PSYCHOLOGICAL DISORDERS OF THE PUERPERIUM

COTENT

-INTRODUCION

-PSYCHOLOGICAL DISORDERS OF THE PUERPERIUM

-PREDISPOSING FACTORS

-POSTPARTUM OR MATERNAL BLUES

-POSTPARUM DEPRESSION

-PUERPERAL PSYCHOSIS

 

INTRODUCTION

The Puerperium is occasionally froth with certain complications which could involve certain parts of the body most especially the reproductive organs. In some few instances, psychological problems may occur, which if it does, it may be distressing to the new mothers and their relatives, sometime heralding the onset of long term mental health disorders.

 

PSYCHOLOGICAL DISORDERS OF THE PUERPERIUM

1.  Postpartum or maternity blues

2.  Postpartum depression

3.  Puerperal psychosis

 

PREDISPOSING FACTORS

It is commoner among the following group of women who are at an increased of developing psychological disorders of the puerperium:

1.  First pregnancy

2.  Single mothers

3.  Domestic violence

4.  Lack of family support

5.  Previous personal history of mental health disorder

6.  Family history of mental health disorder

7.  Recent stressor events such as loss of job, loss of relatives and family members

                                     

POSTPARTUM OR MATERNAL BLUES

1.  This a mild and transient form of psychological condition in the puerperium.

2.  It is self-limiting.

3.  It characteristically occurs within the first two weeks following delivery and resolves spontaneously within ten days of onset.

4.  The symptoms usually experienced include headaches, loss of interest, confusion, insomnia, sadness and negative feelings towards the baby.

5.  The treatment is basically by supportive care and provision of empathy by the members of her family.

6.  No drug treatment is required, health care provider may also provide some form of psychological counselling.

                                           

POSTPARTUM DEPRESSION

1.  This is another component of the spectrum of psychological disorder in the puerperium with more severe symptoms than that of maternal blues.

2.  In addition to the symptoms of maternity blues, the woman exhibits feeling of inadequacy, loss of libido, pessimistism, ambivalence and loss of love toward family members.

3.  It tend to affect about 15% of new mothers and may last for up to three to six months.

4.  The first line of treatment is basically supportive, with reassurance from health workers and patient’s family.

5.  Drug treatment may be considered in extreme cases.

6.  Medications used for major depression such as paroxetine and the other selective serotonin reuptake inhibitors (SSRI) may be considered.

7.  Electroconvulsive therapy may also be considered occasionally.

8.  Treatment modalities may last for up to nine to twelve months.

                  

PUERPERIAL PSYCHOSIS

1.  This is a very severe form of psychological disorder of the pueperium.

2.  It is almost similar to the psychosis seen in adult population.

3.  It affects about 0.14% to 0.20% of new mothers.

4.  They usually have schizophrenic and manic symptoms.

5.  This may be a marker to an already existing mental illness which was aggravated by the stress of pregnancy and delivery.

6.  This disorder may last for up to two to three months.

7.  Treatment involves management by the mental health physician.

8.  It is very important to report any of these conditions if noticed in newly delivered mothers to the gynecologist or chat with any of our consultants online.

9.  This will forestall any untoward events to the mother and her new born child.