Heron J, Robertson Blackmore E, McGuinness M, Craddock N, Jones I
Department of Psychiatry, University of Birmingham, Birmingham, UK.
Arch Womens Ment Health. 2007;10(2):79-81. doi: 10.1007/s00737-007-0174-z. Epub 2007 Feb 26.
The weeks following childbirth are a period of high risk in bipolar women with manic or mixed affective episodes following 20-30% of deliveries. Although the vast majority of episodes have their onset within 2 weeks of delivery it is commonly believed that there is a "latent" or symptom-free period in the first few days after delivery. We examine the day of onset of clinically significant symptoms in 101 bipolar women who have experienced an episode of puerperal (postpartum) psychosis. We find no evidence of a latent period. Over 50% of symptom onsets occur on days 1-3, with over 22% occurring on the first postpartum day.
分娩后的几周是双相情感障碍女性的高风险期，20%-30%的分娩后会出现躁狂或混合性情感发作。尽管绝大多数发作在分娩后2周内开始，但人们普遍认为分娩后的头几天存在一个“潜伏期”或无症状期。我们研究了101名经历过产褥期（产后）精神病发作的双相情感障碍女性出现具有临床意义症状的发病日。我们没有发现潜伏期的证据。超过50%的症状发作发生在第1-3天，超过22%发生在产后第一天。
