No abstract available.
Cardiomyopathies* ; Peripartum Period*

No abstract available.
Cardiomyopathies* ; Peripartum Period*

No abstract available.
Cardiomyopathies* ; Peripartum Period*

Peripartum cardiomyopathy is relatively uncommon form of heart failure that occurs from one month before, to 5 months after delivery. The causes of this disease are unknown and mortality rate may be as high as 20-50%. We recently experienced one case of this disease and summarized here with brief review of literatures.
Cardiomyopathies* ; Heart Failure ; Mortality ; Peripartum Period*

We report a case with an intractable jugular sense of discomfort, with dryness and nonproductive cough successfully treated with soshikokito. A 62-year-old Japanese man developed jugular sense of discomfort with dryness and nonproductive cough, after odontotherapy in October. Although he was treated with Western drugs by an otolaryngologist, under the diagnosis of xerostomia with no mechanical problems, his symptoms did not disappear. The symptoms followed a protracted course, and he further developed a loss of appetite. At the time of first visit in October, otorhinolaryngological studies showed no structural lesions or problems, with the exception of minimum salivation in the normal range on a gum test. There was no evidence of dry eyes. With the diagnosis of xerostomia, Bakumondoto-go-hangekobokuto was administered for a month but showed no sign of improvement. Making a shift to bukuryoin-go-hangekobokuto regained his appetite, but did not produce any improvement on dryness. We then utilized soshikokito under the interpretation that both dryness and nonproductive cough is ki-gyaku. The soshikokito therapy reduced his dryness in a month's time. Additionally, his nonproductive cough gradually decreased, and within 11 months after, he had no symptoms, regardless of a gradual medication withdrawal.
Coughing ; symptoms <1> ; seconds ; month ; Peripartum discomfort

Human lactation is a dynamic physiological process that produces a complex biological fluid that provides nutritive and nonnutritive factors for an optimal child growth and well-being. Several factors play a formidable role in maternal breast milk production with respect to quality, and quantity, which will adequately sustain the child for at least the first 6 months after delivery. Evidence has shown majority of new mothers who wished to immediately commence exclusive breastfeeding after birth as recommended by the WHO, are unable to initiate lactation immediately. In view of this lactation insufficiency, health-care personnel have not only been campaigning on appropriate breastfeeding education but also offer early lactation support such as encouraging liberal fluid intake, dietary modifications, and in a worst-case scenario, administering agents/drugs such as galactogogue. Orthodox galactogogues in current use are either hormonal or antipsychotics; most of them have relative efficacy and safety limitations. Risperidone is an atypical antipsychotic which has been used for decades with established safety in lactating mothers and the highest propensity to induce galactorrhea as a secondary effect when compared to other antipsychotics that are currently being used as galactogogues. We call the attention of the medical community in conducting further researches on its possible adoption as a galactogogue, using this review as an insight.
Galactogogues ; lactation ; Low Breast Milk ; peripartum ; risperidone

Peripartum cardiomyopathy is defined as a syndrome of cardiac failure occurring in tbe latter part of pregnancy or in the puerperium, without obvious cause and without prior evidence of heart disease. Despite its infrequency, this clinical problem may have devastating consequences upon maternal and fetal outcome. It is important to recognize the association of cardiac failure and pregnancy as a separate syndrome so that, once identified, peripartum cardiomyopathy can be treated promptly and aggressively. We experienced two cases of peripartum cardiomyopathy, and report these cases with a brief review of the literatures.
Cardiomyopathies* ; Heart Diseases ; Heart Failure ; Peripartum Period* ; Postpartum Period ; Pregnancy

Peripartum pubic symphysis separation is a recognized complication of delivery with incidence ranging 1:300 to 1:30,0002,4-6. The underlying etiology of symptomatic symphyseal separation has not fully elucidated. Diagnosis is mostly based on clinical findings. Complete recovery was made only by analgesics and physical therapy. The occurrence of symphyseal separation does not necessitate an alteration in the management of subsequent pregnancy7. We have experienced a case of disruption of symphysis pubis during labor supposed to be caused by too rapid labor course. Details regarding this case and a review of the literature are presented.
Analgesics ; Diagnosis ; Incidence ; Peripartum Period ; Pregnancy ; Pubic Symphysis

Introduction: Peripartum hysterectomy refers to hysterectomy that is performed for complications of vaginal delivery or during caesarean section. A common reason for peripartum hysterectomy is post partum haemorrhage (PPH). The aim of this study is to assess the incidence, indications and risk factors for emergency peripartum hysterectomy carried out at RIPAS hospital over an 11-year period. Materials and Methods: Patients who had undergone emergency peripartum hysterectomy over this 11-year (1999-2009) period were identified from the operation registry and the medical records were retrospectively reviewed. Data on maternal age, parity, gestational age, indication for peripartum hysterectomy, the type of operation performed and estimated blood loss were collected.Results: During the study period, there were a total of 59,974 deliveries (83.8% vaginal deliveries and 16.2% caesarean section deliveries) and 6,530 emergency obstetric surgeries. There were a total of 33 emergency peripartum hysterectomies performed accounting for 0.5% of all emergency obstetric surgeries performed. This translated to an overall incidence rate of 5.5 peripartum hysterectomies per 10,000 deliveries: 1.2 per 10,000 vaginal deliveries (n=6) and 27.9 per 10,000 caesarean sections deliveries (n=27). All peripartum hysterectomies were performed for massive PPH. The most common underlying pathology was placenta praevia (57.57%)followed by uterine atony. The risk for peripartum hysterectomy was high if placenta praevia was associated with previous scarred uterus as there is more chance of accreta. Conclusion: Our peripartum hysterectomy rate is comparable to what has been reported in the literature. The rate was higher for caesarean section deliveries. All peripartum hysterectomies were performed for PPH.
Hysterectomy ; Placenta Previa ; Postpartum Haemorrhage ; Peripartum Complications ; Uterine Atony

No abstract available.
Cardiomyopathies ; Cesarean Section ; Emergencies ; Female ; Peripartum Period ; Pregnancy