Godfroid I O, Charlot A
Université Libre de Bruxelles.
Rev Med Brux. 1996 Feb;17(1):22-3, 6.
The four important syndromes that constitute postnatal psychiatry are chronologically: 1) Post-Traumatic Stress Disorder (PTSD), 2) Baby-blues, 3) Puerperal psychosis and 4) Postnatal depression. The PTSD (prevalence 1%) occurs from 24 to 48 hours after a difficult childbirth. Anxiety predominates in association with nightmares and recurrent images of the experience. Baby-blues (prevalence 80%) is a feeling of sadness that doesn't need to be treated. It occurs around the third day of post-partum. Its intensity is a predictive factor of postnatal depression. Puerperal psychosis (prevalence 0.2%) is a disturbance of psychotic or manic proportion, mainly in women with a psychiatric previous history. It occurs between the first and the third week of the post-partum period. Postnatal depression (prevalence 20%) is a major depressive state commencing four to six weeks after delivery. It is rarely diagnosed early and child abuse is one of its consequences. Prevention--the important point of the treatment--is most of the time neglected.
1）创伤后应激障碍（PTSD），2）产后情绪低落，3）产褥期精神病，4）产后抑郁症。创伤后应激障碍（患病率1%）发生在难产产后24至48小时。焦虑为主，并伴有噩梦和反复出现的分娩经历画面。产后情绪低落（患病率80%）是一种无需治疗的悲伤情绪。它发生在产后第三天左右。其严重程度是产后抑郁症的一个预测因素。产褥期精神病（患病率0.2%）是一种具有精神病性或躁狂性质的障碍，主要发生在有精神病史的女性中。它发生在产后第一周和第三周之间。产后抑郁症（患病率20%）是一种在分娩后四至六周开始的重度抑郁状态。它很少能早期诊断，虐待儿童是其后果之一。预防——治疗的重点——在大多数情况下被忽视。
