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12/04/2023
By: Ismah Haron
Ruzanna Rosslan
Noraini Tukiran (Faculty of Medicine UiTM)
POSTPARTUM PSYCHIATRIC DISORDERS
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1. Postpartum blues
3. Postpartum psychosis
2. Postpartum depression
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Introduction • Postpartum blues:
- Onset during the first few weeks after delivery.
- Characterized by mood lability, tearfulness, anxiety or irritability.
- Function not impaired.
*If symptoms of depression persist for longer than two weeks, the patient should be evaluated to rule out a more serious disorder.
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• Postpartum depression
- Onset is over the first two to three postpartum months but may occur
at any point after delivery.
- The symptoms include depressed mood, anhedonia, feelings of guilt,
feelings of worthlessness or incompetence, fatigue, sleep disturbance,
change in appetite, poor concentration and suicidal thoughts.
- Function impaired.
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• Postpartum psychosis
- Onset of symptoms as early as the first 48 to 72 hours after delivery.
- The earliest signs are restlessness, irritability and insomnia in addition to a rapidly shifting depressed or elevated mood, disorientation or confusion and disorganized behaviour.
- Delusion are common and often about the infant.
- Auditory hallucinations that instruct the mother to harm herself or her infant may also occur.
- Function impaired.
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Triggering factors & Who is susceptible?• Hormonal changes
• Life stressors: e.g. economy burden, family problems, relationship problem, unprepared to handle new responsibility.
• Previous episode of postpartum psychiatric disorders
• Depression during pregnancy
• History of depression or bipolar disorder
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REFERENCES 1. Neel Burton. Psychiatry 2nd Edition.
2. Royal College of Psychiatrists,
http://www.rcpsych.ac.uk
3. The Massachusetts General Hospital Centre
for Women’s Mental Health,
http://www.womensmentalhealth.org/
4. Mental Health America,
http://www.nmha.org/