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Results for “Puerperal Disorders”

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PubMed1976

Psychotic reactions associated with childbirth.

The literature on postpartum psychoses is reviewed. Clinical similarities and differences between patients with postpartum psychoses and those with nonpuerperal psychoses are described. The psychological and physiological precipitants of postpartum psychoses are discussed and a stress summation theory is proposed to explain the etiology of these reactions. Treatment considerations and factors pointing to favorable short-term and long-term prognoses are reviewed.

Age Factors↗
PubMed1994

[Evaluation of the effects of methods of suppurative-inflammatory complications prevention after cesarean section on cellular and humoral components of the immune system].

The immune status of 73 pregnant women and puerperae, administered proteolysis inhibitors or common antibacterial therapy to prevent pyoseptic complications, was assessed before cesarean section and 1 and 7 days after it. The results indicate certain shifts in the immunity status of puerperae of all groups, which were the most expressed 1 day after surgery (reduced content of CD3 lymphocytes, IgG and IgA, and a marked increase of the content of C-reactive protein) and normalized by day 7 postoperation. These changes are most likely to be caused by the surgical intervention but not the infectious inflammatory process, which is proved by the absence of pyoseptic complications after prophylactic measures taken. Hence, proteolysis inhibitors, along with the traditional methods, may be recommended for the prevention of pyoseptic complications after cesarean section.

Adult↗
PubMed1994

Postpartum fatigue.

Postpartum fatigue may be a symptom of significant medical or psychiatric illness and must be distinguished from tiredness, which is a common adaptive response after delivery. Anemia, infections, thyroid disorders, mood disorders and cardiomyopathy are important causes of fatigue in the postpartum period. Recognition and treatment of these conditions improves the medical care of women following delivery.

Anemia↗
PubMed1994

Postnatal psychosis: a patient's experience with comments by the consulting psychiatrist.

The article describes a patient's experience of postnatal psychosis, a form of bipolar mood disorder which presents as the most severe form of psychological disorder suffered in the postnatal period. Accompanying the patient's description are comments from the consulting psychiatrist involved in the case and description of the three forms of postnatal mood change, i.e. the baby blues, postnatal psychosis and postnatal depression. The article is designed to assist in early recognition of postnatal psychosis, appreciation of the patient's altered state of mind, and encouraging acceptance of psychiatric treatment, all of which are essential for good management of postnatal mood disorders.

Anxiety↗
PubMed1993

Expectations they cannot meet: Understanding postnatal depression.

While many medical explanations have been presented to explain the cause of postnatal depression, there is a strong argument that it may be due to psychological distress. Offering mothers a less idealised image of motherhood and greater child care support may help to undermine feelings of dependence, isolation and low self-support, which are known to lead to depression.

Cognitive Behavioral Therapy↗
PubMed1993

[Clinical study of pregnant women with psychotic disorders during last 14 years in Osaka Medical College].

The clinical features and outcomes of 51 pregnancies (47 patients) complicated by psychotic disorders were studied. These patients were diagnosed as having the following psychotic disorders: 7 schizophrenias, 8 atypical psychoses, 6 mood disorders, 25 epilepsies, 4 anxiety disorders, and 1 personality disorder. The mean delivery age of women suffering from schizophrenia, atypical psychosis, and anxiety disorder was over 30 with deliveries 7-10 years after the onset of their psychoses. The predominant obstetrical complications for schizophrenias, atypical psychoses, and mood disorders were gestational toxicosis, threatened premature birth, and premature birth, respectively. Six out of eight (75.0%) patients with atypical psychosis, 4 out of 6 (66.7%) patients with mood disorder, and 2 of 4 patients with anxiety disorder became worse during pregnancy and/or postpartum. The rate of deterioration of the patients with schizophrenia was 14.3% (1/7) during pregnancy. An increasing rate of epileptic attack during pregnancy and/or postpartum were observed in 40.0% (10/25) of patients. Nine cases underwent cesarean section not due to their mental disorders but for obstetrical reasons. The present study suggests that the cooperation between obstetrician and psychiatrist, and the existence of a key person who knows the patient very well is required for a desirable outcome of the treatment.

Adult↗
PubMedDate not supplied

Postnatal depression: how can the distress be alleviated?

This paper discusses the incidence, manifestations and predisposing factors of postnatal depression. The different theories about its underlying causes are reviewed, together with the associated evidence. The implications of this for the practice of community nurses and midwives are then considered in terms of the prevention, detection and treatment of the condition.

Depression↗
PubMed1995

[The bad son].

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Adult↗