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Jan 18
2019

Pregnancy Anxiety Therapy – When Is It Indicated?

The symptoms of anxiety are relatively common during pregnancy but are almost always not diagnosed and consequently untreated. A recent study of 2793 women found that 9.5% met the criteria for generalized anxiety disorder (GAD) at some point in pregnancy, so anxiety therapy should be adopted. The highest rates of GAD were observed in the first trimester (7%). Only 2% of women met GD criteria in the second trimester and 3% in the third trimester. This study indicated that a woman with a history of GAD before pregnancy are more predisposed to develop generalized anxiety disorders during pregnancy.

Anxiety Disorders More Common in Pregnancy?

Anxiety disorders are part of a group about mental health conditions. These conditions are categorized together because they all focus on dysfunctional levels of fear, worry, or some other anxiety-based reaction to general or specific circumstances. Examples of disorders that require therapy for anxiety during pregnancy:

Disorder or Panic Syndrome;

Generalized Anxiety Disorder;

Social anxiety disorder;

Specific phobia;

Separation anxiety disorders;

Agoraphobia

Two other conditions – posttraumatic stress disorder (PTSD) and obsessive-compulsive disorder (OCD) – have been classified as anxiety disorders, although they now have their own individual categories of diagnosis. Pregnant women develop symptoms of generalized anxiety disorder and panic syndrome almost every time they develop symptoms of depression or other forms of depressive illness. In addition, pregnant women who require therapy for anxiety in pregnancy almost always develop symptoms of the obsessive-compulsive disorder as often as they develop symptoms related to depression.

Do not take good care of your physical health.

Thus, it is crucial that women with anxiety disorders be monitored carefully during pregnancy so that treatment, as well as therapy for anxiety in pregnancy, can be administered if the anxiety symptoms arise at that stage.

Treatment of Anxiety in Pregnancy

There are several therapies that do not involve medications and therefore are considered safe for a developing baby. For women who need medication, there are low-risk options that can provide realistic relief. Therapy for anxiety in pregnancy, relaxation techniques can be very helpful in treating anxiety symptoms during pregnancy and may reduce the need for medication. Couples who want pregnancy and have problem before have to take their partner ovulation tests. The following treatments have been shown to help pregnant women with mild to moderate depression. Psychotherapy , such as cognitive-behavioral therapy (CBT), in which a qualified therapist teaches new approaches to managing thoughts and emotions. Omega-3s , which are found in foods like fish and nuts, and can act as a natural mood enhancer. Light therapy , in which patients are exposed to artificial sunlight at specific times of the day to help relieve the symptoms of depression. Acupuncture , the Chinese practice that (in this case) involves the placement of tiny needles in areas of the body that influences mood Although these modalities have been shown to reduce anxiety symptoms, we have less information on the efficacy of these interventions in women with severe or pre-existing anxiety disorders.

What is the name of Anxiety Therapy in Pregnancy?

The Therapy Cognitive Behavioral (CBT) is the name of therapy for anxiety in pregnancy, and is designed to do several things. First, a therapist practicing this form of therapy helps their patients understand why and how their emotions, thoughts, and actions contribute to dysfunctional or harmful reactions to stressful situations. Then the therapist will help his patients learn to recognize specific examples of emotions, thoughts and harmful actions. Finally, it helps your patients develop new emotions , thoughts and actions that do not support dysfunctional or harmful stress reactions. Cognitive behavioral therapy is well supported by a large body of evidence-based research and has proven to be useful for treating a number of serious mental health problems.

Usefulness For Pregnant Women

Researchers at McMaster University of Canada and St. Joseph’s Healthcare have used a small-scale pilot project to help determine the usefulness of cognitive behavioral therapy as a treatment for pregnancy-related anxiety and anxiety disorders. This project was developed because, while cognitive behavioral therapy is a known effective treatment for anxiety in general , the research community knows very little about the impact of this therapy for anxiety in pregnancy. Some of the 10 women enrolled in the project became pregnant, while others had a baby in the previous year. All women had some form of diagnosable anxiety disorder. For the research, participants were enrolled in a six-week course of cognitive behavioral therapy performed in a group format rather than in an individual setting. At the end of the course of therapy for anxiety in pregnancy, it was concluded that the women participants experienced a substantial decline in their anxiety disorder symptoms. In addition, women experienced a similar decline in their exposure to symptoms of depression. Crucially, participants generally found the treatment pleasant and self-professed a belief in the effectiveness of the approach. The researchers believe that their findings point to the utility of cognitive-behavioral therapy as an anxiety treatment in the context of pregnancy and postpartum. However, they observe the small scale of their work and require future researchers to conduct larger studies capable of confirming or disputing their results.

Dangers of Appendicitis in Pregnancy

Many women end up being diagnosed with appendicitis in pregnancy . The problem has no association with pregnancy and can appear at any gestational age, from the first trimester to the third trimester and when diagnosed quickly there are no risks for the patient. Although not considered so serious, it is a worrying situation because it is a future mother. When a case of appendicitis occurs during pregnancy, all care is little after all, the health of the pregnant woman and the baby is at stake.

 

Important Aspects About Appendicitis

Appendicitis occurs with inflammation of the appendix and is a lymphatic organ located in the first part of the large intestine (cecum), located on the right side of the abdomen, where the retention of fecal matter occurs. When the appendix is ruptured, feces and other microorganisms spread through the abdominal cavity and can be considered as a serious infection . This situation occurring within a pregnancy, ends up becoming a little more worrying since it poses two lives. The medical evaluation is very important, especially in the first moment of the pregnant woman’s complaint, besides the physical examination, several exams are also requested that helped in the diagnosis. The tests requested for diagnosis are: tomography, abdominal ultrasound, resonance and blood tests.

Causes of Appendicitis

It is not yet known exactly why this happens, but some aspects should be taken into account for the inflammation of the appendix . Obstruction of fat or feces can occur in the wall of the abdomen or virus infection occurs where we have gastrointestinal disease. The two situations occur when a bacterium is lodged within the appendix and multiplies, where the inflammation and swelling of the appendix occurs together with pus. It needs to be treated soon as the appendix can rupture . Symptoms and causes in the case of pregnant women may confuse the assessment, with uterus growth and organs being pushed up and sides, the symptoms of the inflamed appendix in pregnancy resemble the symptoms of non-pregnant women, but can be difficult the diagnosis in this gestational period . What are the Risks of the Inflamed Appendix for the Baby and the Pregnant Woman? Illness of the inflamed appendix is considered to be an emergency, especially in pregnant and non-obstetric pregnant women, putting the life of the mother and the baby at risk if not correctly diagnosed. In the most serious case, the pregnant woman is at risk of miscarriage or having a preterm birth . There is still the risk of the appendix rupturing and occurring to the inflammation of the peritoneum, causing the  fecal remains to spread through the cavity of the abdomen, causing a serious infection that endangers the life of the pregnant woman and her baby.

Symptoms of the Appendix in Pregnancy

The symptoms can be camouflaged and confused with the gestational process , being very dangerous, therefore, it delays the diagnosis and the delay of the treatment of the infection. It is very important to recognize these symptoms so that there is the early diagnosis avoiding greater complications. Abdomen Pain – Stay alert, it is a very strong pain and it presents in the middle of the belly and extends close to the navel, following towards the right side of the abdomen. Nausea and Vomiting – These symptoms can be confused with the symptoms of gestation, it is important to seek a doctor, even when accompanied by other symptoms or not.

Lack of Appetite – It is quite pronounced in this case.

Low fever – Low fever is one of the aspects presented during the process of inflammation of the appendix. Watch for symptoms, when the appendix ruptures, the pain may fade for a short time causing relief and improvement for some time. But from the moment the abdominal cavity inflates into a condition called peritonitis, the pain worsens a lot and the symptoms become more severe, making it difficult to walk and cough. In this picture the symptoms present with diarrhea, chills, nausea and vomiting , loss of appetite, tremors and fever. It is important to be aware of the symptoms, if they persist for more than twelve hours seek medical help, after all the sooner you know the sooner the diagnosis will receive the treatment safeguarding your life and your baby.

Surgery for Appendicitis in Pregnancy

The solution to the problem of appendicitis in pregnancy is surgical and there are two surgical procedures for retained appendix. The appendectomy is a conventional procedure or surgery by video laparoscopy , video is a smoother procedure, causing less pain and better recovery.

Traditional Surgery

The surgery of the appendix is performed under general anesthesia and takes a period of thirty minutes to one hour depending on the procedure. In many cases there is a need for traditional surgery , with a cut in the belly, but the doctor will decide which method is most effective for your diagnosis.

Video-Laparoscopy Surgery

Video-laparoscopy is usually indicated in the first and second trimesters of the gestational period and appendectomy is most indicated at the end of gestation. The pregnant woman will remain hospitalized after the surgery about one to three days, for observation and should return home as soon as she is able to feed with solid foods. In order to make recovery quicker, you should follow the medical recommendations regarding rest, not lifting, feeding properly and going to the doctor’s office to evaluate the healing process and avoid possible post-surgical infections .

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