Postpartum

产后
  • 文章类型: Case Reports
    SARS-CoV-2可诱导高凝状态,偶尔会由于炎症和内皮损伤而导致肺静脉血栓形成(PVT)。有记录的患有活动性COVID-19和COVID后的PVT病例很少见。我们报告了一名40岁的产后女性,在最近一次非住院的COVID-19感染后无缘无故的PVT。她出现咳嗽,右侧胸膜炎性胸痛,呼吸困难恶化.成像证实右下叶PVT有毛玻璃浸润。尽管有阴性的高凝检查,患者的产后和COVID后状态提示无缘无故的PVT。用高强度肝素滴注治疗并过渡到阿哌沙班,她显示血栓消退。该病例强调了将COVID-19视为静脉血栓栓塞的潜在危险因素的重要性,并强调了对COVID-19后患者进行警惕监测的必要性。
    SARS-CoV-2 can induce a hypercoagulable state, occasionally resulting in pulmonary venous thrombosis (PVT) due to inflammation and endothelial injury. Documented cases of PVT with active COVID-19 and post-COVID are rare. We report a 40-year-old postpartum female with unprovoked PVT following a recent nonhospitalized COVID-19 infection. She presented with cough, right pleuritic chest pain, and worsening dyspnea. Imaging confirmed right lower lobe PVT with ground glass infiltrates. Despite a negative hypercoagulable workup, the patient\'s postpartum and post-COVID status suggest an unprovoked PVT. Treated with a high-intensity heparin drip and transition to apixaban, she showed resolution of the thrombus. This case underscores the importance of considering COVID-19 as a potential risk factor for venous thromboembolism and highlights the need for vigilant monitoring in post-COVID-19 patients.
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  • 文章类型: Case Reports
    包虫病,主要由细粒棘球蚴引起,在畜牧业普遍的地区很普遍。虽然通常被认为是良性的,包虫囊肿破裂进入腹腔是一种罕见但严重的并发症,需要紧急手术干预。我们包虫肝囊肿,强调这一事件的前所未有的性质,因为它以前从未在文献中报道过。该病例强调了计算机断层扫描(CT)成像在急诊医师的诊断和多学科管理中的作用。放射科医生,麻醉师,还有外科医生.重点强调的要点包括产后包虫囊肿破裂的罕见性,CT扫描的诊断效用,以及立即手术干预的必要性。手术策略包括保守技术和术中用高渗盐溶液灌洗以防止复发。术后阿苯达唑治疗和定期随访辅助预防复发和早期发现并发症。该病例强调了产后妇女怀疑包虫囊肿破裂的重要性,其中有潜在的肝包虫囊肿和腹膜炎的特征。需要迅速识别和处理包虫病的并发症。
    Hydatid disease, caused primarily by Echinococcus granulosus, is prevalent in regions where livestock farming is common. Although typically considered benign, ruptured hydatid cysts into the abdominal cavity present a rare but severe complication requiring urgent surgical intervention. We hydatid liver cyst, emphasizing the unprecedented nature of this occurrence, as it has never been reported in the literature before. The case underscores the role of computed tomography (CT) imaging in diagnosis and multidisciplinary management involving emergency physicians, radiologists, anesthetists, and surgeons. Key points highlighted include the rarity of postpartum hydatid cyst rupture, the diagnostic utility of CT scans, and the necessity of immediate surgical intervention. Surgical strategies include conservative techniques and intraoperative lavage with hypertonic saline solution to prevent recurrence. Postoperative albendazole therapy and regular follow-up aid in preventing recurrence and early detection of complications. This case underscores the importance of suspecting ruptured hydatid cysts in postpartum women with underlying hepatic hydatid cyst and features of peritonitis, necessitating prompt recognition and management of complications in hydatid disease.
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  • 文章类型: Journal Article
    妊娠相关的骨盆带疼痛(PPGP)估计会影响20%至70%的孕妇,其中10%的孕妇在产后3个月以上。在此期间,女性也可能经历抑郁症。了解PPGP女性抑郁症的患病率对于指导临床管理很重要。本系统评价旨在研究PPGP患者在产前和产后的抑郁症患病率。
    系统评价和荟萃分析。从开始到2023年5月24日,共搜索了七个数据库,结合了与骨盆腰带疼痛(PGP)相关的关键词,抑郁症,和怀孕。两名研究人员根据资格标准独立筛选了研究标题和摘要,提取所有纳入研究的数据特征。对纳入的文章进行偏倚风险评估。使用随机效应荟萃分析(按产前和产后时间分层)计算抑郁症患病率的汇总估计值。
    纳入了11项研究(3172名参与者),其中9项适用于荟萃分析。PPGP女性抑郁症患病率的总体汇总估计为24%(95%置信区间[CI]=15%-37%),研究之间具有显著的异质性(I2=97%,p<0.01)。在个别研究中,产前PGP人群的估计值为18%~48%,产后PGP人群的估计值为5%~39%.产前组的总估计值为37%(95%CI=19%-59%;预测间隔8%-81%)和15%(95%CI=7%-30%;预测间隔3%-56%)。虽然时间(产前与产后)没有统计学上的显着调节作用(p=0.06)。三分之二的研究是针对斯堪的纳维亚人进行的,限制了这些发现的普遍性。
    对PPGP女性抑郁症患病率的汇总估计与以前调查一般围产期人群抑郁症的研究相似。
    UNASSIGNED: Pregnancy-related pelvic girdle pain (PPGP) is estimated to affect between 20% and 70% of pregnant women with 10% experiencing it for more than 3 months postpartum. Women may also experience depression during this period. Understanding the prevalence of depression in women with PPGP is important to inform clinical management. This systematic review aimed to examine the prevalence of depression in women with PPGP in the antepartum and postpartum periods.
    UNASSIGNED: A systematic review and meta-analysis. Seven databases were searched from inception until May 24, 2023, combining keywords relating to pelvic girdle pain (PGP), depression, and pregnancy. Two investigators independently screened study titles and abstracts against the eligibility criteria, extracting data characteristics of all included studies. Included articles were assessed for risk of bias. Summary estimates of the prevalence of depression were calculated with a random effects meta-analysis (stratified by antepartum and postpartum periods).
    UNASSIGNED: Eleven studies (3172 participants) were included with nine suitable for meta-analysis. The overall summary estimate of prevalence of depression among women with PPGP was 24% (95% confidence interval [CI] = 15%-37%), with significant heterogeneity between studies (I 2 = 97%, p < 0.01). Among individual studies, the estimates ranged from 18% to 48% in the antepartum PGP population and from 5% to 39% in the postpartum PGP population. The summary estimate in the antepartum group was 37% (95% CI = 19%-59%; prediction interval 8%-81%) and 15% (95% CI = 7%-30%; prediction interval 3%-56%) in the postpartum group, although time (antepartum vs. postpartum) did not have a statistically significant moderating effect (p = 0.06). Two thirds of the studies were undertaken with Scandinavian populations, limiting the generalizability of these findings.
    UNASSIGNED: Summary estimates for the prevalence of depression in women with PPGP are similar to previous studies investigating depression in the general peri-natal population.
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  • 文章类型: Journal Article
    背景:虽然以前认为是瞬态条件,没有持久的不利影响,妊娠期糖尿病(GDM)是目前公认的2型糖尿病(T2DM)的危险因素。在分娩后的头几年,患T2DM的风险似乎特别高。为早期干预提供了令人信服的理由。本综述提供了最新的系统评价和荟萃分析,以评估干预措施降低近期有GDM病史的女性T2DM发病率的有效性。
    方法:搜索于2023年10月20日进行,并计划在未来5年内进行年度监测,以保持实时的系统评价。纳入标准是对GDM合并妊娠5年内的任何类型女性进行的随机对照试验,这些试验报告了T2DM诊断的结果或血糖异常的措施,随访至少12个月。
    结果:17项研究符合我们的纳入标准,已纳入本综述。有3种药物干预和14种生活方式干预。干预与T2DM主要结局的显著降低无关(风险比,与对照组(安慰剂或常规护理)相比,0.78;95%置信区间[CI]:0.43-1.41;p=0.41;I2=79%)。然而,对报告风险比的四项研究的荟萃分析表明糖尿病发病率降低(风险比,0.68;95%CI:0.48-0.97;p=0.03;I2=31%)。
    结论:这篇综述提供了关于干预措施降低GDM合并妊娠5年内女性T2DM风险的有效性的模棱两可的证据,并强调了进一步研究的必要性。包括药物治疗.
    BACKGROUND: While previously considered a transient condition, with no lasting adverse impact, gestational diabetes mellitus (GDM) is now a well-established risk factor for developing type 2 diabetes mellitus (T2DM). The risk of developing T2DM appears to be particularly high in the first few years after childbirth, providing a compelling case for early intervention. This review provides an up-to-date systematic review and meta-analysis to assess the effectiveness of interventions to reduce incidence of T2DM in women with a recent history of GDM.
    METHODS: The search was conducted on October 20, 2023 with an annual surveillance planned for the next 5 years to maintain a living systematic review. The inclusion criteria were randomized controlled trials of any type in women within 5 years of GDM-complicated pregnancy that reported outcomes of T2DM diagnosis or measures of dysglycemia with a follow-up of at least 12 months.
    RESULTS: Seventeen studies met our inclusion criteria and have been included in this review. There were 3 pharmacological and 14 lifestyle interventions. Intervention was not associated with significant reduction in the primary outcome of T2DM (risk ratio, 0.78; 95% confidence interval [CI]: 0.43-1.41; p = 0.41; I2 = 79%) compared with the control group (placebo or usual care). However, meta-analysis of the four studies reporting hazard ratios suggested a reduction in diabetes incidence (hazard ratio, 0.68; 95% CI: 0.48-0.97; p = 0.03; I2 = 31%).
    CONCLUSIONS: This review provides equivocal evidence about the efficacy of interventions to reduce the risk of T2DM in women within 5 years of GDM-complicated pregnancy and highlights the need for further studies, including pharmacotherapy.
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  • 文章类型: Journal Article
    触摸是一种普遍的非语言动作,经常被浪漫的伴侣用来表达彼此的感情和关怀。当夫妻面临许多新的压力源和转移的优先事项时,对触摸的态度可能在关系紧张的时期尤其相关,例如过渡到父母身份。新的父母夫妇(N=203)在六个时间点(两个产前)在线完成了自我报告措施。我们测试了夫妻对触摸的态度(触摸厌恶,触摸的感情,情绪调节的触觉)在基线(妊娠中期20周)预测了他们从妊娠中期到产后12个月的性行为和情感行为的频率。双方都对触摸持更积极的态度(即,对于情感和情绪调节)和对触摸的较低厌恶态度,在怀孕中期测量,预测夫妇在产后3个月的性行为和多情行为的频率和多样性。触摸态度通常不能预测性行为或深情行为的频率或种类的变化程度,只有一个例外:非出生父母“在怀孕中期对情绪调节的触摸更积极的态度,预测夫妇的情感行为在整个怀孕期间下降速度较慢。研究结果强调了新父母对触摸的态度与其随后的性行为和深情行为之间的联系,特别是在产后早期。新父母需要驾驭新颖的性变化,而触摸等非语言策略可能有助于促进亲密和关怀。
    Touch is a universal nonverbal action often used by romantic partners to demonstrate affection and care for each other. Attitudes toward touch might be particularly relevant across periods of relational strain-such as the transition to parenthood-when couples face many novel stressors and shifting priorities which can interfere with their sexual and affectionate experiences. New parent couples (N = 203) completed self-report measures online across six time-points (two prenatal). We tested whether couples\' attitudes toward touch (touch aversion, touch for affection, touch for emotion regulation) at baseline (20 weeks mid-pregnancy) predicted their frequency of sexual and affectionate behaviors from mid-pregnancy through 12-month postpartum. Both partners\' more positive attitudes toward touch (i.e., for affection and emotion regulation) and lower aversive attitudes toward touch, as measured in mid-pregnancy, predicted couples\' higher frequency and variety of sexual and affectionate behaviors at 3-month postpartum. Touch attitudes generally did not predict the degree of change in the frequency or variety of sexual or affectionate behaviors, with one exception: non-birthing parents\' more positive attitudes toward touch for emotion regulation in mid-pregnancy predicted a slower decline in couples\' affectionate behaviors across pregnancy. Findings underscore a link between new parents\' attitudes toward touch and their subsequent sexual and affectionate behaviors, particularly in the early postpartum period. New parents need to navigate novel sexual changes and a nonverbal strategy such as touch might be useful to promote intimacy and care.
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  • 文章类型: Journal Article
    妊娠高血压疾病是妊娠相关发病率和死亡率的主要原因。这项研究的主要目的是比较通过远程血压监测和短信发送提醒与基于办公室的产后7-10天随访来记录产后血压的频率。次要目标是从经历过妊娠高血压疾病的个体的角度检查两种护理策略的障碍和促进者。我们在美国东南部的三级医疗学术医学中心进行了一项随机对照试验,从2018年到2019年,有100名产后个体(每臂50名)。在100名试验参与者中,产后7-10天内的血压随访较高,尽管在随机接受远程评估干预的产后个体与基于办公室的标准护理之间没有统计学意义(绝对风险差异18.0%,95%CI-0.1至36.1%,p=0.06)。患者报告的远程血压监测促进者是产妇便利,说明的清晰度,和健康评估的保证。这些积极的方面发生在障碍的同时,其中包括由于新生儿需求和产后日常生活的限制。
    Hypertensive disorders of pregnancy are a leading cause of pregnancy-related morbidity and mortality. The primary objective of this study was to compare the frequency of documentation of postpartum blood pressure through remote blood pressure monitoring with text-message delivered reminders versus office-based follow-up 7-10 days postpartum. The secondary objective was to examine barriers and facilitators of both care strategies from the perspectives of individuals who experienced a hypertensive disorder of pregnancy. We conducted a randomized controlled trial at a tertiary care academic medical center in the southeastern US with 100 postpartum individuals (50 per arm) from 2018 to 2019. Among 100 trial participants, blood pressure follow-up within 7-10 days postpartum was higher albeit not statistically significant between postpartum individuals randomized to the remote assessment intervention versus office-based standard care (absolute risk difference 18.0%, 95% CI -0.1 to 36.1%, p = 0.06). Patient-reported facilitators for remote blood pressure monitoring were maternal convenience, clarity of instructions, and reassurance from the health assessments. These positive aspects occurred alongside barriers, which included constraints due to newborn needs and the realities of daily postpartum life.
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  • 文章类型: Journal Article
    背景:严重孕产妇发病率(SMM)和死亡率的种族不平等构成了美国的公共卫生危机。杜拉护理,定义为提供文化上适当的分娩工人的护理,怀孕和产后期间的非临床支持,已被提议作为一种干预措施,以帮助破坏产科种族主义,这是黑人和其他有色人种分娩者不良妊娠结局的驱动因素。许多州医疗补助计划正在实施doula计划,以解决SMM和死亡率的持续增加。医疗补助计划有望在满足这些人群的需求方面发挥重要作用,以缩小SMM和死亡率方面的种族差距。这项研究将调查医疗补助计划可以实施导乐护理以改善种族健康公平的最有效方法。
    方法:我们描述了一项混合方法研究的方案,以了解医疗补助中doula计划的实施变化如何影响怀孕和产后健康的种族平等。主要研究结果包括SMM,个人报告的尊重产科护理措施,和接受循证护理的慢性疾病是产后死亡的主要原因(心血管,心理健康,和物质使用条件)。我们的研究小组包括Doulas,大学调查人员,和来自六个地点的医疗补助参与者(肯塔基州,马里兰,密歇根州,宾夕法尼亚,南卡罗来纳州和弗吉尼亚州)在医疗补助成果分布式研究网络(MODRN)中。研究数据将包括对导拉计划实施的政策分析,来自一群Doulas的纵向数据,来自医疗补助受益人的横截面数据,和医疗补助医疗管理数据。定性分析将检查doula和受益人在医疗保健系统和医疗补助政策方面的经验。定量分析(按种族组分层)将使用匹配技术来估计使用导乐护理对产后健康结果的影响,并将使用时间序列分析来估计doula计划对人口产后健康结果的平均治疗效果。
    结论:研究结果将促进医疗补助计划中的学习机会,doulas和医疗补助受益人。最终,我们寻求了解doula护理计划的实施和整合到医疗补助中,以及这些过程如何影响种族健康公平。研究注册该研究在开放科学基金会(https://doi.org/10.17605/OSF)注册。IO/NXZUF)。
    BACKGROUND: Racial inequities in severe maternal morbidity (SMM) and mortality constitute a public health crisis in the United States. Doula care, defined as care from birth workers who provide culturally appropriate, non-clinical support during pregnancy and postpartum, has been proposed as an intervention to help disrupt obstetric racism as a driver of adverse pregnancy outcomes in Black and other birthing persons of colour. Many state Medicaid programs are implementing doula programs to address the continued increase in SMM and mortality. Medicaid programs are poised to play a major role in addressing the needs of these populations with the goal of closing the racial gaps in SMM and mortality. This study will investigate the most effective ways that Medicaid programs can implement doula care to improve racial health equity.
    METHODS: We describe the protocol for a mixed-methods study to understand how variation in implementation of doula programs in Medicaid may affect racial equity in pregnancy and postpartum health. Primary study outcomes include SMM, person-reported measures of respectful obstetric care, and receipt of evidence-based care for chronic conditions that are the primary causes of postpartum mortality (cardiovascular, mental health, and substance use conditions). Our research team includes doulas, university-based investigators, and Medicaid participants from six sites (Kentucky, Maryland, Michigan, Pennsylvania, South Carolina and Virginia) in the Medicaid Outcomes Distributed Research Network (MODRN). Study data will include policy analysis of doula program implementation, longitudinal data from a cohort of doulas, cross-sectional data from Medicaid beneficiaries, and Medicaid healthcare administrative data. Qualitative analysis will examine doula and beneficiary experiences with healthcare systems and Medicaid policies. Quantitative analyses (stratified by race groups) will use matching techniques to estimate the impact of using doula care on postpartum health outcomes, and will use time-series analyses to estimate the average treatment effect of doula programs on population postpartum health outcomes.
    CONCLUSIONS: Findings will facilitate learning opportunities among Medicaid programs, doulas and Medicaid beneficiaries. Ultimately, we seek to understand the implementation and integration of doula care programs into Medicaid and how these processes may affect racial health equity. Study registration The study is registered with the Open Science Foundation ( https://doi.org/10.17605/OSF.IO/NXZUF ).
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  • 文章类型: Journal Article
    团体心理治疗是产后抑郁和焦虑症状的有效治疗方法,通过小组过程的人际关系和支持可以帮助恢复。关于通过视频会议在该人群中提供以个人为导向的团体治疗的含义知之甚少。
    在临床环境中,务实地评估以对话为导向的产后视频会议心理治疗小组对抑郁和焦虑的实施。
    超过8周,五至六名患者和一名治疗师主持人(封闭小组)每周通过安全的视频会议平台开会1小时。我们评估了在评估期间(2021年10月至2022年8月)提供的所有产后视频会议心理治疗小组的小组采用指标,并为患者提供完成基线和分组后质量改进调查的机会,以评估结果,包括可接受性(对治疗师和治疗量表的满意度修订,STTS-R),小组过程(小组问卷,GQ),和有效性(爱丁堡产后抑郁量表,EPDS)。
    153名患者(n=26组),大多数(72.5%)参加了>70%的小组会议。在137名接受调查的患者(n=24组)中,n=50(36.5%)完成了基线和事后调查。平均(SD)评分较高(STTS-R治疗:25.0/30(3.1);STTS-R治疗师:27.6/30(2.3)),GQ评分为81.4/91(7.8)(正键),34.1/56(3.8)(积极的工作关系)和23.5/63(4.4)(消极关系)。可能患有抑郁症(EPDS≥13)的患者从n=23(50%)显着降低到n=19(41.3%,p<.001),尽管绝对得分差异很小。
    基于视频会议的团体治疗可以在产后期间以强大的团体过程和可接受性实施。对临床结果的影响应进一步研究。
    UNASSIGNED: Group psychotherapy is an effective treatment for postpartum depressive and anxiety symptoms, and interpersonal connection and support through the group process can aid recovery. Little is known about the implication of the delivery of interpersonally oriented group therapy in this population through videoconferencing.
    UNASSIGNED: To pragmatically evaluate the implementation of a conversationally-oriented postpartum videoconferencing psychotherapy group for depression and anxiety within the clinical setting.
    UNASSIGNED: Over 8 weeks, five to six patients and one therapist facilitator (closed group) meet weekly for 1 hour via a secure videoconferencing platform. We evaluated group adoption metrics for all postpartum videoconferencing psychotherapy groups offered during the evaluation period (October 2021-August 2022), and offered patients the opportunity to complete baseline and post-group quality improvement surveys to evaluate outcomes including acceptability (Satisfaction with Therapist and Therapy Scale-Revised, STTS-R), group process (Group Questionnaire, GQ), and effectiveness (Edinburgh Postnatal Depression Scale, EPDS).
    UNASSIGNED: Of 153 patients (n = 26 groups), most (72.5%) attended >70% of group sessions. Of 137 patients (n = 24 groups) who were sent surveys, n = 50 (36.5%) completed both baseline and post-group surveys. Mean (SD) ratings were high for acceptability (STTS-R-therapy: 25.0/30 (3.1); STTS-R-therapist: 27.6/30 (2.3)) and group process with GQ ratings of 81.4/91 (7.8) (positive bond), 34.1/56 (3.8) (positive working relationship) and 23.5/63 (4.4) (negative relationship). Patients with probable depression (EPDS ≥ 13) significantly decreased from n = 23 (50%) to n = 19 (41.3%, p < .001), although the absolute score difference was minimal.
    UNASSIGNED: Videoconferencing-based group therapy can be implemented with a robust group process and acceptability in the postpartum period. Impact on clinical outcomes should be further investigated.
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  • 文章类型: Journal Article
    最近对怀孕和产后运动的医学建议的更改已扩展到包括休闲运动员。当女性在运动生涯的高峰期过渡到母亲的时候,从怀孕到安全恢复活动,对肌肉骨骼训练的指导有限。该人群缺乏教育和支持可能导致症状患病率增加和治疗延误,最终阻碍运动表现。本病例系列的目的是通过在一组旨在恢复休闲运动的妇女中实施新的产前和产后运动训练范式来评估盆底症状。
    案例系列。
    六名25-35岁之间的娱乐性运动妇女在怀孕期间接受物理治疗以参加该方案。除了特定的力量和活动能力训练外,这些妇女还完成了标准化的妊娠和产后康复计划,重点是核心和盆底控制。
    疼痛,泌尿功能障碍,在产后6周和出院时评估盆底肌力。在疼痛中注意到有意义的改善,泌尿功能障碍,和出院时的肌肉力量。
    症状的减轻和肌肉骨骼健康措施的改善表明,物理治疗师指导的康复方案可能是有效的护理标准的一部分,以减少疼痛和功能障碍的患病率,特别是在休闲运动员群体中。提高对该人群运动训练的了解可以最大程度地减少肌肉骨骼症状,并鼓励进行更多研究以提高该组患者的护理标准。
    4级。
    UNASSIGNED: Recent changes to medical recommendations for exercise in pregnancy and postpartum have expanded to include recreational athletes. While women are transitioning into motherhood at the height of their athletic careers, there is limited guidance on musculoskeletal training from pregnancy through safe return to activity. The lack of education and support in this population may lead to increased prevalence of symptoms and delay of treatment, ultimately hindering athletic performance. The purpose of this case series is to assess pelvic floor symptoms through implementing a new pre- and postnatal exercise training paradigm in a group of women aiming to return to recreational athletics.
    UNASSIGNED: Case series.
    UNASSIGNED: Six recreationally athletic women between 25-35 years of age were referred to physical therapy during pregnancy to participate in this protocol. The women completed a standardized pregnancy and postpartum rehabilitation plan focused on core and pelvic floor control in addition to specific strength and mobility training.
    UNASSIGNED: Pain, urinary dysfunction, and pelvic floor muscle strength were assessed at six weeks postpartum and at discharge. Meaningful improvement was noted in pain, urinary dysfunction, and muscle strength by the time of discharge.
    UNASSIGNED: The decrease in symptoms and improvements in measures of musculoskeletal health suggests that a physical therapist guided rehabilitation protocol may be useful as part of the standard of care to reduce prevalence of pain and dysfunction, particularly in the recreational athlete population. Improving understanding of exercise training in this population may minimize musculoskeletal symptoms and encourage additional research to improve the standard of care for this group of patients.
    UNASSIGNED: Level 4.
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  • 文章类型: Journal Article
    产后抑郁症(PPD)是一种常见疾病,对母亲和孩子有长期影响。营养是心理健康的关键因素,但关于其与PPD联系的研究结果不一致。本文旨在探讨PPD与膳食模式的相关性。
    我们对包括PubMed/MEDLINE在内的多个数据库进行了全面搜索,Embase,ISI和ISI/WebofScience(WOS),Scopus,以及像Magiran这样的伊朗数据库,科学信息数据库(SID)和IRANDOC从2003年到2020年。我们的搜索是基于关键词\"产后抑郁症\"和\"营养,维生素D,叶酸,铁,锌,和维生素。“我们应用了系统评价和荟萃分析的首选报告项目(PRISMA)清单,根据纳入/排除标准选择文章。在确定的100篇文章中,只有24篇文章符合我们的标准,并被选择用于进一步分析.
    研究表明,维生素D水平低,铁,叶酸,和碳水化合物,缺乏蔬菜的不健康饮食是PPD的潜在原因。然而,锌的影响,omega-3必需脂肪酸,和其他营养素,如抗氧化剂,维生素E,由于信息相互矛盾,PPD上的维生素C不清楚。此外,对B族维生素和PPD之间的关联进行了有限的研究。
    总而言之,我们可以通过提供饮食指导和与医疗保健提供者合作来降低PPD的风险.重要的是要注意我们的饮食,并确保我们摄入足够的维生素和营养素来支持我们的心理健康。
    UNASSIGNED: Postpartum Depression (PPD) is a common illness with long-term effects on mother and child. Nutrition is a crucial factor in mental health, but research findings on its connection to PPD are inconsistent. This review aims to explore the correlation between PPD and dietary patterns.
    UNASSIGNED: We conducted a comprehensive search of several databases including PubMed/MEDLINE, Embase, ISI and ISI/Web of Science (WOS), Scopus, and Iranian databases such as Magiran, Scientific Information Database (SID), and IRANDOC from 2003 to 2020. Our search was based on the keywords \"postpartum depression\" and \"nutrition, vitamin D, Folic acid, iron, zinc, and vitamins.\" We applied the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist to select articles based on inclusion/exclusion criteria. Of the 100 articles identified, only 24 articles met our criteria and were selected for further analysis.
    UNASSIGNED: Research suggests that low levels of vitamin D, iron, folate, and carbohydrates, and an unhealthy diet lacking in vegetables are potential causes of PPD. However, the impact of zinc, omega-3 essential fatty acids, and other nutrients such as antioxidants, vitamin E, and vitamin C on PPD is unclear due to conflicting information. Additionally, limited research has been conducted on the association between group B vitamins and PPD.
    UNASSIGNED: In conclusion, we can lower the risk of PPD by providing dietary guidance and working with healthcare providers. It is important to pay attention to our diet and make sure we are consuming enough vitamins and nutrients to support our mental health.
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