cesarean section since the year 2009. We will evaluate the patient's BMI, their skin incision type at time of c-section, their co-morbidities, number of previous c-sections and post partum follow up for wound infection, wound separation and wound breakdown. We will also review operative notes to evaluate blood loss, length of surgery and complications during surgery. We will obtain maternal characteristics

2017 Clinical Trials

172. Risks and consequences of puerperal uterine inversion in the United States, 2004-2013. (PubMed)

%) had an associated postpartum hemorrhage, 22.4% (95% confidence interval, 20.7-24.0%) received a blood transfusion, and 6.0% (95% confidence interval, 5.1-7.0%) required surgical management. Only 2.8% (95% confidence interval, 2.1-3.5%) underwent a hysterectomy. The median length of hospital stay was 3 days.This study provides the largest population-based results on puerperal uterine inversion to date and highlights the high likelihood of adverse maternal outcomes associated with the condition (...) . The results inform the optimization of clinical management, by preparing for possible postpartum hemorrhage, need for blood products, and surgical management in the rare event of uterine inversion.Copyright © 2017 Elsevier Inc. All rights reserved.

2017 American Journal of Obstetrics and Gynecology

173. Preventing Obesity in Military Communities: Mother-Baby

. They will also discuss the costs and benefits as they apply to developing children. Theoretically, discussing and reviewing these perspectives will make the mothers more apt to make healthier lifestyle choices in the future. Women randomized to the positive-gains counseling (PGC) group will have PGC sessions once during each trimester and at 2 weeks, 2 months, 4 months and 6 months postpartum. PGC participants will also receive prenatal care in accordance with the VA/DoD Guideline for the Management (...) Preventing Obesity in Military Communities: Mother-Baby Preventing Obesity in Military Communities: Mother-Baby - 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. Preventing Obesity in Military Communities

2017 Clinical Trials

174. Efficacy of CES in New Mothers During the Post Partum Period

Efficacy of CES in New Mothers During the Post Partum Period Efficacy of CES in New Mothers During the Post Partum Period - 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. Efficacy of CES in New Mothers (...) typically encounter physiological changes and struggle with concerns about weight gain, body image, sexuality, and other physical difficulties such as fatigue. These problems may generate or exacerbate stress, lead to an actual or perceived crisis and psychological distress. Psychological distress, defined as anxiety, depression, and insomnia, in this study, often increases during the postpartum period and can negatively affect maternal mental health status, maternal and family relationships, and infant

2017 Clinical Trials

175. Maternity Care and Contraception

and visualization of strings. The intervention will include introduction of specialized standardized contraceptive counseling to occur during inpatient maternity care and immediate postpartum availability of LARC methods. Currently, contraceptive counseling is left to the postpartum primary care setting and obstetric providers are not trained for immediate IUD placement. LARC devices are not typically available in the inpatient setting. Providers and staff of all levels will be trained in standardized (...) Maternity Care and Contraception Maternity Care and Contraception - 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. Maternity Care and Contraception (COMSE) The safety and scientific validity of this study

2017 Clinical Trials

176. Opioid Prescribing After Cesarean Delivery

use Other: Tailored prescription Participants will be prescribed an opioid tablet number based on a formula derived from inpatient opioid use Control Participants will be prescribed 30 tablets of oxycodone 5mg, which is the average prescription currently given to our population. Other: Control Participants will be prescribed 30 tablets of oxycodone 5mg Outcome Measures Go to Primary Outcome Measures : Unused opioids [ Time Frame: 4 weeks postpartum ] Median morphine milligram equivalents (MME (...) Opioid Prescribing After Cesarean Delivery Opioid Prescribing After Cesarean Delivery - 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. Opioid Prescribing After Cesarean Delivery The safety and scientific

2017 Clinical Trials

177. Blood Pressure Monitoring in High Risk Pregnancy to Improve the Detection and Monitoring of Hypertension

Blood Pressure Monitoring in High Risk Pregnancy to Improve the Detection and Monitoring of Hypertension Blood Pressure Monitoring in High Risk Pregnancy to Improve the Detection and Monitoring of Hypertension - 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 (...) their own blood pressure safely at home. This work will test whether optimising the diagnosis, monitoring and management of raised BP during pregnancy through self-monitoring of BP is effective, acceptable and cost-effective compared to usual care. The research team have being working with pregnant women, doctors and midwives to develop a simple and accurate method of self-monitoring of blood pressure in pregnancy. This randomised controlled trial will: Compare self-monitoring with usual care in women

2017 Clinical Trials

178. Normative Radiographic Parameters and Growth Curve of Hips Less Than Six Weeks of Gestational Age Using Ultrasound

Normative Radiographic Parameters and Growth Curve of Hips Less Than Six Weeks of Gestational Age Using Ultrasound Normative Radiographic Parameters and Growth Curve of Hips Less Than Six Weeks of Gestational Age Using Ultrasound - 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 (...) Department to get the follow up ultrasounds therefore there will be an incentive of $15 a follow up visit. Incentive will not be provided for studies performed while a hospital inpatient. If a patient shows persistent radiographic signs of dysplasia at any point while they are in the study, they will exit the study protocol and receive standard treatment for hip dysplasia as medically indicated. Basic demographics initially (gender, race/ethnicity, age of the mother), birth presentation (normal or breach

2017 Clinical Trials

179. Methadone Demonstration Project

Outcome Measures : Length of Stay (LOS) [ Time Frame: 25 days ] Compare the LOS of Neonatal Intensive Care Unit (NICU) infants with NAS treated with methadone with historical data and a comparison group of NICU NAS infants treated with a different narcotic agent. Secondary Outcome Measures : Maternal bonding measured with The Postpartum Bonding Questionnaire (PBQ) [ Time Frame: While inpatient and at 6-8 weeks of age ] Compare maternal bonding between methadone treated infants and those treated (...) Methadone Demonstration Project Methadone Demonstration Project - 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. Methadone Demonstration Project The safety and scientific validity of this study

2017 Clinical Trials

180. Breastfeeding-Friendly Physician?s Office: Optimizing Care for Infants and Children

Breastfeeding-Friendly Physician?s Office: Optimizing Care for Infants and Children ABM Protocol ABM Clinical Protocol #14: Breastfeeding-Friendly Physician’s Of?ce: Optimizing Care for Infants and Children, Revised 2013 Amy E. Grawey, 1 Kathleen A. Marinelli, 2 Alison V. Holmes, 3 and the Academy of Breastfeeding Medicine A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success (...) , of?ce staff, and families. (For the purposes of thisdocument‘‘physician’’referstoanyonewhoisrendering the primary medical care to the breastfeeding dyad, both the mother antepartum and the dyad postpartum. In differ- ent countries and cultures that could be a doctor, a midwife, or another healthcare professional. All should strive for a ‘‘Breastfeeding-Friendly Practice’’ in which to care for these families.) Breastmilk substitutes Infant formula, glucose water, or other liquids given in place

2013 Academy of Breastfeeding Medicine

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