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      Patología puerperal Translated title: Puerperal pathology


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          El puerperio es el periodo desde el final del parto hasta la aparición de la primera menstruación. Las posibles patologías acontecidas en este tiempo son la causa más frecuente de mortalidad materna incluso en nuestro medio. La patología de la lactancia incluye el fallo de lactancia, grietas en el pezón, ingurgitación mamaria y mastitis puerperal. La infección puerperal es una complicación obstétrica frecuente aunque las pautas de profilaxis han disminuido mucho la incidencia de esta patología. La patología vascular del puerperio incluye cuadros de gravedad importante, representando una de las principales causas de mortalidad materna. Se incluye la trombosis venosa profunda y el tromboembolismo pulmonar como la complicación más grave de la primera. No parece que la patología psiquiátrica sea más frecuente en el puerperio que en otra época de la vida, pero sí que se describen los cuadros relacionados con este periodo, como son el «blues», la depresión puerperal y la psicosis puerperal. Por último, otros cuadros poco frecuentes, pero que pueden constituir una emergencia médica en el puerperio son el síndrome de Sheehan, la miocardiopatía periparto y la tiroiditis postparto.

          Translated abstract

          The puerperium is the period from the end of labour to the appearance of the first menstruation. The possible pathologies that can occur in this period of time are the most frequent cause of maternal mortality even in our setting. The pathology of lactation includes failure of breastfeeding, cracks in the nipple, mammary ingurgitation and puerperal mastitis. Puerperal infection is a frequent obstetric complication although clinical guidelines for prophylaxis have considerably reduced its incidence. The vascular pathology of the puerperium includes clinical features of great seriousness, representing one of the main causes of maternal mortality. These include deep vein thrombosis, of which pulmonary thromboembolism is the most serious complication. It does not appear that a psychiatric pathology is more frequent in the puerperium than in other periods of life, but the clinical features related to this period are described, such as «blues», puerperal depression and puerperal psychosis. Finally, other clinical features which although infrequent can constitute a medical emergency in the puerperium are: Sheehan`s syndrome, peripartum cardiomyopathy and postpartum thyroids.

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          Most cited references11

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          The use of low-molecular-weight heparin for the management of venous thromboembolism in pregnancy

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            Diagnosis and treatment of venous thromboembolism in pregnancy.

            Suspected or confirmed venous thromboembolism (VTE) (deep-vein thrombosis and pulmonary embolism) in non-pregnant patients are common clinical problems with ample clinical research upon which diagnostic and treatment recommendations are based. Unfortunately, the level of complexity is increased in the diagnostic and therapeutic management of pregnancy-associated VTE by evolving physiological changes in expectant mothers, the effects of diagnostic and therapeutic management on the unborn child and the lack of validation of these management strategies in pregnancy. This chapter considers the epidemiology, pathogenesis, diagnosis and treatment of pregnancy-associated VTE. It highlights the poverty of research upon which to base clinical recommendations for this common problem yet offers practical but conservative approaches to patients with suspected and confirmed pregnancy-associated VTE.
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              Antibiotic regimens for endometritis afeter delivery


                Author and article information

                Role: ND
                Role: ND
                Role: ND
                Anales del Sistema Sanitario de Navarra
                Anales Sis San Navarra
                Gobierno de Navarra. Departamento de Salud (Pamplona, Navarra, Spain )
                : 32
                : suppl 1
                : 169-175
                [01] Pamplona orgnameHospital Virgen del Camino orgdiv1Servicio de Ginecología y Obstetricia

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.

                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 10, Pages: 7

                SciELO Spain

                Puerperio,Infección puerperal,Trombosis venosa profunda,Tromboembolismo,Depresión puerperal,Puerperium,Puerperal infection,Deep vein thrombosis,Thromboembolism,Puerperal depression


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