POSTPARTUM PSYCHOSIS- A CLINICAL STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 94
Abstract
BACKGROUND Postpartum period is a very critical period in which many susceptible women develop various psychiatric disorders. These psychiatric disorders are grossly heterogeneous in nature, having diverse clinical manifestations and have different underlying aetiological factors. Objective- The present study is carried out to study the various clinical variables associated with postpartum psychosis. MATERIALS AND METHODS The study was conducted on thirty postpartum psychosis patients admitted in female psychiatry ward. Detailed psychiatric evaluation including mental status examination along with obstetric & menstrual profile was examined. Collected data were statistically analysed. Study Design- This was an observational study at Inpatient Department of Psychiatry, S. S. Medical College and Associated SGMH, Rewa. The selected patients were subjected to detailed assessment and clinical diagnosis was made using ICD-10 criteria. Categorical data were analysed as numbers and percentage. RESULTS Maximum number of subjects were primipara (60%). 73.33% of subjects were in postpartum period of 4-8 days. Precipitating factors in physical area were present in as high as 40% subjects. 27% of subjects had history of fever and drug exposure prior to current episode of postpartum psychosis. Majority (70%) of subjects underwent faith-healer and religious practices. Bipolar mood disorder was diagnosed in 33.33%, acute depressive psychosis in 13.33%, acute polymorphic psychosis in 26.66%, drug-induced psychosis in 13.33%, schizophrenia (type II) in 6.6% and paranoid psychosis in 6.6% patients. Most of subjects (83.33%) were having average and stable personality. Acute polymorphic psychotic patients demonstrated complete recovery without residual deficit, none of these required longterm treatment. Subjects with drug-induced postpartum psychosis were taking chloroquine and ciprofloxacin. CONCLUSION The overall impression is that classical postpartum psychotic disorders have predominant signs and symptoms of affective disorder. Acute polymorphic psychosis appeared to be brittle in nature as our patients demonstrated complete recovery without any residual deficit. Acute psychosis should be promptly managed to avoid chronicity and harm to baby. Quick and correct diagnosis of type of postpartum psychosis is vital to expedite treatment, full recovery, prevention of further episodes and for healthy child rearing.
Authors and Affiliations
Sunil Kumar Ahuja, Nimisha Mishra, Pradeep Kumar
Keywords
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- EP ID EP279890
- DOI 10.14260/jemds/2017/1476
- Views 94
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