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Postpartum Office Visit

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41. Pregnancy, Postpartum Infections (Diagnosis)

Pregnancy, Postpartum Infections (Diagnosis) Postpartum Infections: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzk2ODkyLW92ZXJ2aWV3 processing > Postpartum Infections (...) Updated: Dec 31, 2018 Author: Andy W Wong, MD; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE Share Email Print Feedback Close Sections Sections Postpartum Infections Overview Background Postpartum infections comprise a wide range of entities that can occur after vaginal and cesarean delivery or during breastfeeding. In addition to trauma sustained during the birth process or cesarean procedure, physiologic changes during pregnancy contribute to the development of postpartum

2014 eMedicine Emergency Medicine

42. Pregnancy, Postpartum Hemorrhage (Diagnosis)

Pregnancy, Postpartum Hemorrhage (Diagnosis) Postpartum Hemorrhage in Emergency Medicine: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzk2Nzg1LW92ZXJ2aWV3 (...) processing > Postpartum Hemorrhage in Emergency Medicine Updated: Jan 02, 2018 Author: Maame Yaa A B Yiadom, MD, MPH; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE Share Email Print Feedback Close Sections Sections Postpartum Hemorrhage in Emergency Medicine Overview Practice Essentials Defining postpartum hemorrhage (PPH) has historically been difficult. Waiting for a patient to meet PPH criteria, particularly in resource-poor settings or in cases of sudden hemorrhage, may delay

2014 eMedicine Emergency Medicine

43. Postpartum Depression (Diagnosis)

Postpartum Depression (Diagnosis) Postpartum Depression: Overview, Risk Factors for Postpartum Mood Disorders, Screening for Postpartum Mood Disorders Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) of 10 or more on the EPDS or an affirmative answer on question 10 (presence of suicidal thoughts) requires more thorough evaluation. The EPDS may be included in routine well-baby and pediatric visits. [ ] A 3-question version of the EPDS was tested in a pediatric emergency department, and the results showed that the abbreviated version of the EPDS was similar to the full version in screening for postpartum depressive symptoms. Further studies are needed in order to confirm these findings

2014 eMedicine.com

44. Pregnancy, Postpartum Hemorrhage (Treatment)

Pregnancy, Postpartum Hemorrhage (Treatment) Postpartum Hemorrhage in Emergency Medicine Treatment & Management: Approach Considerations, Prehospital Care, Emergency Department Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzk2Nzg1LXRyZWF0bWVudA== processing > Postpartum Hemorrhage in Emergency Medicine Treatment & Management Updated: Jan 02, 2018 Author: Maame Yaa A B Yiadom, MD, MPH; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE Share Email Print Feedback Close Sections Sections Postpartum Hemorrhage in Emergency Medicine Treatment Approach Considerations If a patient is brought to a hospital without obstetric services, the emergency medicine providers should initiate resuscitation and transfer the patient

2014 eMedicine Emergency Medicine

45. Pregnancy, Postpartum Infections (Treatment)

Pregnancy, Postpartum Infections (Treatment) Postpartum Infections Treatment & Management: Prehospital Care, Emergency Department Care, Prevention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzk2ODkyLXRyZWF0bWVudA== processing > Postpartum Infections Treatment & Management Updated: Dec 31, 2018 Author: Andy W Wong, MD; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE Share Email Print Feedback Close Sections Sections Postpartum Infections Treatment Prehospital Care The most important aspect of prehospital care in a postpartum patient with a suspected infection is to ensure adequate fluid volume and to prevent sepsis and shock. Provide aggressive fluid management, begin cardiac

2014 eMedicine Emergency Medicine

46. Safety and Expulsion of Delayed Versus Immediate Postpartum Intrauterine Device Placement

delivery Device:Levonorgestrel-releasing intrauterine device marketed as Mirena. Subjects randomized to interval placement will have their IUD placed in the office at six weeks postpartum or later. They must return for one visit within a month for a "string check". Device: Mirena (levonorgestrel-releasing intrauterine system) The Mirena IUD is a levonorgestrel-releasing IUD which contains 52 mg levonorgestrel total and releases 20 mcg of hormone daily. Other Name: Mirena IUD Experimental: 2: Immediate (...) will be randomized to receive the Mirena® IUD at the 6 week postpartum visit or within 10 minutes of delivery of the placenta following a normal vaginal delivery. The investigators seek to determine the expulsion rate and complication rate in subjects with IUD immediately after placental delivery compared to insertion at six weeks postpartum or later. The investigators hypothesize that immediate placement safe and has an acceptably low expulsion rate to merit earlier placement in the indigent population

2012 Clinical Trials

47. Postpartum Major Depression

recommend extending cut-off to one year after delivery VI. Differential Diagnosis Baby Blues Lasts <10 days (contrast with more than 2 weeks for depression) Onset within a few days of delivery Mild to no dysfunction (compared with moderate to severe dysfunction in depression) Postpartum autoimmune VII. Evaluation: Depression Screening Tools See AAP recommends screening at perinatal visits and s (2, 4 and 6 months) 10 item, free tool, completed in <5 minutes, with good efficacy (>75% sensitive, >76 (...) above for screening tools Perform at perinatal visits and s Consider home health visits, peer support for high risk mothers First-time mothers Teen mothers tic delivery XIV. References (2017) Presc Lett 24(4): 20 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Postpartum Major Depression." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology

2015 FP Notebook

48. Postpartum Care

, Diphtheria, and Pertussis Vaccination. Obstet Gynecol 130 (3):e153-e157, 2017. doi: 10.1097/AOG.0000000000002301. Management at Home The woman and infant can be discharged within 24 to 48 h postpartum; many family-centered obstetric units discharge them as early as 6 h postpartum if major anesthesia was not used and no complications occurred. Serious problems are rare, but a home visit, office visit, or phone call within 24 to 48 h is necessary. A routine postpartum visit is usually scheduled at 6 wk (...) Postpartum Care Postpartum Care - Gynecology and Obstetrics - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / IN THIS TOPIC OTHER TOPICS IN THIS CHAPTER Test your knowledge Vaginal Bleeding Which

2013 Merck Manual (19th Edition)

49. Recommendations for good practice in Ultrasound: Oocyte retrieval

. It is important to set patient expectations at the time of scheduling; the role of the ‘verbal anaesthetist’ is to begin to set the tone with calming conversation while taking the patient into the room. The environment can be made more relaxing with darkened lights, music in the background and care taken to ensure that the room temperature is made comfortable (21-23ºC)(Cho and Choi, 2016, Yeo et al., 2013, Zhang et al., 2014). It is commonly used in in- office procedures of many disciplines but is poorly

2019 European Society of Human Reproduction and Embryology

50. Digital platforms as effective health promotion tools

or online comparison groups • Findings were mixed for the effects of digital interventions in increasing physical activity and reducing sedentary behaviour, and only one study found a significant effect on body mass index (BMI) • Visitation and engagement with digital platforms were higher initially and declined over time, with poor repeat visitation and ongoing engagement. Question 4: What indicators are used to measure the effectiveness, reach and impact of a health promotion website or app (...) of real-time objective data collection, iterative evaluation and the need for health economic evaluation • Comprehensive evaluation frameworks should include a range of indicators measuring reach (e.g. visitation), impact (e.g. page access and viewing time; content acceptability; fidelity) and effectiveness of target behaviours (e.g. knowledge, attitudes, beliefs, target behaviour). Gaps in the evidence There is a lack of literature evaluating lunch-box websites and apps as specific types of digital

2019 Sax Institute Evidence Check

51. Diagnosis and management of epilepsy in adults

guideline manual, which can be found at www.sign.ac.uk/guidelines/fulltext/50/index.html. The EQIA assessment of the manual can be seen at www.sign.ac.uk/pdf/sign50eqia.pdf. The full report in paper form and/or alternative format is available on request from the Healthcare Improvement Scotland Equality and Diversity Officer. Every care is taken to ensure that this publication is correct in every detail at the time of publication. However, in the event of errors or omissions corrections will be published (...) 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

2018 SIGN

53. Performance of the Belgian health system

and Health of the Flemish Community VBAC Vaginal birth after caesarean section VDAB Work and Employment Office (Flanders Region) WGC Woonzorgcentra (previously ROB – RVT) WHO World Health Organization WIV – ISP Scientific Institute of Public Health (integrated in Sciensano since 01/04/2018) 8 Performance report 2019 KCE Report 313C PART 1 – CONTEXT AND METHODS 1 CONTEXT AND OBJECTIVES 1.1 Introduction Health System Performance Assessment (HSPA) is a process aiming to assess the health system holistically (...) care) is included with 8 new indicators, covering prenatal, childbirth and postpartum care. ? The domain on long-term care for the elderly has been elaborated with 6 new indicators and now covers acute care for the elderly as well (e.g. medication prescription in and outside residential facilities for the elderly). ? Most of the health status indicators have been moved to a dedicated report, the Health Status Report, published by Sciensano; the health promotion and lifestyles section has been

2019 Belgian Health Care Knowledge Centre

54. Women and women with children residential rehabilitation best practice

. Although the reflective functioning levels in the mothers at four months postpartum was low, it was an improvement from the very low levels seen during pregnancy. It was also noted that very low levels of reflective functioning postpartum was seen more readily in the mothers who relapsed or later had their children removed and placed in foster care. The authors felt that these were positive and useful findings, but also acknowledged that participant numbers were low, there was no control group

2018 Sax Institute Evidence Check

55. Review of effective strategies to promote breastfeeding

. 25 A 2013 rapid evidence review commissioned by WHO’s Western Pacific Regional Office (WPRO) found exposure to advertising to be similar before and after self-regulations were implemented. 26 Media and advertising influence socio-cultural norms, which shape IYCF decision-making, and such marketing is known to be well resourced by manufacturers and distributers of commercial IYC food products. Studies show that both social and commercial marketing interventions can influence IYCF practices, though (...) in breastfeeding. Tsai 227 investigated the change in, and correlates of, breastfeeding practices in Taiwan after delivery at a hospital and at one, three, and six months postpartum among first-time mothers. Early initiation of breastfeeding, rooming-in practice and self-efficacy were significantly related to exclusive breastfeeding during the hospital stay. After discharge, health literacy, knowledge, intention and self-efficacy were positively and significantly associated with breastfeeding exclusivity

2018 Sax Institute Evidence Check

56. Accountable care organisations

in the first three performance years ( 2% and 13% reporting losses of >2%. Higher expenditure benchmarks were weakly associated with savings in US Medicare programs. However, overall there were few clear predictors of what types of ACOs were making savings, which is possibly indicative of the early stages of implementation of these models in most settings. • Quality: Quality of care outcomes focused on hospital admissions/re-admissions, unnecessary emergency department visits, outpatient clinic services (...) reported outcomes on quality of care (Figure 3). Outcomes included hospital admissions/ readmissions, unnecessary emergency department visits, outpatient clinic services, processes of care, patient adherence rates to treatment plans, disease management and lowering mortality rates (Table 2.) Only nine models reported on mortality outcomes, with six reporting reductions in mortality rates or improvements in life expectancy and three reporting no difference. Five of these models had a matched control

2018 Sax Institute Evidence Check

57. Medical management of abortion

placed high importance on preventing a pregnancy in the next six months (67,70). Resources In regard to resource requirements and cost-effectiveness, there was no direct research evidence that explored these domains. The cost of the IUD and implant versus pills and injections in various country contexts could not be determined. While there may be increased upfront costs of the IUD and implant, related to the cost of the devices, provider training and additional placement and removal visits, costs may (...) reported by women in the immediate-start group based on fewer visits made to the health-care provider compared with the delayed-start group (70). Immediate initiators of implants had higher attendance at follow-up appointments (69,71). For the IUD studies, similar considerations were taken into account. None of the included studies specifically addressed acceptability of the service to women. However, timing of insertion can be used as a proxy indicator for acceptability; more women had the IUD placed

2019 World Health Organisation Guidelines

58. Updated recommendations on first-line and second-line antiretroviral regimens and post-exposure prophylaxis and recommendations on early infant diagnosis of HIV

), Smiljka de Lussigny (Unitaid), Shaffiq Essajee (UNICEF), Ade Fakoya (Global Fund to Fight AIDS, Tuberculosis and Malaria, Switzerland), Peter Godfrey-Faussett (UNAIDS), Christine Malati (United States Agency for International Development), Elliot Riazes (United States Centers for Disease Control and Prevention, USA), Jilian Sacks (Clinton Health Access Initiative), and George Siberry (Office of the United States Global AIDS Coordinator, USA). Systematic review team Laura Broyles, Debi Boeras, Robert (...) ), Kogie Naidoo (CAPRISA, South Africa), Eyerusalem Negussie (Ministry of Health, Ethiopia), Cédric Nininahazwe (Global Network of Young People Living with HIV, Netherlands), Sylvia Ojoo (Institute of Human Virology of the University of Maryland, Kenya), Andrew Prendergast (Queen Mary, University of London, United Kingdom and Zvitambo Institute, Zimbabwe), Elliot Riazes (United States Centers for Disease Control and Prevention, USA), Nathan Shaffer (independent consultant), George Siberry (Office

2019 World Health Organisation HIV Guidelines

59. 2019 Canadian Guideline for Physical Activity throughout Pregnancy

and postpartum women). The development of this guideline followed the Appraisal of Guidelines for Research Evaluation (AGREE) II instrument. Benefits, harms, and costs The benefits of prenatal physical activity are moderate, and no harms were identified; therefore, the difference between desirable and undesirable consequences (net benefit) is expected to be moderate. The majority of stakeholders and end-users indicated that following these recommendations would be feasible, acceptable, and equitable (...) : • Alberta Health Services – Healthy Families and Children • Canadian Academy of Sports Medicine • Canadian Association of Midwives • College of Family Physicians of Canada • Directorate for Chief Medical Officer and Chief Scientist Office of Scotland • Exercise is Medicine Canada • Ontario Public Health Association • ParticipACTION • Perinatal Services BC • Sociedad Espanola de Ginecologia y Obstetricia (The Spanish Society of Gynecology and Obstetrics) This article is being co-published in the British

2018 Society of Obstetricians and Gynaecologists of Canada

60. Heart Disease and Stroke Statistics

. Circulation. 2019;139:e56–e528. doi: 10.1161/CIR.0000000000000659. The expert peer review of AHA-commissioned documents (eg, scientific statements, clinical practice guidelines, systematic reviews) is conducted by the AHA Office of Science Operations. For more on AHA statements and guidelines development, visit . Select the “Guidelines & Statements” drop-down menu, then click “Publication Development.” Permissions: Multiple copies, modification, alteration, enhancement, and/or distribution (...) they use them, the cost of these services, and how the costs are paid NHANES—disease and risk factor prevalence and nutrition statistics NHIS—disease and risk factor prevalence NAMCS—physician office visits National Home and Hospice Care Survey—staff, services, and patients of home health and hospice agencies NHAMCS—hospital outpatient and ED visits NIS of the Agency for Healthcare Research and Quality—hospital inpatient discharges, procedures, and charges United States Renal Data System—kidney disease

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2019 American Heart Association

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