puerperal psychosis; postpartum psychosis, puerperal bipolar disorder
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Etiology
- episode of bipolar affective disorder (may be 1st)[2]
Epidemiology
- 1 or 2 of 1000 mothers, generally in the 1st 2 weeks postpartum
Clinical manifestations
- sudden onset of psychotic symptoms following childbirth
- manic & depressive forms
- manic & acute polymorphic forms almost always start within the first 14 days after childbirth, but depressive psychosis maydevelop later
- signs/symptoms
Complications
- suicide is rare
- infanticide extremely rare
Management
- psychiatric emergency requiring hospitalization through secure transfer
- see bipolar disorder
- antipsychotics: haloperidol has been used
- antidepressants
- psychological counseling & support group therapy
- electroconvulsive therapy is effective
More general terms
References
- ↑ Wikipedia: Postpartum psychosis http://en.wikipedia.org/wiki/Postpartum_psychosis
- ↑ 2.0 2.1 Munk-Olsen T et al. Psychiatric disorders with postpartum onset: Possible early manifestations of bipolar affective disorders. Arch Gen Psychiatry 2012 Apr; 69:428. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22147807
- ↑ Pregnancy-info.net: Postpartum depression http://www.pregnancy-info.net/postpartum_psychosis.html
- ↑ NEJM Knowledge+
Osborne LM. Recognizing and Managing Postpartum Psychosis: A Clinical Guide for Obstetric Providers. Obstet Gynecol Clin North Am. 2018 Sep;45(3):455-468. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30092921 PMCID: PMC6174883 Free PMC article. Review.
Bergink V, Rasgon N, Wisner KL. Postpartum Psychosis: Madness, Mania, and Melancholia in Motherhood. Am J Psychiatry. 2016 Dec 1;173(12):1179-1188. PMID: https://www.ncbi.nlm.nih.gov/pubmed/27609245 Review. https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2016.16040454