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Postpartum psychosis


- psychotic conditions caused by complications arising during childbirth. During prolonged labor with forceps, manual separation of the placenta, with surgical intervention, asthenia (weakness, fatigue, sleep disorders) is usually observed. If the birth is accompanied by a large blood loss, postpartum sepsis, then deeper mental disorders may occur with stupefaction, motor agitation. There may be a depressed mood with anxiety, fear for your child, with delusional ideas and improper behavior due to them. Such mothers do not allow anyone to the child, even loved ones. It seems to them that the child can be poisoned or hurt him. In some cases, for delusional reasons, the young mother begins to give the child various medicines or to mis-nurture. With elevated mood with excitement, hallucinations, danger to the child is even more likely. Psychotic states are usually short-lived and the elimination of the cause of psychosis (compensation for blood loss, treatment of sepsis), and appropriate treatment is stopped very quickly.
Childbirth can also cause other mental illnesses (schizophrenia, manic-depressive psychosis). However, the attacks of these diseases usually develop not immediately after birth, but 10-12 days after birth or several months later. Harbingers of these disorders are usually detected in the prenatal period in the form of unreasonable anxiety, fear, persistent insomnia and other symptoms.
Treatment:
Asthenic mental disorders are usually corrected directly in the maternity hospital. Women are provided with optimal conditions for rest, regulate sleep, prescribe vitamins, nootropics. Conducted psychotherapy. The presence of acute psychosis requires the transfer of the patient to the psychosomatic department, where qualified assistance is provided by obstetrician-gynecologists and psychiatrists. The treatment is carried out with neuroleptics and other psychotropic drugs, and therefore prohibits the mother to continue breastfeeding the child in order to avoid adverse effects.