Effect of Otaria’s Postpartum Gymnastic Model and Caregiver Support on Decreasing of Uterine Fundus Height in Postpartum Mothers | Chapter 7 | Disease and Health Research: New Insights Vol. 8

The cause of maternal death in Indonesia is still dominated by bleeding, hypertension followed by infection, prolonged labor, and abortion. One of the causes of the bleeding is uterine atony. Postpartum gymnastics is one of the efforts to restore the postpartum mother’s womb. Therefore, developing postpartum gymnastics for an effective gymnastic model is still needed. This study aimed to assess the effectiveness of the Otaria postpartum gymnastic model and caregiver assistance in reducing maternal uterine fundal height, using a matching pretest-posttest with the control group involving 160 postpartum mothers. The intervention group was treated with Otaria’s postpartum gymnastic model from the 1st to the 10th day. The control group was treated with early mobilization. The final results based on the General Linear Model-Repeated Measures (GLM-RM) for the difference () between uterine height in the intervention group and the control group showed that a very significant difference occurred on the 6th day to the 7th day postpartum with a difference of 1.65 cm (p<0.05). Exercises targeting specific muscles can enhance blood flow, increasing the transport of oxygen and other nutrients to the muscles, ultimately maximizing strength. In conclusion, implementing Otaria’s postpartum gymnastic model alongside caregiver assistance may facilitate the return of the uterine height to its normal state by the seventh day postpartum.

 

Author (s) Details

Emy Rianti
Department of Nursing, Health Polytechnic of Jakarta I, Indonesia.

 

Please see the book here:- https://doi.org/10.9734/bpi/dhrni/v8/2255

Advancements in the Treatment of Perinatal Mental Illness: Innovative and Promising Approaches | Chapter 14 | Medical Science: Recent Advances and Applications Vol. 2

Background and Objective: Around the world, pregnant and postpartum women are susceptible to perinatal mental illnesses, such as depression, anxiety, and posttraumatic stress disorder (PTSD). Excessive stress, violence, trauma, and lack of support are common causes. Psychotherapy and antidepressants are the standard treatment for depression during pregnancy or postpartum. However, several new treatments for depression represent major advances and paradigm changes. This commentary highlights some innovative treatment options that are on the horizon. Most of these modalities are promising, and most are non-invasive. Many of these modalities have been used in the general population, where evidence supports their use. The methods have only recently been used for pregnant and postpartum women. Other modalities are specifically for perinatal women but do not have an established track record yet.

 

Methods: This commentary describes some promising approaches to treatment while acknowledging that the literature is preliminary. The goal is to highlight some interesting approaches drawn from a recent comprehensive review of the entire literature on treatment for perinatal mental illness period.

 

Results: Integrative treatments include vitamin D, infant massage, mindfulness-based cognitive therapy, acupuncture, and repetitive transcranial magnetic stimulation (rTMS). Infant massage has been an effective intervention for preterm infants for decades but also helps with maternal mental health. Additionally, ensuring that new mothers are not deficient in vitamin D can reduce the likelihood of depressive symptoms in new mothers likely because correcting the deficiency reduces systemic inflammation. Acupuncture lowered depressive symptoms, made marginal improvements in the brain including changing in gray matter volume, and significantly enhanced resting-state values. Many studies in the general population have found that these integrative treatments are effective, and they also show promise for perinatal women without side effects associated with medications. Some of these treatments can also be adjuncts to what is considered standard care.

 

Integrative treatments three newer medications, brexanolone, zuranolone, and esketamine, quickly and effectively treat severe depression and suicidal ideations. They work on GABA-A and glutamate receptors rather than serotonin or norepinephrine. This represents a shift in depression treatment models.  These medications become less effective after 30 days but can be combined with selective serotonin reuptake inhibitors (SSRIs).

 

Conclusions: Pregnant and postpartum women seeking care for depression and other mental health conditions have many options beyond psychotherapy and SSRI/SNRI antidepressants. These modalities can also be added to their care.

 

Author (s) Details

Kathleen Kendall-Tacket
Texas Tech University Health Sciences Center, Amarillo, TX 79106, USA.

 

Please see the book here:- https://doi.org/10.9734/bpi/msraa/v2/5175

Postpartum Ovarian Activity and Sexual Behavior in Swamp Buffalo (Bubalus bubalis) | Chapter 1 | Advanced Research in Biological Science Vol. 6

Postpartum follicular project and sexual behavior were evaluated in tropical environments among swamp buffaloes (Bubalus bubalis). Sixteen multiparous swamp buffaloes, aged 4-12 age (weighing between 432-676 kg), were noticed starting from 5-29 days after create. Ovarian follicular activity was regularly monitored using a evident-time B-mode uninterrupted array ultrasound scanner (Aloka SSD-500, Tokyo, Japan) outfitted with a 7.5 MHz transrectal transducer. Estrous discovery involved personal attention, video recording, and amount of vaginal discharge. Uterine involution averaged 28.74+1.21 days (mean + SEM, range 22-41 d, n=16). Before the first ovulation, follicular activity attended a wave-like pattern. There were no meaningful differences in follicular growth rates and maximum blood vessel diameter in the second, third, and one of four equal parts postpartum cycles, whereas the first ovulation's follicular tumor was notably lower (p<0.05). Short ovarian phases were observed in 93.3% of buffaloes between the first and second ovulation (10.14+40 d) and in 50.0% betwixt the second and third ovulation (12.00+1.53 d). However, individual buffalo experienced a more interminable estrus cycle unending 27 days. Behavioral indicators of estrus following the first postpartum ovulation were less obvious compared to subsequent ovulations. For optimum reproductive efficiency, swamp buffaloes bear ideally come from between 1 to 2 months postpartum during the second ovulation.

Author(s) Details:

M. Yindee,
Akkhraratchakumari Veterinary College, Walailak University, Thailand.

M. Techakumphu,
Department of Obstetrics, Gynecology and Reproduction, Faculty of Veterinary Science, Chulalongkorn University, Thailand.

C. Lohachit,
Department of Obstetrics, Gynecology and Reproduction, Faculty of Veterinary Science, Chulalongkorn University, Thailand.

S. Sirivaidyapong,
Department of Obstetrics, Gynecology and Reproduction, Faculty of Veterinary Science, Chulalongkorn University, Thailand.

A. Na-Chiangmai,
Department of Livestock Development, Buffalo Research and Development Group, Thailand.

B. Colenbrander,
Department of Farm Animal Health, Utrecht University, Netherlands.

Please see the link here: https://stm.bookpi.org/ARBS-V6/article/view/12797

A Comparison of Manual and Instrumental Postpartum Intrauterine Contraceptive Devices | Chapter 15 | Research Developments in Medicine and Medical Science Vol. 6

 The basic goal of this stage was to compare two together methods of intracaeserean insert of postpartum intrauterine contraceptive device, manual vs. influential, as well as to investigate the influence, safety, and continuation rate of intracaeserean Postpartum intrauterine condom device (PPIUCD) as a hormone method. The study included 100 matters who were undergoing Lower piece Cesarian section (LSCS). In Group-A (N=50) Cu-T 380A was inserted manually and camp-B (N=50) it was inserted accompanying PPIUCD forceps. All subjects were listened for three months, either clinically or by phone. Both groups' complaints, reactions, complications, and findings were distinguished and analyzed. The memory rate after the follow-up ending was 94% in Group A and 92% in Group B.  There was singular case, (2%) of expulsion in Group-B. 3 (6%) matters in Group-A and 3(6%) of the cases in Group-B got PPIUCD distant for various reasons. There were no infections, perforations, or pill failures. Intracaeserean PPIUCD is an effective method of postpartum contraception, and two together methods (manual and instrumental) are evenly effective with few aftereffects and complications, as well as extreme client reputation.

Author(s) Details:

N. Chakheni,
Department of Obstetrics and Gynecology, Government Medical College, Patiala, Punjab, India.

Parneet Kaur,
Department of Obstetrics and Gynecology, Government Medical College, Patiala, Punjab, India.

Khushpreet Kaur,
Department of Obstetrics and Gynecology, Government Medical College, Patiala, Punjab, India.

Beant Singh,
Department of Obstetrics and Gynecology, Government Medical College, Patiala, Punjab, India.

Manjit K. Mohi,
Department of Obstetrics and Gynecology, Government Medical College, Patiala, Punjab, India.

Please see the link here: https://stm.bookpi.org/RDMMS-V6/article/view/10034

A Case Report of Spontaneous Pneumomediastinum after Vaginal Delivery: Hamman’s Syndrome | Chapter 13 | Recent Developments in Medicine and Medical Research Vol. 5

 Contraception is a basic human right since it has an impact on society's lifestyle, health, and well-being, as well as the environment. Despite substantial advancements in contraception alternatives for women, the only contraceptive techniques accessible for males are vasectomy and condoms. However, many men currently prefer to share equal responsibility for family planning with their partners. Over the last few decades, numerous trials have been conducted in the hopes of developing a safe, effective, and reversible male contraceptive. For the development of male contraceptives, many hormonal and non-hormonal techniques have been used. The hormonal method focuses on suppressing gonadotropins and, as a result, spermatogenesis. Most males were successfully contracepted using this method, but not all. Various efforts are also being made to reduce side effects and improve till full efficacy is achieved. Non-hormonal treatment can target sperm production, maturation, and function. Non-hormonal drugs have been identified and examined in animal models; however, this method is still in the early stages of development. This study attempts to provide a detailed overview of existing and prospective male contraceptive approaches. Men's circumstances may alter as a result of these efforts, and in the not-too-distant future, men will be able to select the optimal contraceptive for their needs.

Author (S) Details

Marco Gentile

Obstetrics and Gynecology Unit, Surgical Department, ULSS 9 'Scaligera', Verona, Italy.

Mariaconcetta Zinna

Obstetrics and Gynecology Unit, Surgical Department, ULSS 9 'Scaligera', Verona, Italy.

Antonio Costanza

Obstetrics and Gynecology Unit, Surgical Department, ULSS 9 'Scaligera', Verona, Italy.

Andrea Remo

Pathology Unit, Service Department, ULSS9 “Scaligera”, Verona, Italy.

Giuseppe Sala

Radiology Unit, Service Department, ULSS9 “Scaligera”, Verona, Italy.

Pietro Catapano

Obstetrics and Gynecology Unit, Surgical Department, ULSS 9 'Scaligera', Verona, Italy.

View Book :- https://stm.bookpi.org/RDMMR-V5/article/view/4208