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psychiatric
disorders
Etiology
• Biological changes
Decreased levels of estrogen and progesterone
• Psychosocial factors
• Risk factors associated with postpartum disorders
- Primigravida
- unmarried mother
- cesarean sections or other perinatal or natal complication
- past history of psychotic illness
- especially past history of anxiety and depression
- family history of psychiatric illness
- especially mother and sister having postpartum disorder
- previous episode of postpartum disorder
2
1. Postpartum blues
2. Postpartum 3. Postpartum
depression psychosis
Introduction
• Postpartum blues:
- Onset during the first few weeks after delivery.
- Function impaired.
Risk factors
• Personal history of depression
• Family history of depression
• Unplanned pregnancy
• Poor support from partner
• Single parent
• Depression during pregnancy
• Complications during pregnancy
• Pre-term birth
• Poor social support
Symptoms
• Lack of interest or pleasure in activities.
• Lack of appetite or pleasure in eating .
• Sleep disruption .
• Fatigue or lack of motivation.
• Feelings of guilt or worthlessness .
• Poor concentration .
• Persistent anxiety ↑.
• Thoughts of death or suicide ↓.
differential diagnosis
• puerperal psychosis.
• postpartum hypothyroidism.
• anaemia.
management
• Multifactorial.
• Reassurance.
• Psychoeducation.
• Psychotherapy.
• pharmacologic treatment.
• Acupuncture, herb, dietary supplements,
massage and relaxation techniques.
management
Level of
Treatment
depression
- Function impaired.