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At least 19 recordsLinked to original sources
PubMed1984

[Psychopathology and prognosis of puerperal psychoses].

Psychopathology and prognosis of puerperal psychoses are discussed on the basis of 45 cases. Syndrome description is of special significance to therapy. Prognosis, on the whole, cannot be called favourable problems relevant to individual cases (suicidalism, delinquency) are indicated.

Adolescent↗
PubMed1975

The mental content of puerperal psychoses.

The mental concept of puerperal psychoses is considered as having important determinants in body image disturbances. A case is presented of a woman who had had postpartum psychiatric disorders after the birth of each of her two daughters, and who suffered a relapse in identification with her parturient younger daughter.

Body Image↗
PubMed2000

An investigation into puerperal psychoses in black women admitted to Baragwanath Hospital.

OBJECTIVES: Puerperal psychosis was studied in black African women at Baragwanath Hospital in Johannesburg. DESIGN: A retrospective study analysed the clinical notes of 314 cases of puerperal psychosis seen over previous years. A prospective study researched 67 cases of puerperal psychosis referred during a full calendar year. A control group of 98 patients was matched with the prospective study patients for age, marital status, parity and month of delivery. RESULTS: The incidence (2-3 cases per 1,000 births), onset and pattern of illness are all remarkably similar to that described in the international literature. Confirmed risk factors were a primiparous patient; a family history of psychiatric illness; and a personal psychiatric history, particularly a history of mania. Additional risk factors found in this study were substance dependence; a medical illness; the season of the year; a male child; and psychosocial stress including need for intensive medical care for the baby or death of the baby. CONCLUSION: The conclusion reached is that the puerperal psychoses are undifferentiated psychoses, usually mood disorders, showing some special symptomatology, and are precipitated in constitutionally predisposed patients by the physiological factors of the involutionary period.

Adult↗
PubMed1978

[Puerperal psychoses (author's transl)].

Studies show that a hundred cases of puerperal psychoses can be divided into two major groups according to their symptomatology and their option to build recidives: those physically motivated with exogenous and endogenous symptoms and those caused by endogenous psychoses.

Adult↗
PubMed1987

Epidemiology of puerperal psychoses.

Computer linkage of an obstetric register and a psychiatric case register made it possible to investigate the temporal relationship between childbirth and psychiatric contact in a population of 470 000 people over a 12-year period: 54 087 births resulted in 120 psychiatric admissions within 90 days of parturition [corrected]. The 'relative risk' of admission to a psychiatric hospital with a psychotic illness was extremely high in the first 30 days after childbirth, particularly in primiparae, suggesting that metabolic factors are involved in the genesis of puerperal psychoses. However, being unmarried, having a first baby, Caesarian section and perinatal death were all associated with an increased risk of psychiatric admission or contact, or both, suggesting that psychological stresses also contribute to this high psychiatric morbidity. Women with a history of manic depressive illness, manic or depressive, had a much higher risk of psychiatric admission in the puerperium than those with a history of schizophrenia or depressive neuroses, and the majority of puerperal admissions met Research Diagnostic Criteria for manic or depressive disorder. Probably, therefore, puerperal psychoses are manic depressive illnesses and unrelated to schizophrenia.

Adolescent↗
PubMed1991

["Puerperal psychoses". An overview].

Since antiquity, puerperal mental disorders have always been the field of polemics concerning the different possible etiopathogenic hypothesis. XIXth century has been particularly marked by nosographic descriptions and subsequent hormonal speculations. Psychoanalytic approach has been prominent for thirty years but a trend to a come back of biological hypothesis is now noticeable. This overview represent an effort to synthetize clinical, epidemiological and current biological aspects of puerperal psychosis with a special mention to dopamine-oriented researches. The last part reports the main therapeutical available techniques.

Adolescent↗
PubMed1988

A matched-control follow-up and family study of 'puerperal psychoses'.

A hundred and ten women admitted to a psychiatric hospital within 90 days of childbirth were individually matched for age, psychiatric syndrome, and year of admission with women admitted to the same hospital with illnesses unrelated to childbirth. Both groups were followed up after a mean interval of nine years, and 72 matched pairs of patients for whom adequate information was obtained were then compared. The previous and subsequent psychiatric morbidity of these two groups, their subsequent obstetric careers, and the psychiatric morbidity of their first-degree relatives were all very similar. However, the puerperal women had significantly fewer relapses in the follow-up period, fewer committed suicide, and the psychiatric morbidity of their relatives tended to be lower. This better outcome was most marked in puerperal subjects with major depressions; those with manic disorders fared no better than controls. These results suggest that puerperal psychoses are basically the same as affective illnesses occurring at other times but, because childbirth is a uniquely potent precipitant of affective illness, some of those who develop puerperal episodes have a lesser genetic predisposition to affective illness than the generality of women with affective disorders.

Affective Disorders, Psychotic↗
PubMed1999

A comparison of clinical response to electroconvulsive therapy in puerperal and non-puerperal psychoses.

BACKGROUND: There is a widespread belief that puerperal psychosis is particularly responsive to electroconvulsive therapy (ECT), but research evidence for this is lacking. METHOD: We have conducted a retrospective case-note study of clinical improvement following ECT in puerperal and non-puerperal psychosis. The main outcome measure was improvement in mental state at the end of a course of ECT, rated by a blind rater on a simple four-point scale. Additional indicators of responsiveness to ECT were improvement in mental state 4 weeks after stopping ECT, duration of in-patient stay following ECT and number of ECT received. RESULTS: Women with puerperal psychosis showed greater clinical improvement than women with non-puerperal psychosis. The results were not explained by the greater preponderance of depressive illness in the puerperal group, as the same results were also found when the analysis was confined to women with a clinical diagnosis of depressive illness. CONCLUSION: These findings are the first evidence of a particular sensitivity of ECT in puerperal psychosis. However, they are preliminary and a number of explanations are possible, including good responsiveness to treatment in general. A prospective study using standardised clinical ratings and definitions of key variables is now required. CLINICAL IMPLICATIONS: Clinicians treating severe postpartum illness should continue to regard ECT as a treatment option. LIMITATIONS OF THE STUDY: The study is limited by its reliance on retrospective examination of information recorded in case notes. Ratings of clinical improvement were not standardised.

Adult↗
PubMed1981

[Puerperal psychoses].

80 cases of patients whose first mental derangement was a puerperal psychosis were examined. Different clinical aspects of these kind of illnesses are analysed and discussed. It has been proven that acute delirious primiparae delivered significantly more male infants. The fact that many of these 80 patients were admitted to hospital together with their newborn infant, is another interesting factor in the analyses of these cases.

Acute Disease↗