Recognizing and Managing Postpartum Psychosis: A Clinical Guide for Obstetric Providers.

Obstet Gynecol Clin North Am

Departments of Psychiatry & Behavioral Sciences and Gynecology & Obstetrics, Women's Mood Disorders Center, Johns Hopkins University School of Medicine, 550 North Broadway, Suite 305, Baltimore, MD 21205, USA. Electronic address:

Published: September 2018

Postpartum psychosis is a psychiatric emergency that affects 1 to 2 per 1000 women. Key clinical features include mood fluctuation, abnormal thoughts or behaviors, and confusion. Women with a history of bipolar disorder are at heightened risk, as are first-time mothers; current research on the causes focuses on biological triggers, such as immune dysregulation. Women with postpartum psychosis require inpatient hospitalization and should be treated with lithium, antipsychotics, and benzodiazepines.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174883PMC
http://dx.doi.org/10.1016/j.ogc.2018.04.005DOI Listing

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