Usually in the first two weeks after birth. Characterization across comparative clinical trials. They should help you to make a plan for your care see below. In this case, initiation of 20 mg ziprasidone bid, which is an FDA-indicated drug treatment for psychosis and mania and the least likely to induce glucose intolerance, is an acceptable treatment option. WHO systematic review of maternal mortality and morbidity:

Neuropsychological function in euthymic patients with bipolar disorder. However, women with a past history of unipolar psychotic depression can relapse shortly after delivery with an episode of PP. It is very rare for babies to be removed from women with postpartum psychosis. An epidemiological and clinical investigation of postpartum psychiatric illness in Japanese mothers. We focused on publications irrespective of language since the year and the search was conducted in June The breastfeeding data are limited, but one case report indicated that the amount of drug dropped rapidly in a breastfeeding infant. Given that the articles without disaggregated data were of high quality, they were included, although the Okano article was not included as the authors found the lack of transparency in calculations a major flaw.

Motherhood and mental health. Further attention to the detection and treatment of puerperal psychosis can help provide the woman with appropriate treatment that may prevent the possible detrimental consequences for both mother and infant associated with puerperal psychosis. Gender differences in the prescribing of antipsychotic drugs.

National Center for Biotechnology InformationU. The intention of pwychosis paper is to inform physicians and health professionals about PP so they will be able to recognize the symptoms, medically evaluate and appropriately and expeditiously refer the patient for psychiatric intervention, and educate the patient and puerperao family about this illness.


For advice on practical steps that can be taken during recovery, see the recovery guide produced by Action on Postpartum Psychosis.

Availability of data and materials Available upon request. For example, you might believe you have won the lottery. Average age at admission, J Womens Health Larchmt There puerpral also be details of how you and your family can get help quickly if psychksis do become unwell.

The indicators of infant toxicity may include increased sedation, poor feeding, and signs of hepatic and hematological impairment.

You may also over-react to things. This instrument is composed of 40 items distributed in five modules, three of which were relevant to this review.

literature review on puerperal psychosis

Unipolar major depression with psychotic features. Conclusions This review confirms the relatively low rate of puerperal psychosis; yet given the potential for serious consequences, this morbidity is significant from a global public health perspective. Both the search strategy and inclusion criteria, which have been described elsewhere, were tailored for the purposes of this review [ 2728 ].

Characteristics of consecutive admissions. If this happens, you may worry that people think that you cannot care for your baby.

Postpartum psychosis | Royal College of Psychiatrists

Clinical survey of a psychiatric mother and baby unit: Contribution of psychological and social factors to psychotic and non-psychotic relapse after childbirth in women with previous histories of affective disorder.

Chaudron L, Jefferson J. Transient hepatic dysfunction in an infant of an epileptic mother treated with carbamazepine during pregnancy and breast-feeding. However, given the limited number of studies included in this review, we are not able to draw a strong conclusion on how estimates differ by methodologies or sample sizes.

The global prevalence of postpartum psychosis: a systematic review

Because of the varying methods of case identification criteria, as well as the limited number of studies that met our inclusion criteria, it is difficult to make cross-country comparisons of puerperal psychosis estimates. First admission with puerperal psychosis: The publisher’s final edited version of this article is available at J Womens Health Larchmt.


literature review on puerperal psychosis

In summary, patients with preexisting psychosis are at elevated risk in the puerperium. ECT appears puerpearl be an excellent option that provides swift symptom resolution in patients who have been admitted to hospital with acute, florid psychosis.

In some maternity units, you may see a psychiatrist or mental health nurse before you leave hospital, even if you are well. Rash in multicenter trials of lamotrigine in mood disorders: As a tragic but rare event, maternal mortality accounts for a small fraction of the overall burden of poor maternal health.

Likewise, mothers must be instructed to observe for behavioral changes indicative of infant toxicity, such as poor hydration, sedation, poor feeding, and weight gain, as well as signs of hepatic and hematological impairment.

Mental health is a significant contributor to global burden of disease and the consequences of perinatal psychiatric morbidity can be substantial.

Am I likely to have an episode of psychiatric illness at other times? There are several different mental health problems that can happen after birth which do need treatment.

If you do not go to an MBU, health visitors and mental health professionals can help and support you at home.