Obstetric Characteristics and Management of Patients with Postpartum Psychosis in a Tertiary Hospital Setting

Shehu, Constance E; Yunusa, Mufutau A.

doi:10.1155/2015/386409

Cited by 11 publications

(12 citation statements)

References 19 publications

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“…8,9,10 Duration of Illness Most of the cases (93.33%) presented within 15 days after delivery. This finding is supported by some studies, 11 but not by others 12 where in most of cases, illness occurred after two weeks.…”

Section: Paritysupporting

confidence: 59%

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Postpartum Psychosis- A Clinical Study

Ahuja¹,

Mishra²,

Kumar³

2017

jemds

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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.

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Section: Paritysupporting

confidence: 59%

“…Shehu et al (2015) have found physical comorbidities in around 77% of patients. 11 Some drugs like chloroquine and ciprofloxacin were also responsible for idiosyncratic manifestation of psychosis. 6.67% developed psychosis following chloroquine and ciprofloxacin administration respectively.…”

Section: Precipitating Factorsmentioning

confidence: 99%

Postpartum Psychosis- A Clinical Study

Ahuja¹,

Mishra²,

Kumar³

2017

jemds

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“…In total these five studies reported on 167 women with a PSMD. Three studies (Ndosi and Mtawali 2002;Adefuye et al 2008;Shehu and Yunusa 2015) calculated prevalence using the number of births in the hospital during the period of ascertainment as the denominator (162 women with a PSMD in a total of 69,055 births). The other two studies (Bang et al 2004;Oyewole et al 2014) used women who did not develop psychosis in the study populations as the denominator (5 women with a PSMD in a total of 952 women).…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…The other two studies (Bang et al 2004;Oyewole et al 2014) used women who did not develop psychosis in the study populations as the denominator (5 women with a PSMD in a total of 952 women). Two studies (Adefuye et al 2008;Shehu and Yunusa 2015) extracted clinical information from audits of inpatient medical records to identify women diagnosed with postpartum psychosis retrospectively. Two studies (Ndosi and Mtawali 2002;Oyewole et al 2014) were prospective and conducted within maternity settings.…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Burden of severe maternal peripartum mental disorders in low- and middle-income countries: a systematic review

Kalra

Tran

Romero

et al. 2022

Arch Womens Ment Health

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Peripartum severe mental disorders (PSMDs) encompass schizophrenia, affective psychosis, and psychotic and non-psychotic forms of bipolar disorders. PSMDs are well documented in high-income countries. However, much less is known about the prevalence of PSMDs in low- and middle-income countries (LMICs). The aim was to review the available literature systematically and estimate the prevalence of PSMDs among women in LMICs. We searched the Ovid MEDLINE, Embase, PsycINFO, CINAHL and Maternity and Infant Care databases systematically from the date of inception to Dec 31, 2020, for English-language publications with data on the prevalence of PSMDs among women in World Bank–defined LMICs. Selection of studies, extraction of data and assessment of study quality were each undertaken independently by at least two of the investigators. A total of five studies (completed in three countries spanning two continents) met the inclusion criteria. Five studies reported cumulative incidence of postpartum psychosis (ranging from 1.1 to 16.7 per 1000 births). We found no studies on the prevalence of severe mental disorder during pregnancy in these settings. Marked heterogeneity in methodology precluded meta-analysis. These findings indicate that PSMDs occur at a similar prevalence in low- and middle-income to high-income countries. However overall, there is a paucity of high-quality evidence from these settings. There is a need for rigorous studies with standardized methods to increase knowledge of the nature, prevalence, and determinants of PSMDs among women in resource-constrained LMICs to inform policies, service development, program planning and health professional training.

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“…In one of study most of the patients with post partum psychosis had no formal education. 10 Although the post partum psychosis is over represented in illiterate group, it will not be fair to hypothesize that post partum psychosis is more common in illiterate since majority of rural females are otherwise illiterate.…”

Section: Socio-economic Statusmentioning

confidence: 99%

Post-partum psychosis: socio-demographic and obstetric profile

2017

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Background: Better knowledge of socio-demographic profile and obstetric features may help in early identification and treatment of patients with post-partum psychosis. The aim of present research is to study the age, parity, socio-demographic and obstetric and menstrual profile of patients suffering from post-partum psychosis. Setting and Design: A cross-sectional study at in-patient department of psychiatry, SS Medical College and associated SGMH Rewa.Methods: The study was conducted on sixty patients of post-partum psychosis admitted in psychiatry ward. Detailed socio-demographic characteristics, obstetric and menstrual profile along with psychiatric assessment were recorded in proforma specially designed for the study.Results: Bulk of our post partum psychotic subjects (60%) were in the age range of 18-25 years with 83.33% of women were residing at rural areas. Most of subjects (76.67%) of post partum psychosis were illiterate. 73.33% patient were belonging to low socio-economic status and remaining to middle and high socioeconomic status. Majority of subjects (13.33%) were house wife (86.67%) followed by laborer class. Family jointness reveal 80% and 20% of subjects trailed from joint and nuclear family respectively. the maximum number of subjects (60%) were primipara with only 13.33% of subjects had history of obstetric complication in form of prolonged labour and post-partum heamorrhage. 25% subjects had cesarean delivery. 40% patients of puerperal psychosis were having menstrual irregularity and 60% had regular menstruation.Conclusions: Screening of vulnerable groups i.e. younger age, primipara, history of irregular menstruation in post partum period for psychiatric sign and symptoms is requisite for early diagnosis and prompt and adequate management. As most of the patients were from rural areas it is necessary to establish psychiatric services in rural areas as well so that this group of population can be provided holistic care along with already existing medical services.

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Obstetric Characteristics and Management of Patients with Postpartum Psychosis in a Tertiary Hospital Setting

Cited by 11 publications

References 19 publications

Postpartum Psychosis- A Clinical Study

Postpartum Psychosis- A Clinical Study

Burden of severe maternal peripartum mental disorders in low- and middle-income countries: a systematic review

Post-partum psychosis: socio-demographic and obstetric profile

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