Late-onset postpartum preeclampsia is atypical and potentially life-threatening. Diagnosis is frequently delayed because signs and symptoms of significant disease are subtle, thus, nurse practitioners should have a high index of suspicion. Immediate consultation, diagnosis, initial management, pathophysiology, and breastfeeding support are discussed as well as patient education and future health implications.
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Association between the existence of neonatal congenital anomalies and maternal postpartum depression up to 6 months after delivery: The Japan Environment and Children's Study.
J Affect Disord
January 2025
Institute of Health and Sport Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Background: Postpartum depression (PPD) is a significant public health concern; however, its association with congenital anomalies (CAs) remains understudied. This study investigated the relationship between CAs and PPD risk and identified persistent patterns of PPD among mothers of infants with and without CAs.
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[Hypertension : what's new in 2024].
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January 2025
Service de néphrologie et d'hypertension, Centre hospitalier universitaire vaudois, 1005 Lausanne.
The major clinical studies in 2024 reviewed in this manuscript will focus on blood pressure measurement, the effect of coffee on the latter, its follow-up in the postpartum period, blood pressure targets for patients at high cardiovascular risk, particularly those with diabetes, and the late onset of primary aldosteronism after a negative initial confirmation test.
View Article and Find Full Text PDFAssociation between the early or late onset of gestational diabetes mellitus with neonatal adverse outcomes: a retrospective cohort study.
Clin Diabetes Endocrinol
December 2024
Postgraduate Program on Tocogynecology, Botucatu Medical School, São Paulo State University (Unesp), Botucatu, Brazil.
Background: The literature has been evolving to standardize gestational diabetes mellitus (GDM) diagnosis and terminology. The significance of timing in diagnosing hyperglycemia during pregnancy is underlined by evidence that women diagnosed at 24 weeks of gestation or earlier are at a higher risk of developing postpartum prediabetes, but its association with adverse outcomes for the newborn is controversial. We aimed to investigate the association between early-onset GDM and adverse outcomes in newborns and neonates, comparing it with the late-onset GDM model.
View Article and Find Full Text PDFGroup B streptococcal infections in pregnancy and early life.
Clin Microbiol Rev
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Department of Obstetrics & Gynecology, University of Washington, Seattle, Washington, USA.
SUMMARYBacterial infections with Group B (GBS) are an important cause of adverse outcomes in pregnant individuals, neonates, and infants. GBS is a common commensal in the genitourinary and gastrointestinal tracts and can be detected in the vagina of approximately 20% of women globally. GBS can infect the fetus either during pregnancy or vaginal delivery resulting in preterm birth, stillbirth, or early-onset neonatal disease (EOD) in the first week of life.
View Article and Find Full Text PDFThe effect of previous history of Pre-Eclampsia on subclinical carotid atherosclerosis up to 20 years Postpartum: A systematic review and Meta-Analysis.
Eur J Obstet Gynecol Reprod Biol
December 2024
Division of Cardiology, IRCCS MultiMedica, Milan, Italy.
Background: During the last two decades, a few studies have evaluated the common carotid artery (CCA) intima-media thickness (IMT) in women with previous history of pre-eclampsia (pPE) in comparison to women with uncomplicated pregnancies, providing not univocal results. This systematic review and meta-analysis has been designed to summarize the main findings of these studies and to examine the overall influence of pPE on CCA-IMT.
Methods: All studies assessing CCA-IMT in pPE women in comparison to women who had uncomplicated pregnancies, selected from PubMed and EMBASE databases, were included.
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