Abstract
Objective: Expose the basic concepts about postpartum depression and puerperal psychosis, emphasizing the natural history of the disease and the possible consequences for the mother-child binomial. Bibliographic review: There are several risk factors for postpartum depression: personal history of prenatal depression, low family income and poor marital relationship. Regarding to puerperal psychosis, the main risk factors are: personal history or family history of bipolar disorder and postpartum psychosis during a previous pregnancy. The diagnosis of postpartum depression may lead to some consequences for the baby, such as low weight, diarrhea, colic, pain during routine vaccinations and febrile illness in the child. The puerperal psychosis can directly affect the mother and the baby’s safety, since the diagnosed woman tends to suicide, hostile and harmful behaviors with the child. The approach to these pathologies needs to be multidisciplinary. Pharmacological intervention is reserved for severe cases. Final considerations: Postpartum depression and puerperal psychosis are psychiatric disorders that can affect women during the puerperal period. During this period, there are emotional and hormonal changes, enhanced by several factors. Results indicate that these disorders can lead to a negative pattern of interaction with the baby.
References
AGHAJAFARI F, et al. Vitamin D Deficiency and Antenatal and Postpartum Depression: A Systematic Review. Nutrients, 2018; 10(4): 478.
BIDER EN, COKER JL. Postpartum psychosis and SARS-CoV-2 infection: is there a correlation? Arch Womens Ment Health, 2021; 24(6): 1051-1054.
BØTTCHER KSE, et al. Post-partum psychosis. Ugeskr Laeger, 2021; 183: V01210020.
CERNADAS JMC. Postpartum depression: risks and early detection. Arch Argent Pediatr, 2020; 118(3): 154-155.
CHEN Q, et al. Prevalence and risk factors associated with postpartum depression during the COVID-19 pandemic: a literature review and meta-analysis. Int J Environ Res Public Health, 2022; 19(4): 2219.
DAVIES C, et al. Prenatal and perinatal risk and protective factors for psychosis: a systematic review and meta-analysis. The Lancet Psychiatry, 2020; 7(5): 399-410.
DENNIS CL, et al. Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. Br J Psychiatry, 2017; 210(5): 315-323.
DUKO B, et al. The epidemiology of postnatal depression in Ethiopia: a systematic review and meta-analysis. Reprod Health, 2020; 17(1): 180.
FIALA A, et al. Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study. BMC Psychiatry, 2017; 17: 1-10.
FORDE R, et al. Recovery from postpartum psychosis: a systematic review and metasynthesis of women‘s and families‘ experiences. Arch Womens Ment Health, 2020; 23(05): 597-612.
GUO L, et al. Preventing Postpartum Depression With Mindful Self-Compassion Intervention: a randomized control study. J Nerv Ment Dis, 2019; 208(2): 101-107.
HOLFORD N, et al. The impact of postpartum psychosis on partners. BMC Pregnancy Childbirth, 2018; 18(1): 1-10.
ISLAM JM, et al. Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support. PloS One, 2021; 16 (5): e0251419.
KALRA H, et al. Burden of severe maternal peripartum mental disorders in low- and middle-income countries: a systematic review. Arch Womens Ment Health, 2022; 25(02): 267-275.
KORTELAND TW, et al. Nursing interventions for patients with postpartum psychosis hospitalized in a psychiatric mother–baby unit: a qualitative study. J Psychiatr Ment Health Nurs, 2019; 26: 254-264.
LEWIS G, et al. Delusional Misidentification Syndromes in Postpartum Psychosis: A Systematic Review. Psychopathology, 2022; 1-10.
MALHI G, et al. The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders. Aust N Z J Psychiatry, 2021; 55:7.
MCKEAN M, et al. Postpartum Depression: when should health care providers identify those at risk?. Clin Pediatric, 2018; 57(6): 689-693.
OZKAN S, et al. The effectiveness of an exercise intervention in reducing the severity of postpartum depression: a randomized controlled trial. Perspect Psychiatr Care, 2020; 56(4): 844-850.
PAYNE JL, MAGUIRE J. Pathophysiological mechanisms implicated in postpartum depression. Front Neuroendocrinol, 2019; 52: 165-180.
PRANDINI NR, et al. Health of Postpartum Women During the COVID-19 Pandemic: An Integrative Review. Aquichan. 2022; 22(2): e2227.
RODRIGUEZ-CABEZAS L, CLARK C. Psychiatric emergencies in pregnancy and postpartum. Clin Obstet Gynecol, 2018; 61(3): 615-627.
SANTOS MLC, et al. Sintomas de depressão pós-parto e sua associação com as características socioeconômicas e de apoio social. Escola Anna Nery [online], 2022; 26: e20210265.
SLOMIAN J, et al. Consequences of maternal postpartum depression: a systematic review of maternal and infant outcomes. Women’s Health, 2019; 15(1): 1–55.
SPINELLI M. Postpartum psychosis: a diagnosis for the DSMV. Arch Womens Ment Health, 2021; 24(5): 817-822.
STEWART DE, VIGOD SN. Postpartum Depression: Pathophysiology, Treatment, and Emerging Therapeutics. Annu Rev Med, 2019; 70: 183-196.
TINKLEMAN A, et al. Management of New Onset Psychosis in the Postpartum Period. JClin Psychiatry, 2017; 78(9): 1423-1424.
UPADHYAY RP, et al. Postpartum depression in India: a systematic review and meta-analysis. Bull World Health Organ, 2017; 95(10): 706-717C.
VANDERKRUIK R, et al. The global prevalence of postpartum psychosis: a systematic review. BMC Psychiatry, 2017; 17(1): 272.
WANG Z, et al. Mapping global prevalence of depression among postpartum women. Transl Psychiatry, 2021; 11(1): 640.
WEIJING Q, et al. Psychosocial risk factors for postpartum depression in Chinese women: a meta-analysis. BMC Pregnancy Childbirth, 2021; 21: 174.
