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Related Experiment Videos

Postpartum psychiatric disorders.

G E Robinson, D E Stewart

    CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
    |January 1, 1986
    PubMed
    Summary
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    Postpartum mood disorders, including blues, depression, and psychosis, have distinct symptoms and affect women globally. Puerperal psychosis is more common in those with a history of bipolar disorder, and treatment varies by symptom severity.

    Area of Science:

    • Psychiatry
    • Obstetrics
    • Perinatal Mental Health

    Background:

    • Postpartum mood disorders encompass blues, neurotic depression, and puerperal psychoses, presenting unique clinical profiles.
    • These conditions affect diverse populations across social strata and cultures worldwide.
    • Etiological links to biological or psychosocial factors remain largely undefined despite extensive research.

    Observation:

    • Puerperal psychosis shows a higher incidence in women with a personal or familial history of bipolar affective disorder.
    • Postpartum blues exceeding two weeks and causing disability are classified as neurotic depression.
    • Neurotic depression necessitates treatment, often combining psychosocial interventions with psychotropic medication.

    Findings:

    • Treatment for puerperal psychoses is tailored to specific symptoms, utilizing antidepressants, major tranquilizers, electroconvulsive therapy, and lithium.

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  • Lithium and diazepam have demonstrated adverse effects in breastfed infants.
  • The full spectrum of psychotropic drug side effects on nursing infants is not fully understood.

    • Implications:

    • The distinct presentation of puerperal psychosis in bipolar patients may influence diagnostic classification.
    • Effective treatment strategies exist for postpartum depression and psychosis.
    • Caution is advised regarding psychotropic medication during breastfeeding, with bottle feeding often recommended for infant safety.