Browsing by Subject "Postpartum Period"
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Item Changes in the plasma activities of protein C and protein S during pregnancy(2000) Oruç S.; Saruç M.; Koyuncu F.M.; Özdemir E.The objective of the study was to determine the changes in the plasma activities of protein C and protein S that occur during normal pregnancy. In this prospective cross-sectional study, plasma activities of protein C and protein S were measured in 32 normal pregnant women in the first, second and third trimester and 6 weeks after delivery. There was a significant fall in protein C and protein S activities during normal pregnancy compared with the post-puerperal period. The activities of protein C and protein S also gradually decreased throughout pregnancy (p < 0.01). Increasing plasma volume during normal pregnancy and its dilutional effect might play some role in the low activities of protein S observed. The normal falls in protein S and protein C activities make it difficult to diagnose protein S and C deficiency during pregnancy. Based on our findings, if a woman has a thromboembolic event during pregnancy, testing for a definitive diagnosis of protein C or protein S deficiency or functional failure should be delayed until at least 6 weeks postpartum.Item Transient postpartum diabetes insipidus associated with HELLP syndrome(2006) Ellidokuz E.; Uslan I.; Demir S.; Cevrioglu S.; Tufan G.Diabetes insipidus in pregnancy has different causes. The association of diabetes insipidus with disturbances of liver function has been reported, however, diabetes insipidus has rarely been reported in HELLP syndrome. We present a 23-year-old primigravida with a singleton gestation complicated by HELLP syndrome who developed postpartum diabetes insipidus. Labor was induced promptly to terminate pregnancy because of intrauterine fetal death and liver dysfunction. 1-deamino-8-D-arginine-vasopressin was administered. Diabetes insipidus and liver dysfunction resolved within 2 weeks. Development of diabetes insipidus may result from increased vasopressinase activity mainly caused by deterioration of liver functions caused by HELLP syndrome. In pregnant women with liver disease as a result of any cause, the development of diabetes insipidus should be assessed with particular attention. © 2006 The Authors.Item Breast-feeding knowledge and practices among mothers in Manisa, Turkey(2009) Yanikkerem E.; Tuncer R.; Yilmaz K.; Aslan M.; Karadeniz G.Objective: to determine breast-feeding knowledge and practices among mothers before and after an educational intervention on breast feeding. Design: cross-sectional, descriptive study using a face-to-face questionnaire. Setting: Manisa Maternity and Children's Hospital, which has Baby Friendly status. Participants: 158 women in the early postpartum period. Measurements and findings: 10.8% of women were not aware that they should offer colostrum to their babies. Only 43.7% of women commenced breast feeding within the first 30 minutes of giving birth. Prior to receiving the educational intervention, 55.7% of mothers knew how often they should feed their baby, 48.7% knew that they should breast feed their baby for two years together with additional food, although 55.1% of women did not know how to hold their breast during a feed. The mean pre-test score was 9.9 (SD 2.4; range 3-13), and the mean post-test score was 12.6 (SD 0.8; range 9-13). The difference between the mean pre- and post-test scores was statistically significant (paired t=15.3, df=157, P<0.001). Conclusion and implications for practice: given the integral role of breast feeding in improving overall community health, regular breast-feeding counselling should be offered, particularly during the pregnancy and early postpartum period. © 2007 Elsevier Ltd. All rights reserved.Item Posterior reversible encephalopathy syndrome: An atypical complication of postpartum wound infection(Informa Healthcare, 2015) Pala H.G.; Baris M.M.; Artunc Ulkumen B.; Gurkan M.A.; Pala E.E.[No abstract available]Item Adiponectin levels in gestational diabetes mellitus and in pregnant women without glucose intolerance(Wroclaw University of Medicine, 2015) Pala H.G.; Ozalp Y.; Yener A.S.; Gerceklioglu G.; Uysal S.; Onvural A.Objectives: The aim of the study was to determine serum adiponectin levels among patients with gestational diabetes mellitus (GDM) and normal pregnant women without glucose intolerance, and to investigate the relationship between these levels and clinical factors at the time of the diagnosis, at delivery and in the post-partum period. Material and Methods: The subjects' serum adiponectin concentration was measured using the enzyme-linked immunosorbent assay (ELISA) method at 24th-28th week of gestation, at delivery (in maternal circulation and the umbilical cord) and 24 h after delivery. The relationship between these groups' measurements and other established clinical-laboratory factors were investigated. Results: Serum adiponectin concentrations were significantly lower (p = 0.02) in GDM patients compared with patients with normal glucose tolerance at 24th-28th week of gestation. During delivery, maternal serum adiponectin concentrations were significantly lower (p = 0.03) in GDM patients compared with patients with normal glucose tolerance. In the post-partum period, serum adiponectin concentrations were significantly higher (p = 0.009) in GDM patients compared with patients with normal glucose tolerance. Umbilical cord adiponectin concentrations were significantly lower (p = 0.005) in GDM patients compared with patients with normal glucose tolerance. Conclusions: Adiponectin concentrations in GDM patients' circulation were regulated by changes in glucose and insulin metabolism. A reduction in serum adiponectin levels seems to play a role in GDM patients' insulin resistance. © Copyright by Wroclaw Medical University.Item Evaluation of the gingival inflammation in pregnancy and postpartum via 25-hydroxy-vitamin D3, prostaglandin E2 and TNF-α levels in saliva(Elsevier Ltd, 2016) Gümüş P.; Öztürk V.Ö.; Bozkurt E.; Emingil G.Background Physiological changes and immunological modifications occur during pregnancy. The clinical and biological features of periodontal infections are affected by pregnancy. The aim of the present study was to evaluate saliva levels of 25-hydroxy-vitamin D3 (25(OH)D3), prostaglandin E2 (PGE2) and TNF-alpha (TNF-α) in pregnancy, postpartum and non-pregnant controls. Methods Whole saliva samples together with full-mouth clinical periodontal recordings were obtained from 59 pregnant, 47 post partum and 70 systemically healthy non-pregnant women. Groups were also evaluated according to the periodontal health status. 25(OH)D3, PGE2 and TNF-α levels in the saliva samples were determined by enzyme-linked immunoassays. Data were statistically tested by nonparametrical tests. Results Saliva TNF-α and PGE2 levels were significantly lower and 25(OH)D3 levels were significantly higher in the pregnant group than postpartum group (p < 0.0001). Saliva TNF-α and 25(OH)D3 levels were significantly higher and PGE2 levels were significantly lower in the control group than postpartum group (p < 0.0001). In the pregnant healthy, gingivitis and periodontitis groups saliva TNF-α levels were significantly lower than postpartum and control counterparts (p < 0.0001, p = 0.032, p = 0.003 and p = 0.013; p = 0.027; p = 0.007, respectively). In control healthy, gingivitis and periodontitis groups saliva 25(OH)D3 levels were significantly higher than the postpartum counterparts (p < 0.0001, p < 0.0001, p = 0.002, respectively). In the control healthy and gingivitis groups saliva 25(OH)D3 levels were significantly higher than pregnant healthy and gingivitis (p < 0.0001). Conclusions In conclusion, within the limits of the present study it seems that pregnancy have an effect on parameters in saliva in relation to the periodontal status of the women. Further studies are required for better understanding of the impact of periodontal diseases on pregnancy or otherwise. © 2015 Elsevier Ltd. All rights reserved.Item Factors affecting readiness for discharge and perceived social support after childbirth(Blackwell Publishing Ltd, 2018) Yanıkkerem E.; Esmeray N.; Karakuş A.; Üstgörül S.; Baydar Ö.; Göker A.Aims and objectives: To evaluate the factors affecting readiness for discharge and perceived social support after childbirth. Background: Many women still die during and following pregnancy and childbirth. Both early and late discharges are conflicting issues in the world. Evaluation of the readiness for discharge in terms of patient safety, satisfaction, physical, emotional, psychological and social aspects is important. Design: Descriptive and cross-sectional study. Methods: The study was carried out with 610 women in the early postpartum period at two hospitals in Turkey between October 2014–March 2015 using Readiness for Hospital Discharge Scale–New Mother Form and Multidimensional Scale of perceived social support. Results: The mean scores for Readiness for Hospital Discharge Scale–New Mother Form and Multidimensional Scale of perceived social support were found as 163.5 (SD: 34.1) and 64.2 (SD: 18.8), respectively. Women who were discharged from Merkezefendi Hospital, women who had one child or one pregnancy and women or baby who experienced complication during or after birth had lower scores on Readiness for Hospital Discharge Scale–New Mother Form. Women who received information about the postpartum period had significantly higher scores on the total Readiness for Hospital Discharge Scale–New Mother Form than women did not (165.5 ± 33.8 vs 151.1 ± 36.1). Personal status, knowledge and total score of the Readiness for Hospital Discharge Scale–New Mother Form were significantly higher in women who were ready for discharge. Conclusions: Findings provide vital information that can inform nursing clinical practice, especially related to readiness for discharge protocols and developing strategies for women, who had low sociodemographic backgrounds, did not have any information about postpartum period and were not ready for discharge. Relevance to Clinical Practice: The mother and family face with postpartum difficulties on their own when early discharge takes place. Providing postpartum care services plays an important role for maternal–child health. © 2017 John Wiley & Sons LtdItem The effect of postpartum period back massage on serum ghrelin, leptin, adiponectin and visfatin levels(Churchill Livingstone, 2021) Goker A.; Kosova F.; Koken Durgun S.; Demirtas Z.In addition to the initiation and continuity of lactation, hormones transferred from mother plasma to milk during breastfeeding are also important. The aim of this study was to determine the effect of back massage on maternal serum ghrelin, leptin, adiponectin and visfatin levels in women giving birth. A total of 60 mothers, participated in this experimental study. Massage was applied in the first 3–4 h after birth. Blood sample was taken in the postnatal routine. It was determined that the intervention group did not make a statistically significant difference in ghrelin (1.37 ± 0.7, 1.00 ± 0.2), leptin (0.76 ± 0.5, 0.70 ± 0.1), adiponectin (3.55 ± 0.8, 3.05 ± 0.5) levels compared to the control group (p > 0.05). However, visfatin (10.53 ± 2.4, 9.97 ± 2.0) levels were statistically higher than the control group (p < 0.05). Back massage was found to be beneficial in terms of increased growth factors in breast milk production and content. © 2020 Elsevier LtdItem The effect of training on women with postpartum sexual dysfunction: A randomized controlled trial(Wolters Kluwer Medknow Publications, 2023) Bolsoy N.; Sen S.; Sezer G.; Cakil M.Background: In the postpartum period, changes including pain during intercourse, lack of sexual desire, vaginal dryness, and failure to reach orgasm can affect a woman's sexual response cycle. Aim: This research aimed to determine the effect of midwifery training on postpartum sexual dysfunction among primiparous women. Subjects and Methods: This research using a single-blind randomized controlled experimental and follow-up design. The sample consisted of 70 women, divided equally into training and control groups. Research data were collected using an information form, the Female Sexual Function Index and the Arizona Sexual Experience Scale. In the first phase of our study, 306 primiparous women were interviewed. Results: The mean Female Sexual Function Index score of the women was 25.18 ± 5.47 and 40.2% reported sexual dysfunction. When comparing the training and control groups before training, the total score average of the ASEX was 10.48 ± 2.13 in the training group and 11.06 ± 3.86 in the control group. The average score in the post-Training was higher in the group given education (22.45 ± 2.17) than in the control group (17.08 ± 3.92) and this difference was significant (p = 0.000). It was determined that 42% of the change in the third follow-up scores of pregnant women in the training group could be explained by the education session they received. Conclusion: Our data showed a positive change in the sexual dysfunction scores of women, suggesting the education program was successful. © 2023 Wolters Kluwer Medknow Publications. All rights reserved.Item Evaluation of the effect of gestational diabetes mellitus on fetal cardiac functions with Myocardial Performance Index(Edizioni Minerva Medica, 2023) Alkan F.; Oncel Alanyali M.; Artunc Ulkumen B.; Coskun S.BACKGROUND: We aimed to evaluate the fetal cardiac functions with Myocardial Performance Index (MPI) in gestational diabetes mellitus (GDM). METHODS: In this study, 35 patients who were diagnosed with GDM, and 35 pregnant without glucose intolerance and their babies were evaluated. Fetal echocardiographic, biometric measurements, umbilical artery pulsatility indices (UAPI) and ductus venosus pulsatility indices (DVPI) measurements were performed to evaluate fetal well-being between the groups. RESULTS: There was no statistically significant difference between the groups in terms of UAPI, DVPI, systolic functions, the mode of delivery and 5-minute APGAR scores (P=0.849, P=0.485, P=0.770, P=0.060, P=0.587). There was statistically significant difference between the isovolumetric relaxation time and isovolumetric contraction time of groups (P=0.006, P=0.03). The MPI results were statistically different between the groups (P=0.000). Postpartum need for hospitalization was more frequently observed in GDM than the control group (P=0.014). CONCLUSIONS: MPI, which is independent of the ventricular anatomy and fetal heart rate, showing both diastolic and systolic functions, was found significantly higher in GDM. We recommend performing MPI measurement routinely to fetal cardiac functions in GDM. Copyright © 2023 Edizioni Minerva Medica.