Prevalence of medication use in the postpartum period: A narrative review of current trends and implications for midwifery practice. DOI Creative Commons
Μαρία Τίγκα, Christina Nanou,

Eleftheria Lazarou

et al.

Eleutho, Journal Year: 2024, Volume and Issue: 23(4), P. 1 - 7

Published: Nov. 19, 2024

Introduction The postpartum period is a critical phase for maternal recovery and infant care. aim of this narrative review to explore the prevalence indications medication use in period. Methods This synthesized studies published English over past 20 years from electronic databases, including PubMed, Scopus, CINAHL, Cochrane Library, using key terms. Screening data extraction were performed independently by two reviewers. Disagreements resolved through discussion with third reviewer. No formal quality assessment was performed. Results Postpartum common, rates varying between 34% 100%, depending on study population setting. Medications nervous system (21.6%-99.6%), anti-infectives (27.6%-99.3%), hematopoietic drugs (1.4%-91.7%) are frequently prescribed manage pain, prevent infections, support blood loss or thrombosis. Musculoskeletal medications (14.1%-87.4%), alimentary tract metabolism (5.9%-79.5%), treatments genitourinary hormonal preparations (7%-69.2%) also commonly used, significant variability among studies. In contrast, cardiovascular (2%-22.4%) respiratory (0.8%-15%) less prescribed. reasons include immediate needs management acute conditions. used chronic Conclusions Medication highly prevalent worldwide. A balanced approach, combining pharmacologic non-pharmacologic care, essential safe recovery. Midwives vital helping mothers make informed choices. Future research should establish standardized guidelines evaluate safety evidence-based

Language: Английский

Evaluating the Effectiveness of Radiofrequency in Multimodal Physiotherapy for Postpartum Pelvic Pain: The RASDOP Protocol—A Mixed-Methods Study DOI Open Access
Beatriz Navarro-Brazález, L. Lorenzo Gallego, P. Mata

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(5), P. 1489 - 1489

Published: Feb. 23, 2025

Background/Objectives: Approximately 30% of women experience pelvic pain one year after vaginal delivery, and this increases to 50% during intercourse. Multimodal physiotherapy is the first-line treatment for myofascial floor muscles (PFM), often incorporating emerging technologies like radiofrequency, despite limited evidence supporting its use. The RASDOP study aims (i) evaluate effectiveness multimodal combining therapeutic education, PFM training, syndrome (MPS) management with or without in reducing improving sexual function postpartum; (ii) explore barriers facilitators influencing adherence perceived self-efficacy towards postpartum pain. Methods: This employs a randomized clinical trial blinded examiner two parallel groups, followed by qualitative phenomenological study. A total 124 (≥4 cm on visual analogue scale) will be into groups: group (therapeutic MPS treatment, training) radiofrequency + (same additional non-ablative radiofrequency). Both groups receive 12 supervised individual sessions. Assessments conducted pre- post-intervention, at 3-, 6-, 12-month stages post-treatment. Primary outcomes include intensity function, while secondary involve tone, strength, presence, levator ani length, distress caused dysfunction. utilize semi-structured interviews focus analyzed thematically. Results: Radiofrequency expected enhance relief, relaxation. Insights aid personalizing interventions. Conclusions: provide safety efficacy shed light women’s experiences improve outcomes.

Language: Английский

Citations

1
Postpartum Epidural Morphine for Post-Vaginal Delivery—an Underutilized Resource? DOI

Richard Smiley

Anesthesia & Analgesia, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 2, 2025

From the Columbia University Vagelos College of Physicians & Surgeons, New York, York. Accepted for publication November 15, 2024. Conflicts Interest, Funding: Please see DISCLOSURES at end this article. Reprints will not be available from author. Address correspondence to Richard Smiley, MD, PhD, 630 W 168th St PH-5, NY 10032. e-mail [email protected].

Language: Английский

Citations

0
Improving Delphi Process in Acupuncture Decision Making: Overall Descriptions and Quality Assessment of Delphi Reports DOI Creative Commons

Y. H. Sun,

Pengfei Wang, Guirong Yang

et al.

Journal of Multidisciplinary Healthcare, Journal Year: 2024, Volume and Issue: Volume 17, P. 4243 - 4256

Published: Aug. 1, 2024

Clinical acupuncture decisions are highly operator-dependent and require physician-patient interactions. The Delphi method allows subjective factors such as expert experience preference of patients to be taken into account in clinical decision making, which is particularly applicable acupuncture. Currently, the widely used support Therefore, it necessary provide high-quality complete descriptions process when making decisions. This study aims evaluate quality acupuncture, facilitate its standardization rigor for further

Language: Английский

Citations

0
Prevalence of medication use in the postpartum period: A narrative review of current trends and implications for midwifery practice. DOI Creative Commons
Μαρία Τίγκα, Christina Nanou,

Eleftheria Lazarou

et al.

Eleutho, Journal Year: 2024, Volume and Issue: 23(4), P. 1 - 7

Published: Nov. 19, 2024

Introduction The postpartum period is a critical phase for maternal recovery and infant care. aim of this narrative review to explore the prevalence indications medication use in period. Methods This synthesized studies published English over past 20 years from electronic databases, including PubMed, Scopus, CINAHL, Cochrane Library, using key terms. Screening data extraction were performed independently by two reviewers. Disagreements resolved through discussion with third reviewer. No formal quality assessment was performed. Results Postpartum common, rates varying between 34% 100%, depending on study population setting. Medications nervous system (21.6%-99.6%), anti-infectives (27.6%-99.3%), hematopoietic drugs (1.4%-91.7%) are frequently prescribed manage pain, prevent infections, support blood loss or thrombosis. Musculoskeletal medications (14.1%-87.4%), alimentary tract metabolism (5.9%-79.5%), treatments genitourinary hormonal preparations (7%-69.2%) also commonly used, significant variability among studies. In contrast, cardiovascular (2%-22.4%) respiratory (0.8%-15%) less prescribed. reasons include immediate needs management acute conditions. used chronic Conclusions Medication highly prevalent worldwide. A balanced approach, combining pharmacologic non-pharmacologic care, essential safe recovery. Midwives vital helping mothers make informed choices. Future research should establish standardized guidelines evaluate safety evidence-based

Language: Английский

Citations

0