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Women who are prescribed opioids after childbirth have an increased risk of serious opioid-related events, including overdose and death, in their first year postpartum, say researchers. This is true regardless of whether the woman had a vaginal delivery or a caesarean section, according to the study, published in the journal Annals of Internal Medicine.
“This work highlights serious risks associated with opioid prescribing after childbirth, especially among women who receive multiple prescriptions,” said study researcher Sarah Osmundson from Vanderbilt University in the US. “Routine prescribing after vaginal birth is still common, and it is alarming to know that this may put women at risk of long-term problems with opioids for a procedure (vaginal birth) where opioids have dubious benefit,” Osmundson added.
For the findings, the research team followed more than 160,000 pregnant women ages 18-44 who had no history of opioid prescriptions or opioid use disorder within 180 days before their delivery. The findings showed that more than half of the women who delivered vaginally and 91 per cent of women who delivered via C-section filled at least one opioid prescription following childbirth.
More than 10 percent of vaginal births and 24 percent of C-sections also involved filling a second opioid prescription in the postpartum period. According to the researchers, increasing the number of postpartum opioid prescriptions also increased a woman’s risk for experiencing a serious opioid-related event, including opioid-related death, persistent use and a diagnosis of opioid use disorder.
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“While prior studies have looked at persistent opioid use after surgery, including C-sections, little attention has been paid to serious opioid-related events following vaginal childbirth, leaving physicians with limited information about the associated risks,” said study senior researcher Carlos G. Grijalva.
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“Current clinical guidelines do not provide clear recommendations for opioid prescribing after childbirth, so this work can help inform practice,” Grijalva added. (IANS)
By TS Kler
COVID-19 has led to complications and health risks manifold for patients with non-communicable diseases. Almost 75-80 percent of the COVID patients don't require hospitalisation and can recover at home with teleconsultation, but COVID-19 infections can leave the patient with long-term side effects. There are many instances where symptoms of COVID-19 have persisted for several months. Apart from damaging the lungs, the virus can also cause acute myocardial injury and chronic damage to the cardiovascular system.
According to research published in the European Heart Journal, Covid-19 patients who suffer cardiac arrest have a higher possibility of dying as compared to those who are not infected with it, and especially women are at an increased risk of death for the same reason. The virus may directly breach the ACE2 receptor cells, within the myocardium tissue and cause direct viral harm. COVID can result in inflammation of the heart muscles which is known as myocarditis and it can lead to heart failure over time, if not taken care of.
People with a pre-existing heart problem need to be extra cautious. A significant number of patients have suffered cardiac arrest during the recovery period, often resulting in death. Expert suggests that even though the COVID virus wanes, the immune response continues to be hyper-active and that often ends up attacking other organs. It has been observed that almost 80 per cent of these patients have had cardiac arrests 2-3 weeks after testing COVID positive.
Covid-19 patients who suffer cardiac arrest have a higher possibility of dying as compared to those who are not infected with it | Photo by benjamin lehman on Unsplash
We tend to ignore some of the warning signs and due to lack of awareness, sometimes, we fail to prevent certain cardiovascular issues during COVID or even after recovering from COVID. After someone has had COVID-19, if that patient is experiencing a rapid heartbeat or palpitations, it is recommended to contact the doctor immediately because even a temporary increase in heart rate can signal a lot of different things, including the aftermath of being very ill, prolonged inactivity and spending weeks convalescing in bed and even dehydration.
It is necessary to make sure that the patient is drinking enough fluids, especially if the fever persists. Sometimes, people who are recovering from COVID may show symptoms of a condition known as POTS (Postural Orthostatic Tachycardia Syndrome). However, the link between the development of POTS and COVID is yet to be established. Although, POTS is a neurologic problem, and it is not directly a cardiac issue. It affects the part of the nervous system and may hamper the heart rate and blood flow. The syndrome can also cause rapid heartbeats while standing up. Some of the symptoms of a rapid or irregular heart rhythm may include:
*Feeling of a rapid or irregular heartbeat in the chest (palpitations)
*Shortness of breath
*Feeling lightheaded or dizzy, especially upon standing
*Rapid ups and downs in the pulse rate
COVID-19 has led to complications and health risks manifold for patients with non-communicable diseases.| Wikimedia Commons
Several instances of cardiac arrests post COVID recovery has emphasized the importance of frequent monitoring of heart health. As per experts, cardiac tests like ECG, X-Ray Chest, and lipid profile should be repeated every six months in high-risk individuals with pre-existing conditions like diabetes and hypertension in order to understand whether there is any damage to the heart. Apart from regular monitoring, post-COVID patients must stick to a healthy diet consisting of all the essential nutrients and spicy, oily, canned, artificial sweeteners and processed flavours, or junk food should be strictly avoided. Taking out time for physical exercise, cutting down on alcohol and smoking is necessary. Even the smallest of the symptoms should be taken into consideration and should be immediately addressed by an expert doctor. (IANS/ MBI)
Keywords: covid, pandemic, testing, health, testing, cardiac arrest, heart
By N. Lothungbeni Humtsoe
Kanchan Rai, Mental and Emotional Well-being Coach, Founder, Let Us Talk, mentions ways to turn your loneliness into action this season:
Say yes to socializing: When we are experiencing loneliness, it can be easy to slip into the habit of saying no to social activities. Seclusion can make it challenging to feel driven and the mere thought of physically seeing people can lead to stress. Hence it is recommended to saying yes to mingling to help build your confidence. Something as simple as going for a walk with a friend or chatting with your loved ones over the phone can make a huge difference.
Make the most of technology: For those with distant loved ones, technology can prove to be an enabler in helping to keep family traditions alive. For instance, celebrate the festive cheer virtually or opening festive gifts on video calls amidst all family members. Taking a moment to network with someone, communicating about shared interests or fond memories, even if it's online, can play a major role in reminding us of the good times.
Keywords: Loneliness, action, socialise, technology, stress speak, share, friends
To create a group, hold the control button and choose the tabs you want to include, then select "Add tabs to new group" from the right-click menu, Engadget reported on Friday. Users can customise the label with a different colour for each group. When users hover over a tab, they will be able to see a preview of the web page as well.
Microsoft Edge is also getting some handy shopping features, the report said. The browser can give swift access to reviews and ratings for more than 5 million products. When users are on a product page, they can click the blue tag on the address bar and see expert reviews from reliable sources, as well as the average consumer star rating from various retailers.
When they do figure out what to buy, Microsoft aims to help them complete the transaction a bit faster. The new personalised news feed called Microsoft Start is integrated into the browser. Users will see headlines and articles relevant to their interests from a range of publishers when they open a new tab. (IANS/ MBI)
Keywords: microsoft, edge, update, tab groups, browser, shopping, address bar