Obstetric variables associated with bipolar affective puerperal psychosis

Blackmore, Emma Robertson; Jones, Ian; Doshi, Monica; Haque, Sayeed; Holder, Roger; Brockington, Ian; Craddock, Nicholas John

doi:10.1192/bjp.188.1.32

Cited by 92 publications

(51 citation statements)

References 24 publications

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“…Some risk factors for postpartum psychosis have been identified in previous research, such as primiparity, delivery complications, high age, a poor social environment and previous psychiatric disorders [2][3][4][5]. Despite the risk factors identified, the pathogenesis of PP still remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Preeclampsia as a Possible Etiology in Postpartum Psychosis: A Case Report

Annagur

2013

J Med Cases

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Postpartum psychosis is characterized by a rapid development of bizarre delusions, sleeplessness, affective symptoms, and disorganized behavior that jeopardize the safety of the newborn baby and the mother. Despite the risk factors identified, the pathogenesis of PP is unclear. We report a case which had an emergency cesarean section due to preeclampsia and developed postpartum psychosis. This case without a history of previous psychiatric disease was presented in contributing to our understanding of the etiology of PP.

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Section: Introductionmentioning

confidence: 99%

Preeclampsia as a Possible Etiology in Postpartum Psychosis: A Case Report

Annagur

2013

J Med Cases

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“…Entre os fatores de risco para psicose puerperal, estão a primiparidade, complicações obstétricas 72,73 e antecedentes pessoais ou familiares de transtornos psiquiátricos, sobretudo outros transtornos psicóticos 74 .…”

Section: Psicose Pós-partounclassified

Transtornos psiquiátricos no pós-parto

Cantilino¹,

Zambaldi²,

Sougey³

et al. 2010

Rev. psiquiatr. clín.

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ResumoObjetivo: O pós-parto é um período de alterações biológicas, psicológicas e sociais. Essa é considerada a época mais vulnerável para a ocorrência de transtornos psiquiátricos. A disforia puerperal, a depressão pós-parto e a psicose pós-parto têm sido classicamente relacionadas ao pós-parto. Atualmente, tem sido observado que os transtornos ansiosos também estão associados a esse período. Método: Neste artigo é feita uma revisão da bibliografia acerca de transtornos psiquiátricos no pós-parto a partir de artigos encontrados no PubMed e no SciELO entre os anos de 2000 e 2009. Livros, teses e outros artigos considerados relevantes citados no material consultado também foram incluídos. Resultados: A disforia puerperal ocorre em 50% a 85% das mulheres, o quadro é leve e transitório e não requer tratamento. A depressão pós-parto tem prevalência em torno de 13%, pode causar repercussões negativas na interação mãe-bebê e em outros aspectos da vida da mulher e deve ser tratada. A psicose pós-parto é rara, aparecendo em cerca de 0,2% das puérperas. Tem quadro grave que envolve sintomas psicóticos e afetivos, havendo risco de suicídio e infanticídio e geralmente requerendo internação hospitalar. Os transtornos ansiosos podem ser exacerbados ou precipitados no pós-parto, especialmente o transtorno de ansiedade generalizada, o transtorno de estresse pós-traumático e o transtorno obsessivo-compulsivo. Conclusão: Apesar de não serem reconhecidos como entidades diagnósticas pelos sistemas classificatórios atuais, os transtornos mentais no puerpério apresentam peculiaridades clínicas que merecem atenção por parte de clínicos e pesquisadores.Cantilino A, et al. / Rev Psiq Clín. 2010;37(6):278-84 Palavras-chave: Transtornos psiquiátricos, pós-parto, depressão, ansiedade, psicose. AbstractObjective: The postpartum period is marked by biological, psychological and social changes. Women are considered most susceptible to psychiatric disorders during the postpartum period. Puerperal blues, postpartum depression and postpartum psychosis have been classically associated to the postpartum. Anxiety disorders have also recently been associated to this period. Method: The present article reports a review of the literature on postpartum psychiatric disorders based on articles found on the PubMed and SciELO databases, published between 2000 and 2009. Relevant books, theses and other articles cited in the articles found were also included in this review. Results: Puerperal dysphoria occurs in 50% to 85% of women following childbirth and is typically mild and transient in nature and requires no treatment. Postpartum depression has a prevalence rate of around 13% and can have negative repercussions on mother-infant interaction and other life events and must therefore be treated. Postpartum psychosis is rare, occurring in approximately 0.2% of puerperium cases. This condition is severe with psychotic and affective symptoms as well as risk of suicide and infanticide. Postpartum psychosis patients generally require hospital treatment. Anxi...

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“…Our finding is in conformity with Conclusion from earlier studies. 22,8 Regarding the association of cesarean deliveries with postpartum psychosis. Cesarean deliveries as a risk factor for post partum psychosis was although proposed by few investigators, however various other cause of acute psychosis were not considered.…”

Section: Type Of Deliverymentioning

confidence: 99%

Post-partum psychosis: socio-demographic and obstetric profile

2017

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Background: Better knowledge of socio-demographic profile and obstetric features may help in early identification and treatment of patients with post-partum psychosis. The aim of present research is to study the age, parity, socio-demographic and obstetric and menstrual profile of patients suffering from post-partum psychosis. Setting and Design: A cross-sectional study at in-patient department of psychiatry, SS Medical College and associated SGMH Rewa.Methods: The study was conducted on sixty patients of post-partum psychosis admitted in psychiatry ward. Detailed socio-demographic characteristics, obstetric and menstrual profile along with psychiatric assessment were recorded in proforma specially designed for the study.Results: Bulk of our post partum psychotic subjects (60%) were in the age range of 18-25 years with 83.33% of women were residing at rural areas. Most of subjects (76.67%) of post partum psychosis were illiterate. 73.33% patient were belonging to low socio-economic status and remaining to middle and high socioeconomic status. Majority of subjects (13.33%) were house wife (86.67%) followed by laborer class. Family jointness reveal 80% and 20% of subjects trailed from joint and nuclear family respectively. the maximum number of subjects (60%) were primipara with only 13.33% of subjects had history of obstetric complication in form of prolonged labour and post-partum heamorrhage. 25% subjects had cesarean delivery. 40% patients of puerperal psychosis were having menstrual irregularity and 60% had regular menstruation.Conclusions: Screening of vulnerable groups i.e. younger age, primipara, history of irregular menstruation in post partum period for psychiatric sign and symptoms is requisite for early diagnosis and prompt and adequate management. As most of the patients were from rural areas it is necessary to establish psychiatric services in rural areas as well so that this group of population can be provided holistic care along with already existing medical services.

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Obstetric variables associated with bipolar affective puerperal psychosis

Abstract: This study provides further evidence of the association between primiparity and puerperal psychosis and suggests that complications during delivery may be associated with a severe post-partum episode.

Cited by 92 publications

References 24 publications

Preeclampsia as a Possible Etiology in Postpartum Psychosis: A Case Report

Preeclampsia as a Possible Etiology in Postpartum Psychosis: A Case Report

Transtornos psiquiátricos no pós-parto

Post-partum psychosis: socio-demographic and obstetric profile

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