Women with delayed-onset postpartum preeclampsia tend to have low heart rates as compared to healthy controls, on similar postpartum days, finds a study published in BMCWomensHealth
]. Therefore, the present study aimed to validate these observations and to compare maternal heart rate in delayed postpartum preeclampsia to normotensive women on the same postpartum day.We conducted a retrospective cohort study of all women readmitted to Meir Medical Center, from January 2014 through March 2020, with new delayed-onset of postpartum preeclampsia. Delayed-onset postpartum preeclampsia was defined as a new diagnosis of preeclampsia that occurred 48 h to 6 weeks postpartum.
The control group included randomly recruited healthy parturients with uncomplicated pregnancies, who came, during 2020, to the hospital for a routine screening hearing test for their newborns in the neonatal clinic, during postpartum period, on days 2–11. .Data were collected by electronic medical record review and included: maternal age, gravity and parity, characteristics of current pregnancy and hemoglobin level on the day of labor. The postpartum hospitalization data included postpartum day of readmission and clinical features on presentation including pulse rate , blood pressure and serum laboratory values of liver function and platelet count.
The diagnosis of delayed onset preeclampsia was made on 6.3 ± 2.86 post-partum day. The most common symptom was headache followed by abdominal pain and peripheral edema . Shortness of breath was rare . Abnormal laboratory tests defined as elevated liver enzymes Mean systolic and diastolic blood pressure levels were 162.3 ± 16.7 mmHg and 93.6 ± 10.7 mmHg, respectively. Further brain imaging tests were performed, due to maternal complaints of headache, in 35.
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Association between calf circumference and incontinence in Chinese elderly - BMC Public HealthBackground The objective of this study was to analyze the association between calf circumference and incontinence in Chinese elderly, and to find out the maximal cut-off point by gender for the use of calf circumference in screening for incontinence. Methods In this study, participants were from the 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS). The maximal calf circumference cut-off point and other incontinence-related risk factors were explored using receiver operating characteristic (ROC) curves and logistic regression analysis. Results The study included 14,989 elderly people (6,516 males and 8,473 females) over 60. The prevalence of incontinence in elderly males was 5.23% (341/6,516), significantly lower than females, which was 8.31% (704/8,473) (p | 0.001). There was no correlation between calf circumference | 34 cm in males and | 33 cm in females and incontinence after adjusting the confounders. We further stratified by gender to predict incontinence in elderly based on the Youden index of ROC curves. We found the association between calf circumference and incontinence was the strongest when the cut-off points were | 28.5 cm for males and | 26.5 cm for females, with an odds rate (OR) value of 1.620 (male, 95%CI: 1.197–2.288) and 1.292 (female, 95%CI: 1.044–1.600) after adjusting the covariates, respectively. Conclusions Our study suggests that calf circumference | 28.5 cm in males and | 26.5 cm in females is a risk factor for incontinence in the Chinese elderly population. Calf circumference should be measured in routine physical examination, and timely interventions should be made to reduce the risk of incontinence in subjects with calf circumference less than the threshold.
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