Ebeid E, Nassif N, Sinha P
Department of Obstetrics and Gynaecology, The Conquest Hospital, St Leonards on Sea, UK.
J Obstet Gynaecol. 2010;30(5):435-8. doi: 10.3109/01443611003802321.
Postpartum psychosis is a mood disorder occurring up to 3 months after delivery. Incidence is one to two women every 1,000 live births. If not detected and appropriately treated in time, it may have detrimental effects on both the mother and her baby. We report a case of puerperal psychosis in a patient with a history of depression. We have also reviewed the relevant literature discussing prediction, management and differential diagnosis of postpartum psychosis. We emphasise the importance of early detection and provision of care to all women at risk of mental illness by multidisciplinary team, including GPs, obstetricians, midwives and perinatal mental health professionals.
产后精神病是一种在分娩后长达3个月内出现的情绪障碍。发病率为每1000例活产中有1至2名女性患病。如果未能及时发现并得到适当治疗，可能会对母亲及其婴儿产生不利影响。我们报告了一例有抑郁症病史患者的产褥期精神病病例。我们还回顾了讨论产后精神病预测、管理和鉴别诊断的相关文献。我们强调多学科团队（包括全科医生、产科医生、助产士和围产期心理健康专业人员）对所有有精神疾病风险的女性进行早期发现和提供护理的重要性。
