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[Clinical aspects of puerperal psychoses. Review with 3 case examples]
A J Fallgatter1, M Schnizlein, B Pfuhlmann
1Klinik für Psychiatrie und Psychotherapie, Universität Würzburg, Füchsleinstrasse 15, 97080 Würzburg. afallgat@mail.uni-wuerzburg.de
Der Nervenarzt
|September 6, 2002
Summary
Postpartum psychosis, particularly cycloid type, requires intensive psychiatric care due to a high relapse rate. Prophylactic lithium treatment after delivery may prevent recurrence in at-risk patients.
Area of Science:
- Psychiatry
- Perinatal Mental Health
- Clinical Psychology
Background:
- Postpartum psychic disturbances encompass postpartum blues, depression, and psychoses.
- Postpartum psychoses often align with diagnostic criteria for cycloid psychoses.
Observation:
- This study examines three case reports of postpartum cycloid psychoses.
- Focuses on characteristic symptoms, phasic clinical course with remissions, and etiological factors.
Findings:
- Cycloid psychoses in the postpartum period present distinct therapeutic and forensic aspects.
- A significant relapse rate of approximately 50% is observed in at-risk individuals.
Implications:
- Intensive psychiatric care is crucial during the peripartal period for at-risk patients.
- Prophylactic lithium treatment post-delivery is a potential strategy to reduce relapse.
- Close collaboration between gynecologists and psychiatrists is essential for effective management.