Podcasts about peripartum

Venous thromboembolism (VTE), which includes deep vein thrombosis and pulmonary embolism, is responsible for 9–30% of pregnancy-related mortality in high resource countries and remains a significant, increasing cause of severe maternal morbidity. Peripartum, 50% of VTE events occur in the postpartum interval, which has a 6-fold higher risk compared to antepartum. There is wide variation in LMWH pharmacological postpartum prophylaxis guidance. The RCOG, for example, recommends 10 days of LMWH for all postop CS patients unless it was elective, and additional risk factors exist. The ACOG uses a more selective approach. However, on Jan 16, 2025, a new multicenter retrospective study from the US is raising questions about the efficacy of postpartum VTE pharmacologic therapy. Is there really no need for pp VTE pharmacologic therapy? Or does the answer lie in the reality of VTE as a “low frequency, high acuity” event? Listen in for details!

ROMA (ITALPRESS) - È stato pubblicato su Biological Psychiatry uno studio che riporta alcuni dati preliminari sulla relazione tra la possibilità di sperimentare episodi depressivi peripartum e la predisposizione genetica a fluttuazioni ormonali. Lo studio, coordinato da Yasmin A. Harrington, è stato realizzato dall'Unità di Psichiatria e Psicobiologia Clinica dell'Ospedale San Raffaele, diretta dal professor Francesco Benedetti. Rappresenta un ulteriore passo in avanti verso la comprensione della depressione peripartum, ancora poco studiata, di cui si stima che soffrano almeno il 15-20% delle donne che diventano madri. col/sat/gtr

CardioNerds (Dr. Dan Ambinder and guest host, Dr. Pooja Prasad) join Dr. Donny Mattia from Phoenix Children's pediatric cardiology fellowship, Dr. Sri Nayak from the Mayo Clinic – Arizona adult cardiology fellowship, and Dr. Harrison VanDolah from the University of Arizona College of Medicine - Phoenix Med/Peds program for a sunrise hike of Piestewa Peak, followed by some coffee at Berdena's in Old Town Scottsdale (before the bachelorette parties arrive), then finally a stroll through the Phoenix Desert Botanical Gardens to discuss a thought-provoking case series full of clinical cardiology pearls. Expert commentary is provided by Dr. Tabitha Moe. Episode audio was edited by Dan Ambinder. They discuss the following case: Cardiology is consulted by the OB team for a 27-year-old female G1, now P1, who has just delivered a healthy baby boy at 34 weeks gestation after going into premature labor. She is experiencing shortness of breath and is found to have a significant past cardiac history, including atrial fibrillation and preexcitation, now with a pacemaker and intracardiac defibrillator. We review the differential diagnosis for peripartum cardiomyopathy (PPCM) and then combine findings from her infant son, who is seen by our pediatric cardiology colleagues and is found to have severe hypertrophic cardiomyopathy (HCM). Genetic testing for both ultimately reveals a LAMP2 mutation consistent with Danon Disease. The case discussion focuses on the differential diagnosis for PPCM, HCM, pearls on Danon Disease and other HCM “phenocopies,” and the importance of good history. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media Pearls Peripartum cardiomyopathy is a diagnosis of exclusion – we must exclude other possible etiologies of heart failure! Be on the lookout for features of non-sarcomeric HCM – as Dr. Michelle Kittleson said in Episode 166, “LVH plus” states. HCM with preexcitation, heart block, strong family history, or extracardiac symptoms such as peripheral neuropathy, myopathy, or cognitive impairment should be evaluated for infiltrative/inherited cardiomyopathies! As an X-linked dominant disorder, Danon disease will present differently in males vs females, with males having much more severe and earlier onset disease with extracardiac features. Making the diagnosis for genetic disorders such as Danon disease is important for getting the rest of family members tested as well as the opportunity for specialized treatments such as gene therapy Up to 5% of Danon disease cases may be due to copy number variants, which may be missed in genetic testing that does not do targeted deletion/duplication analysis!). Notes What is the differential diagnosis for peripartum cardiomyopathy? Peripartum cardiomyopathy is a diagnosis of exclusion – we must exclude other possible etiologies of heart failure! First, ensure that you are not missing an acute life-threatening etiology of acute decompensated heart failure – pulmonary embolism, amniotic fluid embolism, ACS, and SCAD should all be ruled out. Second, a careful history can identify underlying heart disease or risk factors for the development of heart failure, such as substance use, high-risk behaviors that put one at risk for HIV infection, and family history that suggests an inheritable cardiomyopathy. Lastly, a careful review of echocardiographic imaging may also identify underlying etiologies that warrant a change in management. Diagnosis of peripartum cardiomyopathy is important to consider as within 7 days of onset, patients may be eligible for treatment with bromocriptine – consider referring ...

Interview with Robbi A. Kupfer, MD, Nadine I. Ibrahim, MD, and Janice L. Farlow, MD, PhD, authors of Peripartum and Pregnancy-Related Considerations in Residency. Hosted by Paul C. Bryson, MD MBA. Related Content: Peripartum and Pregnancy-Related Considerations in Residency

Interview with Robbi A. Kupfer, MD, Nadine I. Ibrahim, MD, and Janice L. Farlow, MD, PhD, authors of Peripartum and Pregnancy-Related Considerations in Residency. Hosted by Paul C. Bryson, MD MBA. Related Content: Peripartum and Pregnancy-Related Considerations in Residency

With Emmanouil Kampanieris, University General Hospital of Heraklion, Heraklion - Greece, and Peter Van Der Meer, University Medical Centre Groningen, Groningen - The Netherlands. In this episode, Peter Van Der Meer and Emmanouil Kampanieris discuss peripartum cardiomyopathy, a potentially life-threatening condition that presents as heart failure with reduced ejection fraction in women in the last month of pregnancy or in the months after delivery, after other causes of heart failure have been excluded. Peripartum Cardiomyopathy is defined as cardiomyopathy occurring towards the end of pregnancy or in the months following delivery with a left ventricular (LV) ejection fraction (EF)

Pregnancy and childbirth have a significant impact on the pelvic floor, often more than patients realize and even more still than most of our current postpartum care models are designed to address. In this episode of the BackTable OBGYN podcast, hosts Dr. Mark Hoffman and Dr. Amy Park welcome Dr. Lisa Hickman, a urogynecologist and pelvic reconstructive surgeon from The Ohio State University, to discuss peripartum pelvic floor disorders and her dedicated clinic for women with advanced obstetric lacerations. --- This podcast is supported by: PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS The conversation touches on key aspects of pelvic floor health, the impact of pregnancy and childbirth, and effective strategies for preventing and managing pelvic floor disorders. The episode emphasizes the importance of patient education, tailored postpartum care, and multidisciplinary collaboration with pelvic floor physical therapists and other healthcare personnel. Dr. Hickman shares insights on building a sustainable clinical model for peripartum pelvic floor disorders, securing stakeholder support, and implementing standardized processes to enhance patient outcomes. --- TIMESTAMPS 00:00 - Introduction 04:21 - Understanding the Pelvic Floor 05:36 - Impact of Pregnancy and Childbirth 07:48 - Preventing and Managing Tears 22:56 - Postpartum Care and Challenges 28:54 - Starting a Peripartum Clinic: A Roadmap 33:54 - Pelvic Floor PT and Patient Education 40:03 - Impact of Repair Techniques on Long-term Outcomes 50:56 - Sustaining and Expanding the Program --- RESOURCES Hickman LC, Propst K, Swenson CW, Lewicky-Gaupp C. Subspecialty care for peripartum pelvic floor disorders. Am J Obstet Gynecol. 2020 Nov;223(5):709-714. doi: 10.1016/j.ajog.2020.08.015. Epub 2020 Sep 2. PMID: 32888923; PMCID: PMC7720615.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances discusses a recently published original research paper on PARCCS, a Machine Learning Risk-Prediction Model for Acute Peripartum Cardiovascular Complications during Delivery Admissions

Elizabeth Tobin-Tyler is an associate professor at the Brown University School of Public Health and Warren Alpert Medical School. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. E. Tobin-Tyler and S.L. Dickman. Rape, Homicide, and Abortion Bans — The Abandonment of People Subjected to Sexual and Intimate Partner Violence. N Engl J Med 2024;391:289-292.

Episode 171: Postpartum Blues, Depression, and PsychosisFuture Dr. Nguyen defines and explains the difference between baby blues, depression, and psychosis. Dr. Arreaza added comments about screening and management of these conditions. Written by Vy Nguyen, OMSIII, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction.Pregnancy is one of the most well-celebrated milestones in one's life. However, once the baby is born, the focus of the family and society quickly shifts to the new member. It is important to continue to care for our mothers and offer them support physically and mentally as they begin their transition into their role. Peripartum mood disorders affect both new and experienced mothers as they navigate through the challenges of motherhood. The challenges of motherhood are not easy to spot, and they include sleep deprivation, physical exhaustion, dealing with pain, social isolation, and financial pressures, among other challenges. Let's focus on 3 aspects of the postpartum period: Postpartum Blues (PPB), Post-partum Depression (PPD) and Post-partum Psychosis (PPP). By the way, we briefly touched on this topic in episode 20, a long time ago. Postpartum blues (PPB) present as transient and self-limiting low mood and mild depressive symptoms that affect more than 50% of women within two or three days of childbirth and resolve within two weeks of onset. Symptoms vary from crying, exhaustion, irritability, anxiety, appetite changes, and decreased sleep or concentration to mood lability. Women are at risk for PPB.Several factors are thought to contribute to the increased risk of postpartum blues including a history of menstrual cycle-related mood changes, mood changes associated with pregnancy, history of major depression, number of lifetime pregnancies, or family history of postpartum depression. Pathogenesis of PPB: While pathogenesis remains unknown, hormonal changes such as a dramatic decrease in estradiol, progesterone, and prolactin have been associated with the development of postpartum blues. In summary, PPB is equivalent to a brief, transient “sad feeling” after the delivery. Peripartum depression (PPD) occurs in 20% of women and is classified as depressive symptoms that appear within six weeks to 1 year after childbirth. Those with baby blues have an increased risk of developing postpartum depression. About 50% of “postpartum” major depressive episodes begin before delivery, thus the term has been updated from “postpartum” to “peripartum” depressive episodes. Some risk factors include adolescent patients, mothers who deliver premature infants, and women living in urban areas. Interestingly, African American and Hispanic mothers are reported to have onset of symptoms within two weeks of delivery instead of six like their Caucasian counterparts. Additional risks include psychological risks such as a personal history of depression, anxiety, premenstrual syndrome, and sexual abuse; obstetric risks such as emergency c-sections and hospitalizations, preterm or low birth infant, and low hemoglobin; social risks such as lack of social support, domestic violence in form of spousal physical/sexual/verbal abuse; lifestyle risks such as smoking, eating sleep patterns and physical activities. Peripartum depression can present with or without psychotic features, which may appear between 1 in 500 or 1 in 1,000 deliveries, more common in primiparous women. Pathogenesis of PPD: Much like postpartum blues, the pathogenesis of postpartum depression is unknown. However, it is known that hormones can interfere with the hypothalamic-pituitary-adrenal axis (HPA) and lactogenic hormones. HPA-releasing hormones increase during pregnancy and remain elevated up to 12 weeks postpartum. The body receptors in postpartum depression are susceptible to the drastic hormonal changes following childbirth which can trigger depressive symptoms. Low levels of oxytocin and prolactin also play a role in postpartum depression causing moms to have trouble with lactation around the onset of symptoms. The USPSTF recommends screening for depression in the adult population, including pregnant and postpartum persons, as well as older adults. Edinburgh Postnatal Depression Scale (EPDS) can be used in postpartum and pregnant persons (Grade B recommendation).Postpartum psychosis (PPP) is a psychiatric emergency that often presents with confusion, paranoia, delusions, disorganized thoughts, and hallucinations. Around 1-2 out of 1,000 new moms experience postpartum psychosis with the onset of symptoms as quickly as several days and as late as six weeks after childbirth. Given the high risk of suicide and harm, individuals with postpartum psychosis require immediate evaluation and treatment. Postpartum psychosis is considered multifactorial, and the single most important risk factor is first pregnancy with family or personal history of bipolar 1 disorder. Other risk factors include a prior history of postpartum psychosis, family history of psychosis, history of schizoaffective disorder or schizophrenia, or discontinuation of psychiatric medications. Studies show that patients with a history of decreased sleep due to manic episodes are twice as likely to have postpartum psychosis at some point in their lives. However, approximately 50% of mothers who experience psychosis for the first time do not have a history of psychiatric disorder or hospitalization. Evaluation.Symptoms of postpartum blues should not meet the criteria for a major depressive episode and should resolve in 2 weeks. The Edinburg Postpartum Depression Scale which is a useful tool for assessing new moms with depressive symptoms. Postpartum depression is diagnosed when the patient presents with at least five depressive symptoms for at least 2 weeks. According to the DSM5, postpartum depression is defined as a major depressive episode with peripartum onset of mood symptoms during pregnancy or in the 4 weeks following delivery. Symptoms for diagnosis include changes in sleep, interest, energy, concentration, appetite, psychomotor retardation or agitation, feeling of guilt or worthlessness, and suicidal ideation or attempt. These symptoms are not associated with a manic or hypomanic episode and can often lead to significant impediments in daily activities. Peripartum-onset mood episodes can present with or without psychotic features. The depression can be so severe that the mother commits infanticide. Infanticide can happen, for example, with command hallucinations or delusions that the infant is possessed.While there are no standard screening criteria in place of postpartum psychosis, questionnaires mentioned earlier such as the Edinburg Postpartum Depression Scale can assess a patient's mood and identify signs of depression and mania. It is important after a thorough history and physical examination to order labs to rule out other medical conditions that can cause depressive and psychotic symptoms. Disorders like electrolyte imbalance, hepatic encephalopathy, thyroid storm, uremia, substance use, infections, and even stroke can mimic a psychiatric disorder. So, How can we treat patients who are diagnosed with a peripartum mood disorder?Management.On the spectrum of peripartum mood disorders, postpartum blues are the least severe and should be self-limiting by week 2. However, patients should be screened for suicidal ideation, paranoia, and homicidal ideation towards the newborn. Physicians should provide validation, education, and resources especially support with sleep and cognitive therapy and/or pharmacotherapy can be recommended if insomnia persists. Regarding postpartum depression, the first-line treatment includes psychotherapy and antidepressants. For those with mild to moderate depression or hesitant to start on medications, psychosocial and psychotherapy alone should be sufficient. However, for those with moderate to severe symptoms, a combination of therapy and antidepressants, such as selective serotonin reuptake inhibitors, is recommended. Once an effective dose is reached, patients should be treated for an additional 6 to 12 months to prevent relapse. In severe cases, patients may need to be hospitalized to treat their symptoms and prevent complications such as self-harm or infanticide.Most SSRIs can be detected in breast milk, but only 10 percent of the maternal level. Thus, they are considered safe during breastfeeding of healthy, full-term infants. So, you mentioned SSRIs, but also SNRIs, bupropion, and mirtazapine are reasonable options for treatment. In patients who have never been treated with antidepressants, zuranolone (a neuroactive steroid) is recommended. Zuranolone is easy to take, works fast, and is well tolerated. Treatment with zuranolone is consistent with practice guidelines from the American College of Obstetricians and Gynecologists.While there are no current guidelines to manage postpartum psychosis, immediate hospitalization is necessary in severe cases. Patients can be started on mood stabilizers such as lithium, valproate, and lamotrigine, and atypical antipsychotics such as quetiapine, and olanzapine, to name a few. Medications like lithium can be eliminated through breast milk and can expose infants to toxicity.The use of medications such as SSRIs, carbamazepine, valproate, and short-acting benzodiazepines are relatively safe and can be considered in those with plans to breastfeed. Ultimately, it is a decision that the patient can make after carefully discussing and weighing the pros and cons of the available medical management. While the prognosis of peripartum mood disorders is relatively good with many patients responding well to treatments, these disorders can have various negative consequences. Individuals with a history of postpartum blues are at increased risk of developing postpartum depression. Similarly, those with a history of postpartum psychosis are at risk of experiencing another episode of psychosis in future pregnancies. Additionally, postpartum depression can have a detrimental effect on mother-infant bonding and affect the growth and development of the infant. These children may have difficulties with social interactions, cognitive development, and depression. In summary, following the birth of a baby can pose new challenges and often is a stressful time for not only the mother but also other family members. Validation and reassurance from primary care physicians in an empathetic and understanding manner may offer support that many mothers may not have in their close social circle. As the first contact, primary care physicians can identify cues and offer support promptly that will not only improve the mental well-being of mothers but also that of the growing children.___________________________Conclusion: Now we conclude episode number 171, “Postpartum blues, depression, and psychosis.” These conditions may be more common than you think. So, be alert during your prenatal and postpartum visits and start management as needed. Psychotherapy and psychosocial therapy alone may be effective but do not hesitate to start antidepressants or antipsychotics when necessary. Make sure you involve the family and the patient in the decision-making process to implement an effective treatment.This week we thank Hector Arreaza and Vy Nguyen. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Raza, Sehar K. and Raza, Syed. Postpartum Psychosis. National Library of Medicine. Last updated Jun 26, 2023. https://www.ncbi.nlm.nih.gov/books/NBK544304/Balaram, Kripa and Marwaha, Raman. Postpartum Blues. National Library of Medicine. Last updated Mar 6, 2023. https://www.ncbi.nlm.nih.gov/books/NBK554546/Mughal, Saba, Azhar, Yusra, Siddiqui, Waquar. Postpartum Depression. National Library of Medicine. Last updated Oct 7, 2022. https://www.ncbi.nlm.nih.gov/books/NBK519070/Royalty-free music used for this episode: Good Vibes by Simon Pettersson, downloaded on July 20, 2023, from https://www.videvo.net/royalty-free-music/.

We need to be talking more about perinatal, postpartum, and peripartum depression to reduce the stigma around these disorders. Here today, to do just that, is Dr. Ida A. Eden. Dr. Eden is a board-certified psychiatrist with formalized training and expertise in women's reproductive mental health. She has particular interests in perinatal mood and anxiety disorders and the psychological burdens of infertility and perinatal loss. She graduated with honors in Neuroscience and Medical Anthropology from the University of Michigan, earned her M.D. with honors from the University of Maryland, and completed her residency at New York-Presbyterian Hospital/Weill Cornell Medical Center. She also completed fellowship training in Women's Mental Health at NYU/Bellevue Hospital. Dr. Eden is passionate about teaching and remains on the faculty at Weill Cornell where she supervises and mentors trainees interested in reproductive psychiatry. Join Rena and Dara as they delve into a discussion with Dr. Eden about reproductive depression, how preexisting conditions can influence their likelihood, and why we should be optimizing our mental health as best we can before, during, and after pregnancy. We talk about why optimizing mental health is essential, and she unpacks different stressors and psychological strains common in the peripartum period. Furthermore, we discuss the difference between Baby Blues and Post Partum Depression (PPD), how a diagnosis of PPD is treated, and dive into the hot-button topic of medication use in this period. Don't miss out on these valuable insights offered by Dr. Eden, start listening now!

In this episode of Medmastery's Cardiology Digest, we bridge the gap between academic research and clinical practice, exploring three cardiology studies that provide important insights, some of which may even challenge what you think you know. STUDY #1: First, we explore a study from JAMA Internal Medicine that sheds light on the intricate relationship between chronic inflammation and cardiovascular health in patients with rheumatoid arthritis (RA). The big question is whether there's a link between RA and the development of aortic stenosis, and if so, what does it mean for the future of patient care?  Johnson TM et al. Aortic stenosis risk in rheumatoid arthritis. JAMA Intern Med 2023 Jul 31; [e-pub]. (https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2807944) STUDY #2: Next, we tackle a meta-analysis from the British Journal of Sports Medicine that reveals practical insights about the best form of exercise to reduce blood pressure. The conclusion may surprise you, offering a fresh perspective on exercise regimens and their role in combating hypertension. But to grasp the full scope of these revelations, you'll have to tune in. Edwards JJ et al. Exercise training and resting blood pressure: A large-scale pairwise and network meta-analysis of randomized controlled trials. Br J Sports Med 2023 Jul 25; [e-pub]. (https://bjsm.bmj.com/content/57/20/1317) STUDY #3: Lastly, we discuss a study that assesses the risks associated with subsequent pregnancies in women who have experienced peripartum cardiomyopathy (PPCM). We find out the magnitude of the potential for adverse events, including death. Pachariyanon P et al. Long-term outcomes of women with peripartum cardiomyopathy having subsequent pregnancies. J Am Coll Cardiol 2023 Jul 4; 82:16. (https://www.jacc.org/doi/10.1016/j.jacc.2023.04.043) Each of these studies offers a piece of the larger puzzle of cardiovascular health, challenging us to rethink strategies for prevention, monitoring, and treatment. Don't miss this episode, where curiosity meets clinical expertise, unlocking new horizons in cardiology. For show notes, visit us at https://www.medmastery.com/podcasts/cardiology-podcast. Learn more with these courses: Hypertension Mini: https://www.medmastery.com/courses/hypertension-mini Cardiac MRI Essentials: https://www.medmastery.com/courses/cardiac-mri-essentials Echo Masterclass—The Valves: https://www.medmastery.com/courses/echo-masterclass-valves Show notes: Visit us at  https://www.medmastery.com/podcasts/cardiology-podcast.

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Peripartum Cardiomyopathy⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠from the Obstetrics section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

US and Californian Maternal morbidity is alarmingly high, especially in Black and Hispanic women. How did this happen, and how do we become active change agents in reversing the trend?Leaders in healthcare equity - Drs. Amanda Williams (OB), Jennifer Lucero (OB Anesthesia), and Mofya Diallo (Pedi Anesthesia) join host Dr. Ludwig Lin for this important podcast episode. 

Cardiovascular Disease and Pregnancy - Peripartum Cardiomyopathy Guest: Katie A. Young, M.D. Hosts: Malcolm R. Bell, M.D. Maternal mortality remains higher in the United States compared to other developed countries, and cardiovascular disease is a leading cause. This podcast will focus on peripartum cardiomyopathy (PPCM), highlighting the importance of early recognition and brief discussion of treatment and implications for future pregnancies. Topics Discussed: Peripartum Cardiomyopathy (PPCM) Which Patients are at Higher Risk? Which Medications to Avoid Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.

In this episode, we review the high-yield topic of ⁠Major Depressive Disorder with Peripartum Onset from the Obstetrics section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

From an award-winning music star, to radio announcer and TV host, Sarimah Ibrahim's journey is nothing short of inspiring. In this episode of Being Human, she joins Dr. Chua Sook Ning and opens up about her life and struggles with peripartum depression - a crucial issue in women's mental health in Malaysia. A passionate mental health advocate, Sarimah shares her personal experiences, shedding light on the pressing need for greater awareness and intervention for the 1 in 8 mothers facing peripartum depression in the country today. She also shares her thoughts in advocating for change in Malaysia's healthcare system, where less than 30% of maternity providers screen for peripartum depression. For more information on Relate Malaysia and our services, visit www.relate.com.my

ESC TV Today brings you concise analysis from the world's leading experts, so you can stay on top of what's happening in your field quickly. This episode covers: Cardiology This Week: A concise summary of recent studies Peripartum cardiomyopathy Arrhythmogenic mitral valve prolapse Statistics Made Easy: The ‘Win Ratio' Host: Perry Elliott Guests: Carlos Aguiar, Johann Bauersachs and Kristina Haugaa Want to watch that episode? Go to: https://esc365.escardio.org/event/1138 Disclaimer This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC.   Declarations of interests Stephan Achenbach, Kristina Haugaa and Nicolle Kraenkel have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, Lilly, Novartis, Pfizer, Sanofi, Servier, Tecnimede. Johann Bauersachs has declared to have potential conflicts of interest to report: direct personal payment from healthcare industry: speaker fees, honoraria, consultancy, advisory board fees, investigator, committee member, etc. by Roche Diagnostics (Acute Heart Failure), Pfizer (Atrial Fibrillation), Bristol Myers Squibb (Atrial Fibrillation), Bayer (Chronic Heart Failure), Boehringer-Ingelheim (Chronic Heart Failure), Novartis (Chronic Heart Failure), CVRx (Chronic Heart Failure), AstraZeneca (Chronic Heart Failure), Cardior (Chronic Heart Failure), Norgine (Chronic Heart Failure). Research funding from healthcare industry under your direct/personal responsibility (to department or institution): Roche Diagnostics (Atrial fibrillation, co-investigator), Norgine (heart failure / iron deficiency, principal investigator), Zoll Medical (heart failure, co-investigator), CVRx (heart failure, investigator). Davide Capodanno has declared to have potential conflicts of interest to report: Sanofi, Novo Nordisk, Terumo, Medtronic. Perry Elliott has declared to have potential conflicts of interest to report: consultancies for Pfizer, BMS, Cytokinetics.  Emma Svennberg has declared to have potential conflicts of interest to report: institutional research grants from Bayer, Bristol-Myers, Squibb-Pfizer, Boehringer-Ingelheim, Johnson & Johnson, Merck Sharp & Dohme.

High school teacher Itzel Carranza always knew she wanted to have a child, but difficulties arose along the way: from trouble conceiving and gestational diabetes to an intense labor experience and trouble breastfeeding. The anxiety Itzel felt was exacerbated by a cold Chicago winter, and she says she experienced postpartum depression for three months. While she was never officially diagnosed–about half of those suffering from it ever are–Itzel's experience illustrates the pressures new moms face to be successful in their new roles. In this episode, reporter Wendy Wei untangles the many physical and social factors that can contribute to this very common birth complication. And mental health workers and community healers share how Latinas can build the villages that can support them and their baby. For more information, all episodes, and transcripts in English and Spanish visit us at 100latinabirthdays.com. Follow us on social media @100latinabirthdays. 100 Latina Birthdays is made possible by grants from the Healthy Communities Foundation, Woods Fund Chicago, the Field Foundation of Illinois, JB and MK Pritzker Family Foundation, and the Chicago Foundation for Women. Mujeres Latinas en Acción is the series' fiscal sponsor.

Drs Michelle M. Kittleson and Kathryn J. Lindley discuss current approaches to treating patients with peripartum cardiomyopathy as well as patients with heart failure who want to become pregnant. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/982165). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Pregnancy as an Early Cardiovascular Moment: Peripartum Cardiovascular Health https://pubmed.ncbi.nlm.nih.gov/37289905/ Considerations for Specific Cardiomyopathies During Pregnancy https://pubmed.ncbi.nlm.nih.gov/37016994/ Intersection of Heart Failure and Pregnancy: Beyond Peripartum Cardiomyopathy https://pubmed.ncbi.nlm.nih.gov/33980039/ Peripartum Cardiomyopathy: Progress in Understanding the Etiology, Management, and Prognosis https://pubmed.ncbi.nlm.nih.gov/30449378/ Thyroid Disorders in Pregnancy https://pubmed.ncbi.nlm.nih.gov/23007317/ Management of Clinical Chorioamnionitis: An Evidence-Based Approach https://pubmed.ncbi.nlm.nih.gov/33007269/ Takotsubo Cardiomyopathy: A Brief Review https://pubmed.ncbi.nlm.nih.gov/32341693/ Pheochromocytoma/Paraganglioma-Associated Cardiomyopathy https://pubmed.ncbi.nlm.nih.gov/37522121/ B-Type Natriuretic Peptide and Echocardiography Reflect Volume Changes During Pregnancy https://pubmed.ncbi.nlm.nih.gov/28195551/ Peripartum Cardiomyopathy: Challenges in Diagnosis and Management https://pubmed.ncbi.nlm.nih.gov/27276444/ Postpartum Cardiomyopathy https://www.ncbi.nlm.nih.gov/books/NBK534770/ Preeclampsia Predicts Risk of Hospitalization for Heart Failure With Preserved Ejection Fraction https://pubmed.ncbi.nlm.nih.gov/34857089/

Dr. Katie Young, co-director of the cardioobstetrics clinic here at Mayo Clinic sits down to talk about peripartum cardiomyopathy. This is something we will likely consider many times in our careers for patients with shortness of breath in and around late pregnancy. Find out what interventions are key, what patients are most likely to suffer a bad outcome and more. CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com REFERENCES & LINKS Gierula J, et al. Prospective evaluation and long-term follow up of patients referred to secondary care based upon natriuretic peptide levels in primary care. European Heart Journal – Quality of Care and Clinical Outcomes. 2019. 5, 218-224 Bay M, et al. NT-proBNP: A new diagnostic screening tool to differentiate between patients with normal and reduced left ventricular systolic function. Heart. 2003. 89,150-154 Dockree S, et al. Pregnancy reference intervals for BNP and NT-pro BNP – changes in natriuretic peptides related to pregnancy. Journal of Endocrine society. 2021. 5(7)1-9 Mueller C, et al. Heart failure association of the European society of cardiology practical guidance on the use of natriuretic peptide concentrations. European Journal of Heart Failure. 2019. 21, 715-731 Ravichandran J, et al. High-sensitivity cardiac troponin I levels in normal and hypertensive pregnany. American J of Medicine. 2019. 132,362-366 High sensitivity troponin T and I among pregnant women in the US – the National Health and Nutrition Examination Survey. JAMA Cardiology. 2023. 8(4)406-408 Tweet MS, et al. Spontenaoues Cardic Artey Dissection associated with pregnancy. Journal of the American College of Cardiology. 2017. 70,426-435 Baggish AL, et al. The differential diagnosis of an elevated amino-terminal Pro-B-Type Natriuretic Peptide level. Am J Cardiol. 2008. 101,43A-48A Lichtenstein DA, Meziere GA. Relevance of lung ultrasound in the diagnosis of acute Respiratory Failure – the Blue Protocol. Chest. 2008. 134,117-125 Smit MR, et al. Comparison of linear and sector array probe for handheld lung ultrasound in invasively ventilated ICU patients. Ultrasound in Med & Biol. 2020. 46(12)3249-3256 Haller EP, Nestler DM, Campbell RL, Bellamkond VA. Point-of-care ultrasound findings of acute pulmonary embolism: McConnell sign in the emergency medicine. JEM. 2014. 47(1)e19-e24 Halpern DG, et al. Use of medication for cardiovascular disease during pregnancy:JACC State of the Art Review. J Am Coll Cardiol. 2019. Feb, 73(4)457-476 Loyanga-Rendon RY, et al. Outcomes of patients with peripartum cardiomyopathy who received mechanical circulatory support. 2014. Circ Heart Failure. 7,300-309 Adedinsewo DA, et al. Detecting cardiomyopathies in pregnancy and the postpartum period with an electrocardiogram-based deep learning model. European Heart Journal – Digital Health. 2021. 2,586-596 Zieleskiewicz L., et al. Lung ultrasound-guided management of acute breathlessness during pregnancy. Anesthesia. 2013. 68,97-101 Balaceanu A. B-type natriuretic peptides in pregnant women with normal heart or cardiac disorders. Medical Hypotheses. 2018. 121,149-151

Thank you Christian Earl, OMS IV for developing this podcast. Thank you Erin Callahan, OMS IV and Westin Wong, OMS IV for participating in development of this topic. This podcast contains high yield shelf information about Major Depressive Disorder with Peripartum Onset at the beginning. The conversation from there describes some of the aspects of this type of depression and why it needs greater attention. The podcast then looks at Zuranolone directly with important information about the nuances of prescribing this molecule. We enjoyed our discussion and hope you do too! Thank you to the immortal Jordan Turner for creating the perfect bumper music!

Producer Jordana Mollick (HELLO, MY NAME IS DORIS, Netflix's THE LOVEBIRDS) presents her personal experience of peripartum cardiomyopathy and atrial fibrillation during pregnancy.   The Semi-Formal's co-founder addresses the two terms, and how she, her doctors, family and friends reacted to complications before, during, and after delivery. She also discusses how she continues to recover today, and how motherhood has been going so far.   Plus, did you know that watching Grey's Anatomy helped Jordana realize something was up with her heart in the delivery room? Tune in for the story.   Executive Producers: Sandie Bailey, Alex Alcheh, Lauren Hohman, Tyler Klang & Gabrielle Collins Producer & Editor: Casby Bias Associate Producer: Akiya McKnightSee omnystudio.com/listener for privacy information.

Commentary by Dr. Valentin Fuster

Some people say that women ~ glow ~ when they are pregnant. Or that having a baby is one of the best memories they have. But did you know 80% of women have depressive symptoms in the week following childbirth? Or that ⅛ women develop a condition called postpartum depression? Some women are even at risk for manic or psychotic episodes in the postpartum period. These conditions are so prevalent that there is a whole field of psychiatry dedicated to caring for women's mental health during pregnancy and in the postpartum period! Join us in this episode to learn about how the field of peripartum psychiatry developed from ancient Greece, through medical times, and into the 1800s! Then we will spend some time exploring current theories behind the most common peripartum mental illnesses and discussing how obstetrics takes part in this field today.Feminist Corner: Obstetrics as a field is often viewed as very different from other medical and surgical specialties. In reality, it is very closely linked to other fields of medicine, especially psychiatry in this case. What are some ways that obstetricians can take part in multidisciplinary practices?Join the From Skirts To Scrubs community and meet us at the intersection of feminism, medicine, and history!Follow us on socials:Instagram: @fromskirtstoscrubs Facebook: @fromskirtstoscrubs TikTok: @fromskirtstoscrubsTwitter: @FSTS_Podcast

You are called to a code blue medical on labour ward - a previously well nulliparous woman has just had a seizure, and now seems confused. Her observations are normal, she is not hypertensive and the CTG appears fine. She is presumed to have had an eclamptic seizure and is given oxygen, magnesium and has some urgent pre-eclampsia bloods and urine sent. The midwife states she has been trying to stay well hydrated with lots of coconut water and has been on oxytocin to augment her labour for a number of hours. Her results are all normal except for a sodium of 111. She suddenly starts to begin seizing again....... Hi everyone, This week I am joined by two guests - Siv our current education fellow and Jess who is a senior ICU trainee working in our department to discuss a very important but perhaps somewhat often overlooked condition - peripartum hyponatraemia. As we acknowledge in the podcast hyponatraemia is a huge topic and in order to make this podcast more manageable and practical we have chosen to focus specifically on peripartum hyponatraemia, it's common causes, recognition & diagnosis, practical management and how to avoid the harms associated with excessively rapid correction. Thanks Jess! References Guideline for the Prevention, Diagnosis and Management of Hyponatraemia in Labour and the Immediate Postpartum Period - GAIN Northern Ireland March 2017

In this episode, Dr. Roy Baskind and Dr. Ahmit Shah answer such questions as: when is an opening pressure on LP required? When should we pull the trigger on ordering a CT venogram in the patient with unexplained headache? Which older patients who present with headache require an ESR/CRP? How do the presentations of cerebral venous thrombosis (CVT) and idiopathic intracranial hypertension (IIH) compare and contrast? When is it safe to start steroids in the ED for patients suspected of giant cell arteritis (GCA); will starting steroids affect the accuracy of a temporal artery biopsy? How soon should patients suspected of GCA get a temporal artery biopsy? When should we consider posterior reversible encephalopathy syndrome (PRES) and pituitary apoplexy in the peripartum patient? How should we think about the differential diagnosis of vascular headaches? and many more...  The post Ep181 Cerebral Venous Thrombosis, Idiopathic Intracranial Hypertension, Giant Cell Arteritis and Peripartum Headaches appeared first on Emergency Medicine Cases.

In this podcast, Dr. Asha Murthy elaborates on Postpartum Cardiomyopathy in pregnant women and its risk factors, identification, nature and course of treatment after diagnosis.

https://psychiatry.dev/wp-content/uploads/speaker/post-12148.mp3?cb=1678081928.mp3 Playback speed: 0.8x 1x 1.3x 1.6x 2x Download: Catatonia in the peripartum: A cohort study using electronic health records – Afraa Delvi et al. Schizophrenia Research. 2023. Due to limitedFull EntryCatatonia in the peripartum: A cohort study using electronic health records –

Authors: Andry Vleeming, Haitze J de Vries, Jan M A Mens, Jan-Paul van Wingerden

Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel.  This podcast is an exciting journey towards improved anesthesia patient safety.This is a special encore show where we look at the rising maternal mortality rates in the United States and what steps are being taken to reverse this concerning trend. Please join us to learn about Maternal Safety Bundles and the role of anesthesia professionals as peripartum physicians and advocates for improved maternal patient safety. © 2022, The Anesthesia Patient Safety FoundationFor show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/125-maternal-safety-bundles-encore-presentation/

Clinical psychologist Liane Lurie helps us uncover the difference between ‘sadness' and peripartum and postpartum depression. From the signs to look out for to the role of your partner during such a bittersweet time – we're having all the important conversations! Don't miss this interview for vital insights on your mental health post birth. A special thank you to SADAG. Brought to you by Epimax Baby & Junior – our family, for your family. Also supported by Jacaranda 94.2.

Clinical psychologist Liane Lurie helps us uncover the difference between ‘sadness' and peripartum and postpartum depression. From the signs to look out for to the role of your partner during such a bittersweet time – we're having all the important conversations! Don't miss this interview for vital insights on your mental health post birth. A special thank you to SADAG. Brought to you by Epimax Baby & Junior – our family, for your family. Also supported by Jacaranda 94.2.

Commentary by Dr. Valentin Fuster

In today's episode, Cinthya discusses what peripartum depression is and how it affects women before and after childbirth. We also explore the risk factors and how to help treat/cope with this serious but treatable condition. 

Peri-partum cardiomyopathy is a form of heart failure affecting young mothers during later stages of pregnancy or early post-partum. Medical management should be tailored to improving the mother's health while ensuring safety of the baby. Which of the currently available heart failure drugs are safe in pregnancy and during breast feeding? What are the outcomes of women with peripartum cardiomyopathy, who undergo LVAD implantation or heart transplantation? In this interview, Dharini Ramu, MD, FACC and Spencer B. King III, MD, MACC, with Yuvraj Chowdhury MD, discuss Medical and Advanced Heart Failure Therapies in Peri-partum cardiomyopathy: A Cardiologist's Perspective.

We have come a long way from the first report from Stein and Leventhal describing “polycystic ovaries“ on ultrasound in infertile women back in the 1950s. We already well understand that PCOS raises the risk of certain antepartum complications including gestational diabetes, possible macrosomia, and the development of gestational hypertension or preeclampsia. But there actually is scant data on the risk of acute peripartum complications. In this podcast we will summarize a large study just published June 16, 2022 out of the Journal of AHA. We will also cover the importance of distinguishing between “Odds Ratios” and “absolute numbers” for clinical implications. Ready? Let's dive into acute PeriPartum risks for women with PCOS.

The transformational nature of postpartum is not limited to the experience of the mother. Even though it is especially unique to her, the entire family feels its aftershocks - including dads and partners.The potential for them to experience similar mood disorders and depression is extremely high. For professionals to ignore or make light of this would be an injustice to the women and families we serve.Peripartum depression in dads must continue to be addressed, researched, recognized, and supported. We're here in honor of Father's Day to break down some of the basics behind this growing reality and discuss how we can join together to provide higher levels of support.Go to https://postpartumu.com/postpartum-university-podcast-ep65/ for more!In this episode, I am sharing:The experience of dads and partners during postpartumDefining the difference between peripartum vs postpartum1 out of every 10 dads will experience peripartum depressionOver 50% of men who have a partner with depression will also experience it themselvesUnique causes and symptoms for moms vs dadsCognitive, emotional, and social impact on childrenThe heavy emotional and physical toll of postpartumComing together to provide better supportAre your symptoms being caused by postpartum depletion, or something else? - Take The Postpartum Assessment HERE!Postpartum University® Training for Professionals:-Holistic Postpartum Nutrition Training-Postpartum Nutrition Certification - If you are in need of support, or have questions you can send an email to admin@postpartumu.com  OR  you can reach out in The Postpartum Circle Facebook group.Where to find me: postpartumu.comFacebookInstagramPinterest

Pregnant women and new moms may be at risk for peripartum depression or anxiety.Kim Myers is the behavioral health clinical program manager at Intermountain Healthcare and a social worker. She spoke with Kari about the signs of postpartum anxiety, and postpartum depression and where we can turn to for help.Kim also explains the difference between baby blues and postpartum depression. The main message? Peripartum depression and anxiety are extremely common, you are not alone and medical professionals are at the ready to help.If you or someone you know if experiencing a behavioral health issue, they can call Intermountain Healthcare's navigation hotline: 833-442-2211 Kari, Brooke, David, Elora and Sarah host Fresh Living on KUTV, which airs on CBS Channel 2 every weekday at 1 pm in Utah. You can follow Fresh Living on all social media platforms @kutvfreshliving and watch our show on YouTube.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Pregnant women and new moms may be at risk for peripartum depression or anxiety. Kim Myers is the behavioral health clinical program manager at Intermountain Healthcare and a social worker. She spoke with Kari about the signs of postpartum anxiety, postpartum depression and where we can turn to for help. Kim also explains the difference between baby blues and postpartum depression. The main message? Peripartum depression and anxiety are extremely common, you are not alone and medical professionals are at the ready to help. If you or someone you know if experiencing a behavioral health issue, they can call Intermountain Healthcare's navigation hotline: 833-442-2211 Kari, Brooke, David, Elora and Sarah host Fresh Living on KUTV, which airs on CBS Channel 2 every weekday at 1 pm in Utah. You can follow Fresh Living on all social media platforms @kutvfreshliving and watch our show on YouTube.

Today  (ibit.ly/Re5V) we talk with Mie de Wolff on complex care in pregnancy in Denmark including peripartum cardiomyopathyresearchgate - ibit.ly/NDqf#phdmidwives  #norehabinmaternitycare #respectfulcare #vaildatedtests #coceforhighrisk #lactationonmeds #midwifeascoordinator Do you know someone who should tell their story?email me  - thruthepodcast@gmail.comThe aim is for this to be a fortnightly podcast with extra episodes thrown inThis podcast can be found on twitter - @thruthepinard, insta @thruthepinard and our website -https://thruthepinardpodcast.buzzsprout.com/ or ibit.ly/Re5VSupport the showDo you know someone who should tell their story?email me - thruthepodcast@gmail.comThe aim is for this to be a fortnightly podcast with extra episodes thrown inThis podcast can be found on various socials as @thruthepinardd and our website -https://thruthepinardpodcast.buzzsprout.com/ or ibit.ly/Re5V

 This week, on the Docs2Dads podcast we welcome Dr. Bradford Unroe, a psychiatrist in training who is going to help us know what signs to look for in ourselves and our partners to recognizethe early signs of mental health problems after you have a baby!! He shares his experiences of becoming a dad at a stressful time in history and we share some of our personal stories about postpartum mental health. All this week on the Docs2Dads Podcast.First Things First!!If you are having thoughts of harming yourself or others, please seek help by calling the National Suicide Prevention Lifeline - 800-273-8255 or chat at the linkCrisis Text Line - Text "HOME" to 741741Find A Therapist - Psychology TodayFind Support Groups - Nat'l Alliance for Mental HealthOur community is here to help you:

In our continued discussion, Heidi House and I discuss her amazing work with Save the Mommies. As the Illinois Representative, she brings awareness and educates women on the common symptoms of Peripartum Cardiomyopathy and also speaks at national meetings and conferences to promote change and save lives. Heidi shares how they honor Emery each year on the twins birthday and take comfort in the little signs knowing that she is with them everyday as they continue to work through their grief. You will be in awe of the strength and resiliency that Heidi leads her life with after everything they have been through.

TRIGGER WARNING: We discuss suicide and perinatal suicide in women in this episode, at around the 30 minute mark.   PMS, PMDD and Peripartum mental health with Dr. Connie Guille of MUSC.  Dr. Guille is a professor in the departments of Psychiatry and OBGYN, and the Director of Women's Reproductive and Behavioral Health at the Medical University of South Carolina. In this episode she and Claire discuss what's “normal” in symptoms of PMS versus PMDD (pre menstrual dysmorphic disorder).  They also dive into treating mental health during pregnancy, as well as postpartum anxiety.  Find more from Dr. Guille here:    https://medicine.musc.edu/departments/psychiatry/divisions-and-programs/divisions/postpartum See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

To honor Heart Disease month, I sat down with my dear friend, Heidi House for an interview. She speaks openly and candidly about an experience that should have been full of joy, but rather left her physically and emotionally with a broken heart. With preeclampsia followed by a diagnosis of Peripartum Cardiomyopathy, in a matter of hours, her whole world changed. Listen to hear her devastating story unfold as she describes their infertility struggles, the blessing of a twin pregnancy, then her need for a stat cesarean section after a full cardiac arrest followed by the unexpected, sudden loss of their beautiful daughter, Emery. You will not believe what Heidi and her husband Brodie have been through. But, mostly, you will be amazed by the awe inspiring bravery and resiliency of Heidi and how she has risen up beyond their devastation to not only save herself, but other mothers as well. We had so much to talk about, that we ended up splitting up our conversation into 2 episodes. So sit back, grab some tissues, and I hope you enjoy my conversation with the amazing, Heidi House.

Every pregnancy is awash in chemicals--that's how the magic happens, how we turn an egg and a sperm into another human being. But this chemistry can have other consequences, notably, peripartum depression. Peripartum depression, the condition formerly known as postpartum depression, has been renamed to reflect the fact that this form of depression can strike during a pregnancy, as well as after it. It is believed to affect 1 in 9 mothers, a full 50 percent of these cases are thought to occur during the pregnancy. Today's guest didn't share her feelings with anyone, first imagining that it was normal to have unsettling thoughts during pregnancy. After birth she experienced guilt about her lack of interest in connection. Fast forward five years, today she's trying to help other mothers who find themselves in this situation.  For more about Maria, find her work at https://www.parentonboard.comFor extended show notes and the opportunity to sign up to share your story, checkout:https://warstoriesfromthewomb.com/

Welcome to episode two. Today we talk to the wonderful Leilah Zahedi-Spung, a Maternal Fetal Medicine Fellow at Washington University in St. Louis. We touch on various topics this week including Postpartum and Peripartum depression, Pumping and childcare. This was a really fun interview, with quite a few laughs along the way, plus there maybe even an a surprise Accordion appearance. Please do get in contact if you have a story to share or would just like to say hi: You can contact us at: drmamapodcast@gmail.com or via social media: Facebook: facebook.com/DrMamaPodcast Instagram: instagram.com/drmamapodcast Twitter: twitter.com/DrMamaPodcast --- Send in a voice message: https://anchor.fm/drmamapodcast/message

You've no doubt heard of using an epidural for pain control during labor. But do you know who administers it, and the process they use??? In this episode, Dr. Catherine Kuza, an anesthesiologist and intensivist, takes us through everything you need to know about Epidurals! We also have a conversation about her experience with a rare condition called Peripartum Cardiomyopathy, and hear her advice for moms. She is extremely knowledgeable and well-versed in this topic - I strongly encourage new moms to take a listen and be better prepared for their own births in the future! Show Notes Link: https://www.newmomboss.com/30

A conversation between women's mental health expert, Dr. Marcela Almeida, and child psychiatrist, Dr. Mamatha Challa, on women's mental health during pregnancy and the post partum period.