Peripartum mood disturbances overview
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Differentiating Peripartum mood disturbances from other Diseases |
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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
Childbirth is a life changing event in a woman's life. Her body undergoes many physiological and psychological changes during pregnancy and childbirth; a causal relationship between hormone changes and mood shifts has been proposed. During the postpartum period, women face many depressive symptoms which varies in severity from mild postpartum blues to serious mood disorders like postpartum depression and postpartum psychosis. Identification and treatment of these mood disorders is critical to both child and mother's health.
Historical Perspective
In 460 B.C., Hippocrates was the first to mention about postpartum fever, mania, delirium and agitation. His writings reflected how postpartum depression is described today.[1]
In 11th century, a professor of medicine, Trotula of Salerno, first recognized postpartum depression.
In 1547, a Portuguese physician, Joao Rodrigues de Castello Branco(Amatus Lusitanus), briefly described postpartum depression.
Between 16th and 18th centuries about 50 brief reports about Psychosis were published stating that these psychoses were recurrent and could be seen in both non-lactating and lactating females.[2]
In 1797, Osiander, an obstetrician, wrote about 2 cases in detail, that are among the treasures for postpartum psychosis.
In 1819, Esquiro evaluated inpatients in the Salpêtrière, which paved the way for long term research.