Early detection and multidisciplinary care are crucial for managing postpartum psychosis in women at risk of mental illness.
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Postpartum psychosis is a mood disorder occurring up to 3 months after delivery. Incidence is one to two women every 1,000 live births. If not detected and appropriately treated in time, it may have detrimental effects on both the mother and her baby. We report a case of puerperal psychosis in a patient with a history of depression. We have also reviewed the relevant literature discussing prediction, management and differential diagnosis of postpartum psychosis. We emphasise the importance of early detection and provision of care to all women at risk of mental illness by multidisciplinary team, including GPs, obstetricians, midwives and perinatal mental health professionals.
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Alerts clinicians to monitor women with depression history; leaves open whether standardized protocols improve outcomes.
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Ebeid et al. (2010) studied this question.
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