Spontaneous bladder rupture is usually due to bladder diseases. Bladder rupture during labor or postpartum is extremely rare. Acute abdomen is the usual presentation of spontaneous bladder rupture. Patients may complain of suprapubic pain, anuria and hematuria. Some patients with intraperitoneal bladder rupture may have no abdominal pain and can pass urine without any symptoms so the diagnosis ...

Objective Due to the importance of postpartum maternal health and the effect of pregnancy on the increase of recti diastasis rectus abdominis (DRA), this study aimed to compare the effect of eight weeks of core and Kegel exercise with emphasis on correcting the respiratory pattern on DRA in multiparous women. Methods This is a semi-experimental study that was conducted on 45 pregnant women w...

OBJECTIVE Breast pumping or hand expression may be recommended when newborns latch or suck poorly. A recent trial found worse outcomes among mothers who used a breast pump in the early postpartum period. The objective of this study was to compare bilateral electric breast pumping to hand expression among mothers of healthy term infants feeding poorly at 12-36 h after birth. DESIGN Randomised ...

The algodystrophy is a regional pain syndrome, characterized by complex neurovascular abnormalities. Pregnancy appears through mechanical factors promote dystrophy of the lower limbs. We report the case of a 31 year old woman, primipara, who presented in the third quarter of pregnancy (35 weeks gestation) mechanical right groin pain with functional impairment. She has consulted in postpartum (4...

ABSTRACT Mediastinal masses can be challenging to the surgical team and anesthetic considerations vary according location, pathology, approach, patient comorbidities. We report case of a 21 cm symptomatic intrathoracic teratoma in postpartum with history poliomyelitis. Significant challenges were presented for induction, potential extracorporeal membrane oxygenation, use neuraxial pain techniqu...

To evaluate the ability of EQ-5D-5L instrument to detect variations in HRQoL across different stages pregnancy and postpartum period. In a national cross-sectional study, we collected EQ-VAS measures from 1,181 pregnant 741 individuals (EQ Fast Track Funding #260-2020RA). We derived gestational age at time survey months since delivery (for participants), using information on last menstrual peri...

The routine use of the supine position during the second stage of labor can be considered to be an intervention in the natural course of labor. This study aimed to establish whether the continuation of this intervention is justified. Nine randomized controlled trials and one cohort study were included. A meta-analysis indicated a higher rate of instrumental deliveries and episiotomies in the su...

To quantify the extent to which a standardized pain management order set reduced racial/ethnic inequities in post-Cesarean evaluation and treatment. A follow-up retrospective cohort study comparing previously reported (baseline period: 07/01/14–06/30/16) data after implementation of (03/01/17–02/28/18). Medical records were queried for number assessments; scores> 7; scheduled non-opiate doses, ...

BACKGROUND Childbirth fear is linked with lower labor pain tolerance and worse postpartum adjustment. Empirically validated childbirth preparation options are lacking for pregnant women facing this problem. Mindfulness approaches, now widely disseminated, can alleviate symptoms of both chronic and acute pain and improve psychological adjustment, suggesting potential benefit when applied to chil...

OBJECTIVE To examine if insomnia before and after childbirth predicts the development of postpartum bodily pain. METHODS This study is part of a longitudinal cohort study, the Akershus Birth Cohort Study, which targeted all women giving birth at Akershus University Hospital in Norway. The current sample is comprised of 1480 women who participated at all three time points, yielding a participa...