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Postpartum psychoses


- psychotic conditions caused by complications that occurred during childbirth. With prolonged labor with forceps, manual separation of the placenta, with surgery, asthenia (weakness, fatigue, sleep disturbances) is usually observed. If childbirth is accompanied by large blood loss, postpartum sepsis, then deeper mental disorders may occur with confusion, motor excitement. There may be a depressed mood with anxiety, fear for your child, with delusions and the wrong behavior caused by them. Such mothers do not allow anyone to the child, even relatives. It seems to them that the child can be poisoned or cause him any harm. In some cases, out of delusional reasons, a young mother begins to give her baby various medicines or to feed her incorrectly. With an increased mood with excitement, hallucinations, the danger to the child is even more likely. Psychotic conditions are usually short-lived and the elimination of the causes of psychosis (compensation for blood loss, treatment of sepsis), the corresponding treatment is quickly stopped.
Childbirth can provoke the occurrence of other mental illnesses (schizophrenia, manic-depressive psychosis). However, attacks of these diseases usually do not develop immediately after childbirth, but on 10-12 days after birth or after several months. The precursors of these disorders are usually detected in the prenatal period in the form of unreasonable anxiety, fear, persistent insomnia and other symptoms.
Treatment:
Mental disorders of an asthenic nature are usually corrected right in the maternity hospital. Women create optimal conditions for relaxation, regulate sleep, prescribe vitamins, nootropics. Psychotherapy is carried out. The presence of acute psychosis requires the transfer of the patient to the psychosomatic department, where qualified assistance is provided by both obstetrician-gynecologists and psychiatrists. Treatment is carried out with antipsychotics and other psychotropic drugs, in connection with which the mother is forbidden to continue breastfeeding her baby in order to avoid adverse effects.