Educational interventions to reduce umbilical ghee use or to wash hands before each manipulation might reduce the risk of NNT in babies exposed to ghee who are born to non-immunized mothers. Increased efforts to immunize women of childbearing age with tetanus toxoid are also needed, with special priority for mothers known to have been associated with a previous NNT case. Topical antibiotics should be further evaluated for protective effects in non-immunized mothers.
The clinical profile of 39 women with puerperal psychosis admitted within 90 days of childbirth to a teaching hospital in Riyadh, Saudi Arabia is described and compared with groups of women with a similar diagnosis admitted to Royal Edinburgh Hospital within the same period after delivery. The majority of women in both groups had an affective illness, acute presentation and similar interval between parturition and onset of illness. There were significant differences between the groups as regards parity, duration of illness prior to admission and presence of motility disturbances. These differences were attributed to sociocultural factors that are briefly discussed.
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