Psychiatric morbidities in postpartum females: a prospective follow-up during puerperium
Journal Title: Open Journal of Psychiatry & Allied Sciences - Year 2015, Vol 6, Issue 2
Abstract
Aims and objectives: Postpartum psychiatric disturbances pose a significant mental health problem in community because of their impact on parent-infant and couple relationship. This study was carried out with the aim to find out psychiatric morbidities in postpartum females during puerperium so that a proper assessment of mental health and comprehensive management can be planned. Methodology: Hundred females who had delivered in maternity ward of obstetrics and gynaecology department of Sir Sunderlal Hospital, Institute of Medical Sciences, Banaras Hindu University, Varanasi were evaluated for mental status on day one (i.e. day of delivery), and followed-up till four weeks postpartum period. Psychiatric evaluation was done on the basis of structured proforma containing socio-demographic details and the text revision of the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) diagnostic criteria for diagnosis. Brief Psychiatric Rating Scale (BPRS), Hamilton Anxiety Rating Scale (HARS), and Hamilton Rating Scale for Depression (HDRS) were used to assess the severity of the respective conditions. Result: Psychiatric evaluation during postpartum puerperal stage revealed that 16 (16%) females had developed psychiatric morbidity. Twelve (12%) cases fulfilled the criteria for major depressive disorder and four (four per cent) patients had features of anxiety disorder. In 84 (84%) cases, postpartum period was uneventful and no psychiatric disturbance was found.Seventy five per cent females had joint family and good family support. Conclusion: Major depressive disorder is the most common psychiatric morbidity observed in postpartum females during puerperium. The careful observation of females during postpartum puerperal stage may help in identification and proper management of mental state of such females, and also proper care of newborn.perspective.
Authors and Affiliations
Adya Shanker Srivastava, Bhaskar Mara, SULEKHA PANDEY, Maheshwar Nath Tripathi, Balram Pandit, Jai Singh Yadav
Keywords
Related Articles
- EP ID EP190219
- DOI 10.5958/2394-2061.2015.00005.1
- Views 110
- Downloads 0
Prodromal symptoms and temperamental characteristics in first episode psychotic mania: re-looking the cynosure
Background: Prodrome has recently been proposed as target for early intervention but their phenomenology remains obscure and often certain temperamental characteristics are confused with prodromal symptoms leading to the...
‘Manassariyaam’ counters to screen for depression: an IMHANS experience
Letter to editor on ‘Manassariyaam’ counters to screen for depression: an IMHANS experience
"For the times they are a-changin'"
This editorial discusses the circumstances leading to renaming of the journal.
Assessment of the effectiveness of yoga therapy as an adjunct in patients with alcohol dependence syndrome
Introduction: Substance use disorders, alcohol use in particular, are among the leading disorders in psychiatry in terms of prevalence. They put a lot of burden on health as well as family, society, and economic status o...
A cross-sectional study on assessment of prevalence of Internet addiction and its correlates among professional college students
Background: There has been a growing social concern about the excessive use of Internet in recent times. The exponential growth of the Internet has caused a huge impact on interpersonal communication and behaviour. Metho...