Obstetrics and Gynecology
Sowmya Shree Thimmappa; KB Suma
Volume 8, Issue 6 , November and December 2023, , Pages 641-644
Abstract
Guillain-Barré syndrome is a rare neurological complication that presents in pregnancy and postpartum. We present a case of a 23-year-old Gravida 2 Para 1 Living 1 with 39 weeks of gestation and previous lower (uterine) segment cesarean section (LSCS) who presented with nonspecific symptoms ...
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Guillain-Barré syndrome is a rare neurological complication that presents in pregnancy and postpartum. We present a case of a 23-year-old Gravida 2 Para 1 Living 1 with 39 weeks of gestation and previous lower (uterine) segment cesarean section (LSCS) who presented with nonspecific symptoms in the antenatal period and progressed to develop symmetrical progressive ascending paralysis in the postpartum period with no antecedent history of infection. The patient was managed by a multidisciplinary team and treated with plasma exchange, with complete recovery at follow-up. We are reporting this case because of the rarity of Guillain-Barre syndrome in pregnancy and postpartum and the nonspecific initial presentation with an unexpected diagnosis in the immediate postpartum.
Obstetrics and Gynecology
Mohammad Reza Zeraati; Hojjat Torkmandi; Mohammad Abdi; Mohammad Reza Jamshidi; Alireza Safaie
Volume 8, Issue 1 , January and February 2023, , Pages 86-94
Abstract
Pyrexia and shivering are the most popular side effects of postpartum administration of misoprostol, but other side effects of this drug are very rare. A 27-year-old pregnant female patient was admitted to Ayatollah Mousavi hospital (Zanjan, Iran), complaining about severe headache and the primary diagnosis ...
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Pyrexia and shivering are the most popular side effects of postpartum administration of misoprostol, but other side effects of this drug are very rare. A 27-year-old pregnant female patient was admitted to Ayatollah Mousavi hospital (Zanjan, Iran), complaining about severe headache and the primary diagnosis of cerebral venous thrombosis. Treatment was successful after primary investigations and planed therapy for Cerebral Venous Thrombosis (CVT). Following the decision on terminating the pregnancy, five tablets of Sublingual misoprostol (200 mg) was used once evacuation of pregnancy remnants was done. About thirty minutes after the administration of misoprostol, onset of severe shivering and tachycardia (201/min) with high fever (about 41°C) and hypertension (182/123 mmHg) was observed. National Adverse Drug Reaction (ADR) form was completed. All of symptoms were alleviated 30 minutes after administration of Paracetamol 1gram (Intravenous infusion) followed by Metoprolol 50 mg (orally). According to the literature, we listed the various side effects of misoprostol. Even though the side effects of misoprostol are diverse and rare, the simultaneous occurrence of these side effects is not cited till date. These incidents are reported to the authorities as per ADR policy; nonetheless, no preventive measures are implemented. This necessitates medical educational policies to be taken into consideration to educate healthcare providers throughout their professional career as well as research.
Maryam Mehrabadi; Forough Mortazavi; Mohammad Hassan Rakhshani
Volume 4, Issue 2 , May and June 2019, , Pages 69-74
Abstract
Background & Objective: Childbirth preparation classes are planned to make the delivery more pleasant and reduce the number of cesarean sections. This study aimed to examine the effect of attending childbirth preparation classes on prepartum and postpartum maternal mental well-being.
Materials & ...
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Background & Objective: Childbirth preparation classes are planned to make the delivery more pleasant and reduce the number of cesarean sections. This study aimed to examine the effect of attending childbirth preparation classes on prepartum and postpartum maternal mental well-being.
Materials & Methods: This single-blind clinical trial was conducted in Sabzevar healthcare centers. 120 nulliparous women were selected in 2017, applying a convenience sampling method, and randomly divided into two equal groups, intervention and control. The intervention group (at 20 weeks to 38 weeks of gestation) participated in 8, 90-minute sessions of the childbirth preparation classes; however, the control group only received the routine prenatal care. Before and after the intervention and 14 days after the delivery, the maternal mental well-being questionnaire was completed by the mothers and then analyzed by the repeated-measures ANOVA.
Results: Results showed that the mean score of the intervention group’s maternal mental well-being index (73.7±1.8) was significantly higher than that of the control group (65.5±2.1) (P < /em><0.001). Moreover, the trend of changes in the scores of this index was different in the two groups and did not change in the intervention group from pretest to posttest and follow-up, while it decreased in the control group (P < /em><0.048).
Conclusion: Although maternal mental well-being reduces in the second half of pregnancy until after giving birth, attending childbirth preparation classes stabilizes prepartum and postpartum maternal mental well-being.
