Postpartum · Mental Health

Recognizing and Managing Postpartum Psychosis: A Clinical Guide for Obstetric Providers

Osborne LM

Published September 2018 Obstetrics and gynecology clinics of North America, 45(3), 455-468
DOI 10.1016/j.ogc.2018.04.005 PMID 30092921 PMC PMC6174883

Abstract

Postpartum psychosis is a psychiatric emergency that affects 1 to 2 per 1000 women. Key clinical features include mood fluctuation, abnormal thoughts or behaviors, and confusion. Women with a history of bipolar disorder are at heightened risk, as are first-time mothers; current research on the causes focuses on biological triggers, such as immune dysregulation. Women with postpartum psychosis require inpatient hospitalization and should be treated with lithium, antipsychotics, and benzodiazepines.

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PMID 30092921 30092921 DOI 10.1016/j.ogc.2018.04.005 10.1016/j.ogc.2018.04.005 Osborne et al. 2018, Osborne 2018