The Picture Puzzle of the Postpartum Psychoses

Are sociodemographic factors and year of delivery associated with hospital admission for postpartum psychosis? A study of 500 000 first‐time mothers

“…In addition, some medical complications in pregnancy and delivery are more common among older mothers, for example, caesarean section, hypertension and placenta previa (26, 27). Caesarean section and hypertension are associated with an increased risk of hospital admission due to postpartum psychosis according to some previous studies (1, 28). In contrast, placenta previa was not associated with an increased risk of hospital admission due to postpartum psychosis according to Paffenbarger et al (28).…”

Congenital Malformations, Stillbirths, and Infant Deaths Among Children of Women With Schizophrenia

“…ported an increased risk of congenital malformations among children of women with schizophrenia, but no statistical analysis was performed. Paffenbarger et al 14 found no difference in the frequency of congenital malformations between the offspring of women with postpartum psychoses and the offspring of control women, but no data were provided. Miller et al 15 found no difference in risk of congenital malformations among children of female psychiatric patients compared with children born to the general population.…”

“…Some found a tendency toward an increased risk of fetal, perinatal, or neonatal death among children of women with schizophrenia or other mental diseases. 13,14,[17][18][19] Others found a tendency toward a lower risk. 20,21 Modrzewska 22 found an increased risk of stillbirth and infant death among 553 children of parents with schizophrenia.…”

Sleep loss and postpartum psychosis

“…The risk of admission to a psychiatric hospital with a psychotic illness is extremely high within the first 30 days of the postpartum period, especially in first-time mothers (8,19). Women with a history of bipolar disorder are at a higher risk of psychiatric admission during this period than patients with other psychiatric disorders including schizophrenia.…”