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PubMed1990

[The hospitalization of a mother and her infant in an adult psychiatric department].

In this article, the authors tell of experiences of hospitalizing mothers together with their newborn children in the psychiatric ward for adults in a general hospital in the Paris region since October 1980. They studied 52 cases, 42 of which were related to post-natal depression. This study develops hypotheses leading up to its implementation, describes how it is set up, and specifies the goals of hospitalizing the two together: not automatically separating a child from its mother who develops a psychiatric condition at such a vulnerable age, observing how mother and child interact, evaluating the mother's nurturing skills and how the baby functions, taking therapeutic action for the mother and for the mother-child relationship, and allowing preventive action, a general prevention of mental illness. Over the years indication for this type of treatment was refined: keeping an infant close to it's sick mother cannot be a general rule and it should always be possible to reverse the decision. this is only used as an attempt at keeping the newborn with its mother in acute states and when support from the father or the extended family is available. Birthing and post-partum periods could be good ones for taking preventive action concerning the child. Early identification of an interactive disturbance before it comes out as a medical problem, finding new ways of acting and having a therapeutic effect.

Adolescent↗
PubMed1990

An overview of postpartum psychiatric disorders.

The purpose of this review is to highlight reasons why increased attention should be paid to the prevention and treatment of psychiatric disorders at childbirth. The two main psychiatric disorders that are associated with childbirth--postnatal depression and postpartum psychosis--are reviewed, together with a discussion of the maternity blues. An overview of each condition is presented, identifying incidence rates, clinical manifestations, and appropriate treatment approaches. Recommendations are made for coordination and development of services as a means to achieve prevention and treatment of postpartum psychiatric disorders.

Female↗
PubMed1990

A select psychiatric mother and baby unit in Britain: implications for care in the United States.

Severe psychiatric disturbances that arise during the postpartum period have serious implications for the optimal development of the mother-infant relationship. The treatment approach of psychiatric admission in the postpartum period raises the issue of whether to admit the mother together with her infant or to separate the two. This article describes the nursing care on a select Psychiatric Mother and Baby Unit in Britain utilizing the nursing process. Implications for inpatient management of postpartum disorders in the United States are presented giving special consideration to the significance of the mother-infant dyad.

Female↗
PubMed1990

Postpartum psychosis: a family's perspective.

One couple's experience of a postpartum mental illness that led to the tragedy of infanticide is described. A case background is presented to highlight significant objective data relevant to a previous pregnancy. Individual recommendations are made to the health care profession on how to better intervene with families experiencing a postpartum psychiatric illness. Nursing implications are discussed.

Counseling↗
PubMed1990

Postpartum psychosis with abnormal movements: dopamine supersensitivity unmasked by withdrawal of endogenous estrogens?

The authors describe two cases of postpartum psychosis accompanied by abnormal extrapyramidal movements. The presentation of these cases, as well as research evidence indicating that estrogens influence dopamine receptor function, leads the authors to hypothesize that dopamine receptor supersensitivity may have been induced by prepartum increases in endogenous estrogens and unmasked by postpartum estrogen withdrawal.

Adult↗
PubMed1990

[Clinical problems in postpartum psychoses].

The authors analyzed post-partum psychoses treated at the Psychiatric Clinic of the Faculty Hospital in 1985-1986. The group comprised 41 patients. Post-partum psychoses are not considered a separate nosological unit nor symptomatic mental disorders but are classified as endogenous psychoses, provoked by childbirth. As to endogenous psychoses, most frequently manic depression is involved, as suggested by the clinical picture and course. Schizophrenia is found less frequently, as compared with manic depression, the cca 1:10. In rare instances post-partum symptomatic psychosis may develop.

Adult↗
PubMed1989

Postpartum psychiatric syndromes.

Psychiatric symptoms after childbearing tend to arrange themselves into well-defined patterns or syndromes. When these syndromes are examined, each is found to have unique qualities and unique hazards. Confusion occurs in all syndromes. Many postpartum symptoms, and the timing of their development, lead to the hypothesis that critical etiologic mechanisms may be related to postpartum hormonal changes. Explorations of preventive and specific therapeutic measures provide support for this position.

Depressive Disorder↗
PubMed1989

[Milk fever].

Infectious complications following delivery were, in the past, attributed to "milk fever": these were milk congestion, milk deposits, rancid milk, etc., that were held responsible. The milk was reabsorbed into the blood of the patient and settled in the peritoneum ("milk peritonitis"), in the broad ligaments (pelvic abscess), in the thighs (phlebitis) and also in the breasts (breast abscess). This belief, originated by Aristotle, was accepted by excellent authors like Andre Levret (1703-1780), one of the most famous French obstetricians and Nicolas Puzos, at the same time. More recently, authors alluded to it and blamed "milk fever" for being at the origin of dramatic pictures which they described in their novels, like Victor Hugo and Guy de Maupassant, for instance.

Female↗