{"id":11028,"date":"2021-06-18T00:00:00","date_gmt":"2021-06-17T23:00:00","guid":{"rendered":"https:\/\/path-perinatal.eu\/uk\/?post_type=professionals&#038;p=11028"},"modified":"2022-01-28T14:21:56","modified_gmt":"2022-01-28T14:21:56","slug":"postpartum-psychosis","status":"publish","type":"professionals","link":"https:\/\/path-perinatal.eu\/uk\/professionals\/postpartum-psychosis\/","title":{"rendered":"Postpartum psychosis"},"content":{"rendered":"\n<section id=\"gm9371ff0\" class=\"wp-block-gutentor-m3 section-gm9371ff0 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-gb1d2f0\" class=\"wp-block-gutentor-e6 section-gb1d2f0 gutentor-element gutentor-element-image text-align-center-desktop text-align-center-tablet text-align-center-mobile crop crop-top\"><div class=\"gutentor-element-image-box\"><div class=\"gutentor-bg-image\"><\/div><\/div><\/div>\n\n\n\n<div id=\"section-g80de42\" class=\"wp-block-gutentor-e1 section-g80de42 gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">The acute onset of severe psychiatric episodes following childbirth\u2014postpartum (or puerperal) psychoses\u2014are among the most severe forms of illness seen in psychiatry. Postpartum psychosis affects 1\u20132 per 1,000 women after childbirth.<\/p><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm65f4840\" class=\"wp-block-gutentor-m3 section-gm65f4840 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g80858d\" class=\"wp-block-gutentor-e1 section-g80858d gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Women with a history of <a href=\"https:\/\/path-perinatal.eu\/uk\/professionals\/bipolar-affective-disorder\/\" data-type=\"professionals\" data-id=\"10985\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">bipolar affective disorder<\/span><\/a> have a 20% risk of suffering a severe recurrence following delivery and an even higher risk (approaching 50%) of experiencing any mood episode in the postpartum period, including non-psychotic major depression.<sup>1,2<\/sup><\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g7dcdab\" class=\"wp-block-gutentor-e1 section-g7dcdab gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Risk of developing postpartum psychosis increases to 50% in women with a diagnosis of bipolar affective disorder and family history (mother or sister having postpartum psychosis).<\/p><\/div><\/div>\n\n\n\n<div id=\"section-gf37ac6\" class=\"wp-block-gutentor-e1 section-gf37ac6 gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">50% or more of women who develop postpartum psychosis have no history that suggests they should be considered at high-risk. <sup>3<\/sup><\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-g62fa79\" class=\"wp-block-gutentor-e1 section-g62fa79 gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">The best-established risk factor for susceptibility to postpartum psychosis is a history of bipolar disorder or previous severe postpartum episodes. Other factors contributing to the pathophysiology of postpartum psychosis include obstetric factors such as primiparity, medication cessation, psychosocial risk factors, hormonal, immunological factors, sleep deprivation, genetic factors and factors identified in neuro-imaging studies.<sup>4<\/sup><\/p><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gmb17534d\" class=\"wp-block-gutentor-m3 section-gmb17534d gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g4d82b8\" class=\"wp-block-gutentor-e1 section-g4d82b8 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>Symptoms of postpartum psychosis include<\/strong>:<\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-g22b579\" class=\"wp-block-gutentor-e7 section-g22b579 gutentor-element gutentor-element-list\"><ul class=\"grid-row gutentor-grid-item-wrap list-indicator-icon\"><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-0\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Severe depression or mania<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-1\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Rapidly changing mood<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-2\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Restlessness, agitation<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-3\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Confusion, bizarre behaviour<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-4\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Poor sleep<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-5\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Hallucinations \u2013 perceptual abnormalities such as hearing voices or seeing things that aren\u2019t there<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-6\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Unusual fixed beliefs (delusions), can include paranoid ideations, grandiose beliefs<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-7\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Detachment from reality<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-8\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Lack of insight<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-9\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Suicidal thoughts, infanticidal thoughts<\/p><\/span><\/span><\/span><\/li><\/ul><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gmcecf473\" class=\"wp-block-gutentor-m3 section-gmcecf473 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g25ab2e\" class=\"wp-block-gutentor-e1 section-g25ab2e gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Postpartum psychosis is a psychiatric emergency and a woman should be assessed and treated by a psychiatrist, preferably a specialist perinatal psychiatrist, within 4 hours. They may require inpatient psychiatric treatment, preferably in a Mother and Baby Unit, if available. Women cared for in Mother and Baby Units are known to have improved outcomes and better relationships with their infants.<sup>5<\/sup><\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-g87976a\" class=\"wp-block-gutentor-e1 section-g87976a gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Treatment modalities include psychotropic medications, psychological treatment and psychosocial interventions. Women may require help in caring for their baby and also to bond with their baby. Referral to Children and Families Services may be needed if there are any safeguarding concerns.<\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g22a414\" class=\"wp-block-gutentor-e1 section-g22a414 gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">For more information on assessment and treatment, refer to<span class=\"has-inline-color has-vivid-cyan-blue-color\"> <\/span><a href=\"https:\/\/path-perinatal.eu\/uk\/professionals\/severe-mental-illness\/\" data-type=\"professionals\" data-id=\"591\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u2018Severe Mental Illness\u2019,<\/span><\/a> <a href=\"https:\/\/path-perinatal.eu\/uk\/professionals\/bipolar-affective-disorder\/\" data-type=\"professionals\" data-id=\"10985\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u2018Bipolar Affective Disorder\u2019<\/span><\/a> and <a href=\"https:\/\/path-perinatal.eu\/uk\/professionals\/schizophrenia\/\" data-type=\"professionals\" data-id=\"592\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u2018Schizophrenia\u2019.<\/span><\/a><\/p><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm53adbcb\" class=\"wp-block-gutentor-m3 section-gm53adbcb gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g45bd0b\" class=\"wp-block-gutentor-e1 section-g45bd0b gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\">Resources<\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-gf60a31\" class=\"wp-block-gutentor-e1 section-gf60a31 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">RCPsych leaflet on Postpartum Psychosis<br><a href=\"https:\/\/www.rcpsych.ac.uk\/mental-health\/problems-disorders\/postpartum-psychosis\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">Postpartum psychosis<\/span><\/a><br><a href=\"https:\/\/www.rcpsych.ac.uk\/mental-health\/problems-disorders\/postpartum-psychosis-in-carers\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">Postpartum Psychosis for Carers<\/span><\/a><\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g2018d7\" class=\"wp-block-gutentor-e1 section-g2018d7 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Action on Postpartum Psychosis<br><a href=\"https:\/\/www.app-network.org\/\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">app-network.org<\/span><\/a><\/p><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm386bc68\" class=\"wp-block-gutentor-m3 section-gm386bc68 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<section id=\"gm9828feb\" class=\"wp-block-gutentor-m4 section-gm9828feb gutentor-module gutentor-advanced-columns gutentor-equal-column-height\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\"><div class=\"grid-row\">\n<div id=\"col-gm5023dc\" class=\"wp-block-gutentor-m4-col col-gm5023dc gutentor-single-column  grid-lg-2 grid-md-12 grid-12 centre\"><div id=\"section-gm5023dc\" class=\"section-gm5023dc gutentor-col-wrap\">\n<div id=\"section-gf0daf5\" class=\"wp-block-gutentor-e1 section-gf0daf5 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\"><strong><span class=\"has-inline-color has-white-color\">Training for healthcare professionals: <\/span><\/strong><br><br><span class=\"has-inline-color has-white-color\">Watch our video where a consultant psychiatrist talks about postpartum psychosis<\/span><\/p><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div id=\"col-gm1e2d83\" class=\"wp-block-gutentor-m4-col col-gm1e2d83 gutentor-single-column  grid-lg-10 grid-md-12 grid-12 centre\"><div id=\"section-gm1e2d83\" class=\"section-gm1e2d83 gutentor-col-wrap\">\n<section id=\"gm4bb5491\" class=\"wp-block-gutentor-m3 section-gm4bb5491 gutentor-module gutentor-container-cover centre\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\">\n<section id=\"gm149cd26\" class=\"wp-block-gutentor-m4 section-gm149cd26 gutentor-module gutentor-advanced-columns\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\"><div class=\"grid-row gutentor-rm-row-space-d gutentor-rm-row-space-t gutentor-rm-row-space\">\n<div id=\"col-gme6115d\" class=\"wp-block-gutentor-m4-col col-gme6115d gutentor-single-column  grid-lg-1 grid-md-1 grid-1 gutentor-rm-col-space-d gutentor-rm-col-space-t gutentor-rm-col-space\"><div id=\"section-gme6115d\" class=\"section-gme6115d gutentor-col-wrap\"><\/div><\/div>\n\n\n\n<div id=\"col-gm7b7a34\" class=\"wp-block-gutentor-m4-col col-gm7b7a34 gutentor-single-column  grid-lg-10 grid-md-10 grid-10 gutentor-rm-col-space-d gutentor-rm-col-space-t gutentor-rm-col-space\"><div id=\"section-gm7b7a34\" class=\"section-gm7b7a34 gutentor-col-wrap\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Postpartum Psychosis\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/vP9J4GPJHF0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div><\/div>\n\n\n\n<div id=\"col-gmb49145\" class=\"wp-block-gutentor-m4-col col-gmb49145 gutentor-single-column  grid-lg-1 grid-md-1 grid-1 gutentor-rm-col-space-d gutentor-rm-col-space-t gutentor-rm-col-space\"><div id=\"section-gmb49145\" class=\"section-gmb49145 gutentor-col-wrap\"><\/div><\/div>\n<\/div><\/div><\/section>\n<\/div><\/section>\n<\/div><\/div>\n<\/div><\/div><\/section>\n<\/div><\/section>\n\n\n\n<section id=\"gm9937d22\" class=\"wp-block-gutentor-m3 section-gm9937d22 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g469be9\" class=\"wp-block-gutentor-e1 section-g469be9 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>References<\/strong><\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-ga820d0\" class=\"wp-block-gutentor-e1 section-ga820d0 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">1. Munk-Olsen T, Laursen TM, Mendelson T, Pedersen CB, Mors O, Mortensen PB. Risks and predictors of readmission for a mental disorder during the postpartum period. Arch Gen Psychiatry 2009.<br><br>2. Di Florio A, Forty L, Gordon-Smith K, et al. Perinatal episodes across the mood disorder spectrum. JAMA Psychiatry 2013.<br><br>3. Blackmore ER, Rubinow DR, O\u2019Connor TG, et al. Reproductive outcomes and risk of subsequent illness in women diagnosed with postpartum psychosis. Bipolar Disord 2013.<br><br>4. Jones I, Chandra PS, Dazzan P, Howard LM. Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period. Lancet. 2014.<br><br>5. Joint Commissioning Panel for Mental Health Guidance for commissioners of perinatal mental health services, 2012.<\/p><\/div><\/div>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"parent":0,"template":"","class_list":["post-11028","professionals","type-professionals","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/professionals\/11028","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/professionals"}],"about":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/types\/professionals"}],"wp:attachment":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/media?parent=11028"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}