Peripartum mood disturbances classification: Difference between revisions
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==Overview== | ==Overview== | ||
During [[pregnancy]] and the [[postpartum period]], many women feel a wide range of overwhelming [[emotions]] such as anticipation, happiness, excitement, [[confusion]], [[pleasure]], satisfaction, as well as worry, [[frustration]], or sadness/guilt. They are more prone to [[mental]] problems during the [[postpartum period]]. [[Maternity blues]], [[puerperal psychosis]], and [[postnatal depression]] are the three most common [[postpartum]] [[mental]] [[illnesses]]. The [[spectrum]] of [[postpartum]] [[illnesses]] is broad. It encompasses a wide [[spectrum]] of [[feelings]], ranging from mild [[agitation]], [[irritability]], and weepiness to severe [[agitation]], [[delusions]], [[disorientation]], and [[delirium]]. On one end of [[spectrum]] lies [[postpartum]] blues, which is most common and [[remits]] on its own, while on the other end lies [[Postpartum|postpartum psychosis]] which in severe form is a [[Medical|medical]] [[emergency]] and needs [[Urgent care|urgent]] [[hospitalisation]], [[postpartum depression]] is moderately common. | |||
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==Classification== | ==Classification== | ||
During the first week after [[delivery]], about 25–40 percent of mothers experience [[mood]] lability and mild [[depression]] known as [[postpartum]] blues or [[postpartum]] [[dysphoria]], about 10–15 percent suffer from a [[depressive disorder]], and one or two out of every thousand [[women]] experience [[psychosis]] during the [[infant]]'s first year. Traditionally, these [[conditions]] were referred to as "[[postpartum]] [[illnesses]]." | |||
[[File:Mental disorders in the postpartum period.PNG|left|thumb|448x448px]] | |||
[[Peripartum]] [[mood]] disturbances may be classified according to [[Diagnostic and Statistical Manual of Mental Disorders]], fifth edition ([[DSM]]-V) into 3 subtypes:<ref name="urlIdentification and Classification of Postpartum Psychiatric Disorders | Journal of Psychosocial Nursing and Mental Health Services">{{cite web |url=https://doi.org/10.3928/0279-3695-20011201-09 |title=Identification and Classification of Postpartum Psychiatric Disorders | Journal of Psychosocial Nursing and Mental Health Services |format= |work= |accessdate=}}</ref><ref name="pmid26330638">{{cite journal |vauthors=Rai S, Pathak A, Sharma I |title=Postpartum psychiatric disorders: Early diagnosis and management |journal=Indian J Psychiatry |volume=57 |issue=Suppl 2 |pages=S216–21 |date=July 2015 |pmid=26330638 |pmc=4539865 |doi=10.4103/0019-5545.161481 |url=}}</ref> | |||
*[[postpartum]] blues | |||
*[[postpartum depression]] | |||
*[[postpartum]] [[psychosis]] | |||
* | |||
During the [[postpartum period]] there is also increased susceptibility to [[anxiety disorders]] such as [[obsessive-compulsive disorder]] and [[panic disorder]]. | |||
==References== | ==References== | ||
<references /> | |||
Latest revision as of 18:27, 5 August 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunita Kumawat, M.B.B.S[2]
Overview
During pregnancy and the postpartum period, many women feel a wide range of overwhelming emotions such as anticipation, happiness, excitement, confusion, pleasure, satisfaction, as well as worry, frustration, or sadness/guilt. They are more prone to mental problems during the postpartum period. Maternity blues, puerperal psychosis, and postnatal depression are the three most common postpartum mental illnesses. The spectrum of postpartum illnesses is broad. It encompasses a wide spectrum of feelings, ranging from mild agitation, irritability, and weepiness to severe agitation, delusions, disorientation, and delirium. On one end of spectrum lies postpartum blues, which is most common and remits on its own, while on the other end lies postpartum psychosis which in severe form is a medical emergency and needs urgent hospitalisation, postpartum depression is moderately common.
Classification
During the first week after delivery, about 25–40 percent of mothers experience mood lability and mild depression known as postpartum blues or postpartum dysphoria, about 10–15 percent suffer from a depressive disorder, and one or two out of every thousand women experience psychosis during the infant's first year. Traditionally, these conditions were referred to as "postpartum illnesses."
Peripartum mood disturbances may be classified according to Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V) into 3 subtypes:[1][2]
During the postpartum period there is also increased susceptibility to anxiety disorders such as obsessive-compulsive disorder and panic disorder.
References
- ↑ Rai S, Pathak A, Sharma I (July 2015). "Postpartum psychiatric disorders: Early diagnosis and management". Indian J Psychiatry. 57 (Suppl 2): S216–21. doi:10.4103/0019-5545.161481. PMC 4539865. PMID 26330638.