Request PDF on ResearchGate | Catatonía en psicosis puerperal. A propósito de un caso. / Catatonia in puerperal psychosis: Presentation of a. We aimed to obtain global estimates of puerperal psychosis prevalence based Download full-text PDF Catatonía en psicosis puerperal. A high risk of postpartum psychosis because of previous mental health How does Postpartum Psychosis differ from Postnatal Depression or Baby Blues?.

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Postpartum psychosis is a rare psychiatric emergency in which symptoms of high mood and Diagnosis of postpartum psychosis always requires hospitalization, where treatment is .. Create a book · Download as PDF · Printable version. Pubmed Download Scholar Google And the puerperal psychosis that is a severe psychiatric disorder. There is little Psicosis puerperal. Revista de. Citation analysis of puerperal and menstrual psychosis. / Ian .. Lértora A ( ) En torno a una psicosis gravido-puerperal curada con.

In the literature on childbearing psychoses, there are only eight instances of the association of postpartum and any form of post-operative psychosis: three followed sterilization Ellery ; Hess ; Van Steenbergen , two occurred after oophorectomy Robertson Blackmore et al.

It is impossible to evaluate these because there is no information on the number of operations performed. This information, however, was available in my series—46 surgical operations were known to have been performed during the study period.

She had only two other episodes, both following surgery: after hysterectomy she was briefly hypomanic, and after a double knee replacement she suffered an acute psychosis, with pressure of speech, incoherence, violence and delusions of reference, poisoning and jealousy.

Postpartum psychoses after Caesarean section could be post-operative rather than puerperal psychoses. Corticosteroid therapy This was introduced into therapeutics in There is a scattered literature on the precipitation of mania, severe depression, paranoid disorders, delirium and other psychoses by adrenal corticosteroids for example, Sirois ; Kenna et al.

One would, therefore, expect an association with postpartum bipolar disorders.

In the literature, there are two cases of this association Svoboda ; Johnson , to which I can add six, which are briefly summarized below: A year old became pregnant for the 1st time. She had two doses of dexamethasone at the time of delivery.

On day 2 she became sleepless and began writing copious notes. By day 7 she became overactive and aggressive, and said the television and radio referred to her, and her husband was trying to infect her and the baby with AIDS, which he had contracted during an affair.

She later had a second episode of postpartum mania, with onset six weeks after the birth. A year old, after six years of infertility, conceived with gamete intra-fallopian transfer, and became pregnant with twins.

A week later she was admitted to the maternity hospital with antepartum bleeding. She became excited, elated and sleepless and expressed persecutory ideas. She was talking constantly, giving a running commentary on everything that was happening. Three weeks later her psychosis recurred, with head-banging, restlessness, insomnia and racing thoughts. On admission to hospital she was depressed, and did not recover until five months later.

A year old gave birth to her 1st child. Six weeks later she developed pityriasis rosea, treated with steroids. This lasted a week until she stopped the steroids. She then became depressed for a year. Her baby also became high on steroids. On day 12 she developed a cycloid psychosis — slow, confused and perplexed — from which she recovered within three weeks.

Postpartum psychosis

When the baby was four months old, her arthritis recurred. In these nations, eclamptic and Donkin psychoses will be common. Gestosis is still a disease of unknown cause. There are widespread renal and hepatic lesions.

The vasomotor disturbance that underlies seizures and coma usually leaves no residue. Thus, 'toxaemia' or gestosis appears to be a widespread arterial disease, with ischaemic lesions due to a transient but intense vasoconstriction.


Eclampsia is uniquely related to pregnancy and cured only by delivery of the placenta. Its increased frequency in hydatidiform mole shows that the foetus is not responsible. Page suggested that the placenta—'a ruthless parasitic organ'—was the agent, secreting a pres-sor in response to ischaemia.

Roberts has suggested that the placental pressor targets the endothelium, which is not, like cellophane, a barrier between blood and the collagen of the vessel wall, but a complex organ with numerous functions; the consequences include arteriolar spasm and activation of the coagulation cascade, causing microthrombosis. He has also Roberts suggested that the primary abnormality is a failure to remodel the spiral arteries in early pregnancy.

In the last 20 years, biochemists have demonstrated, in PET, changes in endothelin, thromboxane and thrombomodulin, and an increase in anti-angiogenic proteins secreted by the placenta; these may be the cause of the widespread damage to the maternal endothelium Granger et al.

It is important to recognize the possibility and to tackle the diagnostic uncertainty. The difficulty with Donkin psychosis, Donkin psychosis as with other nosological concepts in psychiatry including mania , is that the intension essence is clear, but the extension boundary is not clear at all.

This problem may not be soluble at the clinical level—it may require EEGs and laboratory tests. In consultation with experts, it may be possible to use laboratory findings to indicate the severity of the gestosis, and help define the mental disorder Donkin discovered. Cognitive Experiences Cognitive experiences are ones that relate to mental action; such as learning, remembering and functioning.

Some cognitive experiences are associated with psychosis are: being unable to sustain attention, memory problems Unable to take on information Poor decision making What conditions are linked with psychosis? Psychosis is a set of experiences which can be referred to as a condition. You might have this experience if you have one of the following conditions.

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In this section we use the term symptom instead of experience as these are medical terms you may come across if you are having medical treatment. They include: hallucinations, delusions, or disorganised thinking, this is when you switch from one topic to another with no clear link between the two.

Negative symptoms are called this because they take something away from your normal experience. They include: no motivation to do anything, not saying much, not making eye contact, or not interacting much with other people. You can have a combination of negative and positive symptoms. This means schizophrenia can affect your day-to-day life until you get treatment.

Although some people recover completely from schizophrenia, it is likely to be a long term condition.

Non-reproductive triggers of postpartum psychosis

You can manage it with the right treatment and support Bipolar Disorder This is a mood disorder where you switch from experiencing extreme highs, such as elevated mood and increased activity, to extreme lows.

These highs and lows are called mania and depression. If you experience manic symptoms you may also experience psychosis. For example, you may believe you have special powers or are on a special mission.

Schizoaffective disorder People with a diagnosis of schizoaffective disorder may experience bipolar disorder and schizophrenia.

Put to Birth

Because some of the experiences of bipolar disorder and schizophrenia overlap, psychiatrists can find it difficult to make a diagnosis of schizoaffective disorder. Drug induced psychosis People who use or withdraw from alcohol and drugs can experience psychosis. These experiences may last a long time and lead to doctors diagnosing you with a psychotic illness.

Psychotic depression If you have a diagnosis of depression you can feel low, lack motivation and energy, feel guilty and lose your appetite or sleep poorly. If you have a diagnosis of clinical depression, you may get psychotic experiences. These are usually negative and self blaming. You may believe that you are responsible for something when you are not.

Postpartum puerperal psychosis If you have psychotic experiences after giving birth, this is known as postpartum psychosis. This can happen straight away or up to three months after birth. Women with experiencing postpartum psychosis may feel very confused, and experience brief hallucinations. Organic psychosis Head injury, or a physical illness that affects how your brain works, can cause experience of psychosis.

People often have memory problems or feel confused as well as having psychotic experiences. Delusional disorder Psychiatrists might diagnose you with a delusional disorder if you have a single firmly held belief that is not true, but might not seem particularly out of the ordinary either.

Reaction psychosis or Brief psychotic episode You might have experiences of psychosis after a major stressful event in your life, such as a death in the family, or change of living circumstances.

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Experiences can be severe, but most people who have reaction psychosis make a quick recovery, which can take up to a month. What causes psychosis? There is no single cause of experiencing psychosis. Researchers believe genetic, biological and environmental factors all play a part. Genetic causes If you have a relative with psychosis, you are more likely to experience the condition.

On average, around 1 in people will experience psychosis. But 15 in people with a parent who has psychosis will experience psychosis. People who have two biological parents with a psychotic illness are even more likely to experience psychosis. Scientists have found genes that play a role in experiencing psychosis, but no single gene is responsible.

Brain Chemicals Dopamine is a neurotransmitter. This is a chemical that passes information from one brain cell to another. Too much dopamine can lead to hallucinations, delusions and disorganised thinking. Scientists do not know exactly what causes the increase in dopamine in the first place.For example, you may believe you have special powers or are on a special mission. Assisted birth does seem to be a universal phenomenon and human birth is a social, rather than a solitary event Rosenberg, K.

She denied the existence of her husband and the baby. Kumar R. However, PBs persisting for more than 2 weeks may make women vulnerable to a more severe form of mood disorders.