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At least 397 records · Page 22Linked to original sources
PubMed1988

Lorazepam treatment of psychogenic catatonia: an update.

Six papers have reported the efficacy of lorazepam in alleviating catatonic symptoms that have psychogenic causes. The authors report five new cases of catatonia; three patients responded favorably and two failed to respond to lorazepam. Investigation of the nonresponders revealed the presence of pernicious anemia in one and postpartum psychosis in the other. These findings demonstrate that lorazepam has an important role in the treatment of catatonic symptoms. Its effects appear to be specific for psychogenic catatonic states and for conditions in which biogenic amines, specifically dopamine and gamma-aminobutyric acid, play a part. The authors stress intramuscular administration of lorazepam for patients in catatonic states because this route provides the psychiatrist with immediate results that assist with early diagnosis and treatment.

Adult↗
PubMed1988

[Acute abdomen in the puerperium].

Reporting 6 cases as examples the problems of symptoms and diagnosis of peritonitis in puerperium are discussed. Main source of the peritonitis is the ascending of pathogenic germs. The unknown bacteriologic vaginal milieu and the behaviour of the physician associated with caesarean section and premature rupture of the membranes play an important role for developing a peritonitis. Laparotomy with removing of uterus in time is the singlest method to rescue life threatening maternal situations.

Abdomen, Acute↗
PubMed1987

Major mental illness and childbearing. A role for the consultation-liaison psychiatrist in obstetrics.

Considerable attention has been paid to psychiatric disorders arising in the postpartum period. However, there has been very little systematic study of mental illness during pregnancy. Although quantitatively not a major problem, it can pose several difficulties for mother and fetus. This article reviews the existing literature and along with illustrative cases discusses the management of mental illness related to pregnancy. The relationship between the consultation-liaison psychiatrist and the obstetrician-gynecologist in caring for such problems is emphasized.

Adult↗
PubMed1987

Predisposition to psychological complications after stillbirth: a case report.

As many as one-third of women bereaved by stillbirth suffer psychological decompensation, and a similar proportion see the obstetric team as unsupportive. A case history is presented of a woman who suffered severe psychiatric illness after delivering a stillborn anencephalic infant. This paper discusses the powerful influence that the behavior of the obstetric team in the delivery room can exert on the long-term outcome of the crisis. This case highlights a number of practical aspects of the psychological management of bereavement by stillbirth.

Adult↗
PubMedDate not supplied

Reproductive mortality in Lusaka, Zambia, 1982-1983.

In this study, age- and parity-specific birth data were used to estimate maternal mortality rates for 1982-83 at University Teaching Hospital in Lusaka, Zambia. Overall, 60 maternal deaths occurred during pregnancy or within 42 days after pregnancy termination, and four pregnancy-related deaths occurred more than 42 days after pregnancy termination. Nine of the 60 maternal deaths were caused by induced abortion, one by spontaneous abortion, twelve by hypertensive disease of pregnancy, ten by hemorrhage, nine by puerperal sepsis, and four by ectopic pregnancy. Of the 12 women who died from nonobstetric causes, one committed suicide because of an unwanted pregnancy. Women aged 35 years and older or who had had four previous pregnancies had a higher risk of dying than other women, especially by hemorrhage. The chief risk factors included not using an effective method of contraception, using an unsafe means to terminate unintended pregnancies, lack of prenatal care, refusing a blood transfusion (for religious reasons), and inadequately treating hypertensive disease of pregnancy. Overall, 31 of 60 women who died lacked adequate or appropriate medical care and 19 failed to obtain available health care. Medical management problems appeared to occur more frequently during the night-time medical shift.

Abortion, Induced↗
PubMed1987

Maternal depression: a concern for pediatricians.

Maternal depression is common in clinical experience but has not been fully addressed in the pediatric literature. Depression can refer to either depressive symptoms or a diagnosable depression. Depression among mothers occurs frequently, is persistent, and is related to other factors such as low social class and marital disharmony. Studies demonstrate an association between a mother's depression and adverse outcomes for her child including low birth weight, behavior problems, somatic complaints, poor growth, accidents, and affective illness. Affect and child-rearing characteristics of depressed mothers seem to be important factors in mediating these poor outcomes. Pediatricians have a special role in helping depressed mothers and their children.

Adult↗