Opioid dependence is an epidemic in the United States, and the percentage of pregnant women who are opioid dependent has increased dramatically in the last decade. Pain management, already a concern for intrapartum and postpartum care, is complicated in the context of opioid dependence. This clinical review surveys the literature on pain management in opioid-dependent pregnant women to summariz...

The perineal rupture that occurs during labor can affect sexuality in postpartum mothers. About 80% of women experience pain intercourse, lack vaginal lubrication, and loss libido the first 3 months postpartum. need for is often concern mother family, so it necessary to carry out discussions pregnancy based on culture beliefs family. purpose this study was explore mothers at Bancak Health Cente...

To cite: Barros NA, Torrão MM, Ferreira M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016216292 DESCRIPTION Both pregnancy and the postpartum period are times characterised by hypercoagulability. One rare postpartum venous thromboembolic condition is ovarian vein thrombosis, occurring in 0.05–0.2% of all pregnancies. The right side is mostly affected,...

Outcomes assessed in the review Studies that assessed relevant postpartum and longer term outcomes were eligible for inclusion. Postpartum outcomes included pain, need for suturing, blood loss or transfusion, infection, wound breakdown, satisfaction with birth experience, incontinence and sexual concerns and/or dysfunction. Longer term outcomes included pelvic floor defects, incontinence and de...

BACKGROUND The Pelvic Girdle Questionnaire is the only instrument designed to assess pain and disability specifically in pregnant or postpartum women with pelvic girdle pain. The objective of this study was the adaptation to the Spanish language and analysis of the psychometric properties of the Pelvic Girdle Questionnaire. METHODS This is a descriptive cross-sectional study divided into two ...

BACKGROUND Ovarian vein thrombosis (OVT) is a rare but potentially serious postpartum complication, which occurs in 0.05% to 0.18% of pregnancies and is diagnosed on the right side in 80% to 90% of the cases. CASE REPORT A 32-year-old woman presented at 15 days postpartum to our emergency department with severe abdominal pain, fever, and abdominal distension. Abdominal examination revealed ri...

Background. Puerperal diastasis of the pubic symphysis is a rare intrapartum complication. This report presents the case of a woman who experienced synchronous pubic symphysis and sacroiliac joint separations induced by vaginal delivery. Case. A 32-year-old woman (gravida 2, parity 2) with an uncomplicated prenatal course developed acute-onset anterior pubic pain during vaginal delivery. The pa...

BACKGROUND Stress fractures are classified as insufficiency and fatigue fractures. Insufficiency fractures occur when normal stresses are placed on bone with decreased mineralization and elastic resistance; whereas fatigue fractures occur when abnormal forces are applied to normal bone. CASE PRESENTATION We report a case of postpartum bilateral sacral fracture in the absence of documented ost...

This prospective study investigated how pain catastrophizing was related to labor pain intensity and physical recovery after childbirth. Eighty-eight women giving birth for the first time completed the first questionnaire before delivery. Eighty-two of those returned the second questionnaire after delivery. Participants were classified as catastrophizers (n=38) or non-catastrophizers (n=44) bas...