Postpartum medical rehabilitation of obese women
The postpartum period is limited to 42 days, while the rehabilitation of a woman takes an average of 1 year. When implementing reproductive plans, obese women often face the worsening course of somatic disease and the development of a number of new diseases.Makarova E.L., Olina A.A.
Objective. To determine the effectiveness of a comprehensive postpartum rehabilitation program implemented for 12 months in obese women.
Subjects and methods. The investigation enrolled 64 puerperas, of whom 33 were diagnosed with obesity and used a postpartum rehabilitation program. A comprehensive rehabilitation program was proposed to be used for 60 months postpartum, which included lifestyle modifications (proper nutrition, sufficient physical activity), cholecalciferol supplementation with at least 1500 IU to replenish vitamin D levels, medical correction of obesity with the combined drug Reduxin Forte for 3 months (after stopping breastfeeding), and consultations with a psychotherapist.
Results. The women lost weight (by an average of 7.68 kg), improved their psychological status (there was no risk of postpartum depression; the manifestations of maternal melancholy were minimized), and every two (48.5%) patients reached the standard serum vitamin D levels. The rehabilitation program could improve the puerperas’ somatic health: the detection of non-alcoholic fatty liver disease was twice as common; there were no cases of diabetes mellitus.
Conclusion. The proposed postpartum rehabilitation program has a positive impact on the body, by improving the physical, mental, somatic, and sexual health of a woman, which generally indicates a change in her quality of life.
Keywords
postpartum period
rehabilitation
obesity
sibutramine
metformin
cholecalciferol
postpartum depression
sexual function index
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Received 29.12.2020
Accepted 13.01.2021
About the Authors
Elena L. Makarova, Cand. Med. Sci., obstetrician/gynecologist, City Perinatal Center, M.A. Tverie City Hospital. Tел. +7(904)849-37-70.E-mail: makarova_803@mail.ru. ORCID: 0000-0002-1330-8341; Scopus ID: 278641.2, Brothers Ignatyev str., Perm, 614600, Russia.
Anna A. Olina, Dr. Med. Sci., Professor, First Deputy Director, D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology; Academician Ye.A. Vagner
Perm State Medical University. Tel.: +7(922)329-53-62. E-mail: olina29@mail.ru. ORCID: 0000-0001-9101-7569; Scopus ID: 56021173500.
3, Mendeleevskaya Line, Saint Petersburg, 199034, Russia.
For citation: Makarova E.L., Olina A.A. Postpartum medical rehabilitation of obese women.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 1: 147-154 (in Russian)
https://dx.doi.org/10.18565/aig.2021.1.147-154
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