Objective: The aim of this exploratory study was to determine and compare the rates of depressive symptoms across 3 groups of African-American and Hispanic pregnant, postpartum, and nonperipartum gynecology patients in a hospital-based urban outpatient obstetrics and gynecology clinic.
Method: Seventy-eight subjects were recruited from the outpatient department of an inner city hospital. Each subject completed the Beck Depression Inventory.
Results: Rates of depressive symptoms were high in all groups. Results, although not significant, indicated a worsening depression in the nonperipartum gynecology group compared with that in the obstetric sample. Affective components of the Beck Depression Inventory were significantly higher in the gynecology group than in the peripartum groups.
Conclusion: We have identified an important clinical population of nonperipartum gynecology patients in need of diagnosis and treatment. Early identification of depression in women is an important strategy in which primary health workers have an important role.
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http://dx.doi.org/10.1016/j.genm.2011.06.001 | DOI Listing |
Psychoradiology
September 2022
State Key Laboratory of Primate Biomedical Research, Institute of Primate Translational Medicine, Kunming University of Science and Technology, Kunming 650500, China.
Background: Although postpartum depression (PPD) and non-peripartum major depressive disorder (MDD) occurring within and outside the postpartum period share many clinical characteristics, whether PPD and MDD are the same or not remains controversial.
Methods: The current study was devoted to identify the shared and different neural circuits between PPD and MDD by resting-state functional magnetic resonance imaging data from 77 participants (22 first-episodic drug-naïve MDD, 26 drug-naïve PPD, and 29 healthy controls (HC)).
Results: Both the PPD and MDD groups exhibited higher fractional amplitude of low-frequency fluctuation (fALFF) in left temporal pole relative to the HC group; the MDD group showed specifically increased degree centrality in the right cerebellum while PPD showed specifically decreased fALFF in the left supplementary motor area and posterior middle temporal gyrus (pMTG_L), and specifically decreased functional connectivities between pMTG and precuneus and between left subgeneual anterior cingulate cortex (sgACC_L) and right sgACC.
Pregnancy Hypertens
July 2019
Department of Hospital Pharmacy, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Objective: This study aimed to evaluate the relationship between endogenous CYP3A markers and plasma amlodipine (AML) exposure and metabolism parameters in early postpartum and non-peripartum women.
Methods: Twenty-four AML-treated early postpartum women with hypertensive disorders of pregnancy and 30 non-peripartum women with essential hypertension were enrolled. Blood samples for determination of CYP3A markers including total cholesterol-adjusted 4β-hydroxycholesterol (4β-OHC/TC), 25-hydroxyvitamin D (25-OHD), and AML and its metabolites in plasma were collected at 24 h after the AML treatment.
Obstet Gynecol
June 2015
Vanderbilt University Medical School and the Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, Nashville, Tennessee.
Background: Ovarian vein thrombosis is a rare diagnosis typically seen in the early peripartum period but also in other thrombophilic states such as postsurgery, pelvic inflammatory disease, malignancy, or sepsis. We describe a case of idiopathic ovarian vein thrombosis in a healthy woman far outside the peripartum window.
Case: The patient is a 29-year-old woman, gravida 3 para 2102, with no significant surgical or medical history referred for 8 months of severe left lower quadrant pain.
Gend Med
October 2011
Columbia University College of Physicians and Surgeons, New York, New York, USA.
Objective: The aim of this exploratory study was to determine and compare the rates of depressive symptoms across 3 groups of African-American and Hispanic pregnant, postpartum, and nonperipartum gynecology patients in a hospital-based urban outpatient obstetrics and gynecology clinic.
Method: Seventy-eight subjects were recruited from the outpatient department of an inner city hospital. Each subject completed the Beck Depression Inventory.
Obstet Gynecol
September 2003
Department of Obstetrics and Gynecology, Roy J. and Lucille A. Carver College of Medicine and The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
Background: Amniotic fluid embolism is seldom recognized in nonperipartum patients. The pathophysiology is uncertain and diagnosis imprecise, making management after stabilization difficult.
Case: A 37-year-old woman at 28 weeks' gestation presented with signs and symptoms consistent with amniotic fluid embolism including disseminated intravascular coagulopathy.
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