Document Detail

Postpartum psychiatric disorders.
MedLine Citation:
PMID:  14751705     Owner:  NLM     Status:  MEDLINE    
This review summarises the psychiatry of the puerperium, in the light of publications during the past 5 years. A wide variety of disorders are seen. Recognition of disorders of the mother-infant relationship is important, because these have pernicious long-term effects but generally respond to treatment. Psychoses complicate about one in 1000 deliveries. The most common is related to manic depression, in which neuroleptic drugs should be used with caution. Post-traumatic stress disorder, obsessions of child harm, and a range of anxiety disorders all require specific psychological treatments. Postpartum depression necessitates thorough exploration. Cessation of breastfeeding is not necessary, because most antidepressant drugs seem not to affect the infant. Controlled trials have shown the benefit of involving the child's father in therapy and of interventions promoting interaction between mother and infant. Owing to its complexity, multidisciplinary specialist teams have an important place in postpartum psychiatry.
Ian Brockington
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Lancet     Volume:  363     ISSN:  1474-547X     ISO Abbreviation:  Lancet     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-01-30     Completed Date:  2004-03-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  England    
Other Details:
Languages:  eng     Pagination:  303-10     Citation Subset:  AIM; IM    
University of Birmingham, UK.
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MeSH Terms
Antidepressive Agents / therapeutic use
Anxiety Disorders / therapy
Bipolar Disorder / therapy
Depression, Postpartum / drug therapy,  therapy
Family Therapy
Infant, Newborn
Infanticide / psychology
Mental Disorders* / therapy
Mother-Child Relations
Obsessive Behavior / therapy
Patient Care Team
Puerperal Disorders* / therapy
Randomized Controlled Trials as Topic
Stress Disorders, Post-Traumatic / therapy
Treatment Outcome
Reg. No./Substance:
0/Antidepressive Agents
Comment In:
Lancet. 2004 Mar 27;363(9414):1077-8; author reply 1078   [PMID:  15051298 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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