Signs of Puerperal (postpartum) psychosis

Description

The most extreme and rare form of postpartum mood disorders. The symptoms occur after birth and are described as a period when a woman loses touch with reality. Some women are misdiagnosed as having the more common postpartum depression and can receive inappropriate treatment. Left untreated postpartum psychosis has a 5% suicide rate and a 4% infanticide rate.

Symptoms

Hallucinations, delusions, illogical thoughts, insomnia, refusing to eat, extreme feelings of anxiety and agitation, periods of delirium or mania, suicidal or homicidal thoughts.

Tests

A history and physical exam will be performed. Tests to rule out other causes of the strange behavior may be done.

Standard Workup

CBC
Chem 12
UA
CT Scan

Treatment

Treatment needs to be started immediately. Medications used include: antipsychotics, antidepressants, and/or anti-anxiety medications. Counseling is also effective. The mother and baby's safety should be ensured.