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/