Incidence of Hospitalization for Postpartum Psychotic and Bipolar Episodes in Women With and Without Prior Prepregnancy or Prenatal Psychiatric Hospitalizations

Abstract

Almost 10% of women hospitalized for psychiatric morbidity before delivery develop postpartum psychosis after their first birth. This underscores the need for obstetricians to assess history of psychiatric symptoms and, with pediatric and psychiatric colleagues, to optimize the treatment of mothers with psychiatric diagnoses through childbirth.

Preeclampsia as a Possible Etiology in Postpartum Psychosis: A Case Report

“…Rapid alterations in circulating steroid hormones following birth have consistently been suggested to play a role in PP etiology as have primiparity, maternal sleep problems, maternal stress in puerperium and maternal age [11,12]. Precious studies suggest that PP is often a manifestation of a bipolar disorder condition that is triggered by childbirth [2,13,14]. However, our case was not primipara and has not any psychiatric history.…”

Risk of postnatal depression or suicide after in vitro fertilisation treatment: a nationwide case–control study

“…The register is based on the medical charts from antenatal, obstetric as well as neonatal care 30 and has been thoroughly described by Harlow et al (2007) 31 .…”

This Issue: Complexities of Care in Bipolar Disorder

“…As the authors point out, the notion that bipolar disorder is a severe mental illness with a relatively poor prognosis may set the stage for a bleak view that offers little hope for "recovery." The implications of this message for people newly diagnosed can be profound 1 Given that pregnancy appears not to be protective against bipolar disorder 3 and postpartum is a time of potentially increased risk for mood relapse, 4 patients and clinicians need to be well-aware of the risk vs. benefits of treatment.…”