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Results for “Puerperal Disorders”

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PubMed2001

[Psychological intervention during pregnancy. A multidisciplinary hospital network].

INTRODUCTION: Pregnancy and the puerperium are vulnerable periods in every woman's life. It is important to catch and treat signs of mental distress so as to prepare the woman for her approaching delivery, to optimize her role as a mother, and to prevent development of severe psychopathology. We describe a professional network (midwife, obstetrician, psychologist, and child psychiatrist) at a Danish county hospital, which offers the pregnant woman psychological therapy and/or psychiatric treatment when needed. MATERIAL AND METHODS: The study includes a retrospective analysis of 106 consecutive referrals from the department of obstetrics to the department of psychiatry in the period 1994-1999. The variables were frequency and reason for referral, the diagnostic profile according to ICD-10, the number of therapeutic sessions, and registration of pregnancy/birth complications (PBC). RESULTS AND DISCUSSION: Anxiety and crisis reactions owing to previous PBC, family problems, and concerns about the fetus were the predominant reasons for referral. A total of 87% met the ICD-10 criteria for adjustment disorder (F 43.2), whereas psychotic disorders were infrequent. In 52%, 1-4 sessions were sufficient to stabilise the condition. The frequency of PBC in the 106 women was significantly higher when compared to the background sample (n = about 15,000). The establishment of an effective network is recommended for pregnant women suffering from mental distress in order to prepare her for the approaching delivery, to optimise her forthcoming role as a mother, and to prevent development of severe psychopathology.

Denmark↗
PubMed2002

The treatment of postpartum depression: minimizing infant exposures.

The first 3 postpartum months represent a high-risk period for psychiatric illnesses. This article reviews the prevalence and diagnostic criteria for postpartum illnesses, including the "maternal blues," postpartum depression, and postpartum psychosis. Pharmacologic treatment of these disorders is often complicated by a patient's desire to breast-feed, yet there are no controlled trials of antidepressant treatment during lactation. Infant exposure and limitations to monitoring infant sera are reviewed. Lastly, a model and guide for reducing fetal and infant exposures is presented.

Adult↗
PubMed1975

Clinical treatment of post partum delirium with perfenazine and lithium carbonate.

Despite the development of psychopharmaceutical therapy, post partum delirium was difficult to treat. The patients remained psychotic for long periods and the course was of the disease capricious due to the many relapses. A comparative study of two groups, one consisting of 6 patients and the other of 13, all with a typical post partum delirium was carried out. The symptomatic treatment of this syndrome with a combination of perfenazine and lithium carbonate produced relatively favorable results in our clinic. For the time being, at any rate, it seems to be the medication of choice.

Drug Evaluation↗
PubMed2002

The impact of body mass index and weight gain during pregnancy on puerperal complications after spontaneous vaginal delivery.

BACKGROUND: We studied the effect of the prepregnancy body mass index (BMI) and weight gain during pregnancy on the rate of puerperal complications after spontaneous vaginal delivery. METHODS: This is a prospective cohort study of 11,114 women delivered spontaneously between 36 and 43 week's gestation at a university hospital, between January 1996 and December 2000. Postpartum complications were analyzed according to prepregnancy BMI category (low < 19.8; normal 19.8-26; high 26.1-29; obese > 29) and weight gain during pregnancy. Weight gain was defined as low, normal or high according to the National Academy of Science recommendations for BMI. RESULTS: Overall, 7.3% women had complications. Anemia and readmission were significantly more common in lean women than in women with normal BMI (3.5% versus 2.6%; P = .021 and 1.0% versus 0.3%; P < .001, respectively). Obese women had significantly more infectious complications (especially urinary tract infection) than women with normal BMI (6.3% versus 3.8%; P = .005). CONCLUSIONS: These results suggest that obese women should be screened for puerperal urinary tract infection. Weight gain during pregnancy has no influence on puerperal complications.

Adolescent↗