Postpartum psychosis


Postpartum psychosis

Description of postpartum psychosis

Mental disorders after childbirth were already devoted many studies psychiatrists, gynecologists, endocrinologists but also the world. Postpartum mood changes described in antiquity, Hippocrates, Galen and gradually in every century until the present this issue dealt with medical science. It is known that only women suffer from disabilities had previously received psychiatric treatment (although they are prone to do), but so completely mentally healthy women who had never had mental problems.

Postpartum status to women in times of great changes in life and the changes in her body and for a woman it’s probably mentally demanding period in her life. Involved on the one handunpleasant experience of childbirth, the social situation of families, relationships with your spouse and relatives, but also a fundamental change in the life of a woman who has everything since then submit their child. Mother after childbirth is often very physically exhausted and her body dramatic hormonal changes occur. The effect of fluctuating hormone levels is known in everyday life women as premenstrual syndrome, which also leads to psychological changes a few days before the onset of menstruation. These changes in hormonal levels are but small compared with what happens after birth, when the content of hormones in the blood drops really drastically.

In the past, all the mental changes in the period after birth summarized under the name lactation psychosis. According to new findings, however, the cause of the fault does not lie in breastfeeding and this name is already in use ceases. Some experts argue, however, that the interruption of breastfeeding changes the hormonal state of the body and difficulty retreat. Today postpartum mental disorders are divided into several groups according to the severity, usually into three: postpartum blues, postpartum depression and postpartum psychosis.

postpartum blues

Postpartum blues is considered rather normal and occurs in about 80% of mothers. It is a short and transient affair that lasts longer than two weeks. Usually begins around the third day after birth, instead of joyous tune the mother is depressed and sad. Sometimes it becomes tearful,hypersensitive, can cause feelings of anger or loneliness. However, the situation is usually very soon leveled even without medical intervention, the important support area that will accelerate healing.

Late postpartum depression

Late postpartum depression is much more serious condition than postpartum blues may occur even longer after birth. It affects approximately 10% of mothers. Mother is usually exhausted long tired, pessimistic and experiencing feelings of anxiety for different reasons. Sometimes it starts to constantly think about how to ensure your child, whether it will be a good mother, and all her thoughts may be focused on the fact that she could not properly care for the child. May suffer remorse and sleep disorders. In this case, it is time to seek professional medical help, there is some risk of suicidal tendencies.

postpartum psychosis

The most serious condition but is postpartum psychosis when a woman is experiencing strong feelings of agitation, extreme mood swings, memory loss, impaired concentration (inability to read, watch a movie), altered perception of time. Mother loses touch with reality (sometimes not even know his name, what day) often suffer from delusions, visual and auditory hallucinations and losethe ability to care for the child. Not so rare it is present. “Capgrasův flag” when the mother is convinced that her own child was exchanged for breastfeeding her child had been brought strange, like his own. Psychosis often occurs right after birth, but it can also occur within two months after birth. The heaviest state already requires hospitalization of the mother and her treatment or risk to harm himself and his child. There are many cases where the mother left for unknown reasons with the child out of the house and made some unexpected thing, often suicidal (the murder of the newborn occurs in 4% of cases, suicidal mother then 5%). But the important thing is that the mother often does things automatically, and especially its status unaware! Postpartum psychosis develops in only about 0.1% of women, which is fortunately relatively rare.

Risk factors for postpartum psychosis

The highest risk of developing postpartum psychosis is the first month after birth is higher inpětatřicetiletých and older primiparas.

The higher the likelihood that the disease breaks out, it is women who have previously suffered from any psychiatric illness such as depression.

Also, if a woman has a similar status for the previous child, threatened that the situation with another child will repeat. It is therefore necessary to make it a family was ready and was able to help the symptoms in time, or seek medical help.

The causes of postpartum psychosis

According to recent surveys, nearly half primiparae who develop postpartum psychosis, never suffer mental illness, because that would have been previously hospitalized in a psychiatric ward. Thus, the disease occurs even in mentally healthy women.

The main reason stated hormonal changes after childbirth, physical exhaustion and very strong emotions unknown to the woman after childbirth experiences.

Prevention of Postpartum psychosis

The mother should sleep enough. When a child falls asleep, she would drop everything and go to bed with him. Respect for the three-hour interval breastfeeding in this case is a question, someone on the contrary, prefers not to impede the child energizing sleep cycle, and therefore if the mother feels tired and sleepy and child otherwise sufficiently often drunk, not need this interval is always strictly observed and better with more sleep.

Of course it is necessary to put in place measures on its own initiative to always consult with your doctor.

It is not necessary to have a household still in perfect condition. Visits may be rejected or possibly Task the both of you something. If the mother begins to feel that childcare and the household can not cope, rather should entrust a partner or immediate family to have someone of her condition under control. And eventually he did in time for the expert.

Treatment of Postpartum psychosis

In the case of milder forms of postpartum psychosis in women attend specialized psychotherapeutic programs. In doing so, they are taking drugs, mostly hormonal drugs or antidepressants. In the case of psychosis progress to heavier stage, treated in a psychiatric hospitalization.

How do you help yourself

It is important not to underestimate the seriousness of the situation in time, even with the help of the area, seek professional help. There are support for healing and essential partner should provide basic support people and had to be assisted in the hardest moments.

Complications of postpartum psychosis

Complications developed psychosis can have tragic consequences when the mother in the worst case may harm themselves or the child. Suicidal tendencies are not unique, and it is therefore necessary to take appropriate action and to seek medical advice. Hospitalization mothers can help prevent these complications.

Other names: Lactation psychosis Postpartum psychosis

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