Puerperal sepsis: a disease of the past?

Christie, Julie; Keay, Stephen D.; Morgan, Marina S.; Storley, Rachel

doi:10.1111/j.1471-0528.2001.00046.x

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…2 The relative risk for puerperal psychotic illness has been found to be 29% in subsequent pregnancies especially after an affective episode in the first 30 days after delivery.3,4 Postpartum psychosis is not a unitary clinical entity, and psychiatrists also disagree on the time interval after birth varying from six weeks to one year.5,6 Fpidemiological studies conducted in USA and Great Britain using research diagnostic criteria for psychosis and depression have defined the postpartum period occurring from two weeks to one year following birth and the peak incidence is within the first three months.7,8 However, the 10th international classification of mental and behavioural disorders considers puerperal psychosis as personality disintegration and loss of contact with reality occurring within six weeks after childbirth. 2 The relative risk for puerperal psychotic illness has been found to be 29% in subsequent pregnancies especially after an affective episode in the first 30 days after delivery.3,4 Postpartum psychosis is not a unitary clinical entity, and psychiatrists also disagree on the time interval after birth varying from six weeks to one year.5,6 Fpidemiological studies conducted in USA and Great Britain using research diagnostic criteria for psychosis and depression have defined the postpartum period occurring from two weeks to one year following birth and the peak incidence is within the first three months.7,8 However, the 10th international classification of mental and behavioural disorders considers puerperal psychosis as personality disintegration and loss of contact with reality occurring within six weeks after childbirth.…”

Section: Introductionmentioning

confidence: 99%

The Nature of Puerperal Psychosis at Muhimbili National Hospital: Its Physical Co-Morbidity, Associated Main Obstetric and Social Factors

Ndosi¹,

Mtawali²

2002

African Journal of Reproductive Health

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Eighty six in-patients suffering from puerperal psychosis within six weeks after childbirth were prospectively investigated in Muhimbili National Hospital during two years. Formal psychiatric history, mental status evaluation, research and diagnostic criteria including ICD 10 and clinical progression were employed for diagnosis. Using a structured questionnaire, the socio-demographic characteristics, concomitant physical disorders, major obstetric events, period of onset of puerperal psychosis following delivery and social support given were established. Mean age was found to be 23.6 years; the majority was primiparous women with parity of between one and three children. Main physical co-morbidities included anaemia in 51.4% of cases, infections in 44.2% and EPH-gestosis in 17.4%. Most mothers received social support from their extended families. Organic psychosis was found in four fifths of the mothers and schizophrenia in 8.1%. A high rate of early onset puerperal psychosis (3.2/1000 (births), predominantly in young primiparous women, was found.

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Section: Introductionmentioning

confidence: 99%

The Nature of Puerperal Psychosis at Muhimbili National Hospital: Its Physical Co-Morbidity, Associated Main Obstetric and Social Factors

Ndosi¹,

Mtawali²

2002

African Journal of Reproductive Health

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How could we suspect life‐threatening perinatal group A streptococcal infection?

Arai

Takai

Samejima

et al. 2020

J of Obstet and Gynaecol

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Aim: Perinatal group A streptococcal infection is a rare but life-threatening condition. Few reports have focused on its clinical characteristics and how to prevent deterioration. We report our experience with two antenatal fatal cases and reviewed 96 cases in the literature to assess the clinical characteristics of group A streptococcal infection. Methods: English-language clinical reports of antenatal and postnatal group A streptococcal infection in 1974-2019 were retrieved and examined. Relationships between clinical characteristics and maternal outcomes were assessed. Results: Univariate analysis revealed that antenatal group A streptococcal infection was significantly associated with an age of ≤19 or ≥ 35 years, cesarean section, sore throat as an initial symptom, positive throat culture, maternal death and fetal death. Multivariate analysis revealed that antenatal onset (odds ratio = 7.922, 95% confidence interval = 1.297-48.374; P = 0.025) and a quick sepsis-related organ-failure assessment score (qSOFA; low blood pressure, high respiratory rate or altered mental status) of ≥2 (odds ratio = 6.166, 95% confidence interval = 1.066-35.670; P = 0.042) were significantly related to maternal death. Conclusion: Per our findings, antenatal group A streptococcal infection was significantly associated with maternal and fetal death. Further, the antenatal infection was revealed as a more critical risk factor. We suggest that the presence of any sign related to the qSOFA is a potential clue suspecting perinatal group A streptococcal infection in primary obstetric facilities.

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Puerperal sepsis: a disease of the past?

Cited by 2 publications

References 3 publications

The Nature of Puerperal Psychosis at Muhimbili National Hospital: Its Physical Co-Morbidity, Associated Main Obstetric and Social Factors

The Nature of Puerperal Psychosis at Muhimbili National Hospital: Its Physical Co-Morbidity, Associated Main Obstetric and Social Factors

How could we suspect life‐threatening perinatal group A streptococcal infection?

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