Features of postpartum psychosis. What is psychosis different from depression? Symptoms, causes and consequences of the disorder. How to prevent frustration? Treatment of psychosis after childbirth
Postpartum psychosis is a serious disorder of the psyche, which often develops 2-4 weeks after birth. Cases Emergence of Postpartum psychosis Are quite rare. The symptomatology of the disorder is quite diverse and signs can change very quickly.
Among them there are confusion, auditory and visual hallucinations, inability to objectively assess the situation, depression, alternating with excessive activity and euphoria.
The appearance of this violation requires urgentMedical care. This phenomenon can develop in any parturient woman. Very often it occurs in those who have never suffered any mental disorders.
As for the patient, and for her family and friendsThis situation can be a difficult and frightening test. But in the overwhelming majority of cases, the patients recover and continue to lead a full life.
According to statistics, this phenomenon is much less common than postpartum depression. Only 0.1% of the mothers have this disease.
What distinguishes the symptoms of postpartum psychosis from depression
Approximately 10-15 women out of 100 sufferDepression after the birth of the baby. Its symptoms almost do not differ from other types of disorder: lack of interest in the surrounding world, including the newborn, depression, reluctance to engage in daily activities. At the same time, a feeling of guilt arises.
In some cases, there are suicidal thoughts that may end in suicide attempts. Signs of violations last for two weeks (on average) and require a referral to a specialist.
In patients with psychosis, the symptoms of postpartum depression are combined with signs of manic syndrome:
- Depression and tearfulness;
- Euphoric mood;
- Confusion of consciousness;
- Sharp mood changes;
- Inability to focus on anything (so-called jumping thoughts);
- Communicative, sociable;
- Unusual behavior;
- Avoiding contact with other people;
- Paranoid thoughts, fear, suspicion;
- Reluctance to sleep, difficulty falling asleep;
- Strange thoughts, delusions that can not be true. For example, a woman may think that she won the lottery, or someone pursues her, or the child is obsessed with the devil, etc.
All these phenomena do not allow the mother to take good care of the baby, and also to watch for herself. At the same time, she does not notice her condition, so close people should ask for help.
When does the violation occur?
In most cases, the first signs of the diseaseArise in the first 14 days after the birth of the baby. This can happen immediately after birth. Rarely, development occurs a few weeks after delivery.
Also, women can suffer from depression,Which occurs a few days after childbirth and ends when the child turns 10 days old. At this time, the woman in childbirth becomes more irritable and depressed, but doctors do not usually need help, everything passes by herself.
Causes of postpartum psychosis
Scientists still can not pinpoint the source of the violation. But it is argued that the specific features of family relationships, the behavior of the mother or her partner are not exactly the reasons.
However, there are several factors that are associated withThis problem, for example, genetic predisposition. In women whose relatives suffered from this disorder, the probability of development is 3%. Some influence is exerted by changes in the hormonal background, as well as the change in sleep after the appearance of the baby.
Very likely the occurrence of a violationAfter birth in women who suffered from bipolar depression and schizoaffective disorder. Other mental illnesses, including schizophrenia, are also associated with increased risk.
There is a postnatal psychosis and when appearsThe second child, that is, the woman need not be primiparous. It should be noted that if the disease is already in history, then the risk of its re-emergence is significantly increased - by 25-50%. In this situation, a compulsory psychiatric consultation is necessary.
How to prevent a woman from being at risk?
The best option is to consult aPsychiatrist at the planning stage of the child. But since many pregnancies are unplanned, it is worth to consult a specialist immediately after the pregnancy is diagnosed. You can not give 100% guarantee that psychosis will be prevented, but a number of measures will help reduce the likelihood of its appearance.
Be sure to follow the doctor's instructions, andIn the last weeks of pregnancy and after childbirth avoid stress and try to sleep normally. The husband should necessarily know about the possibility of developing a serious violation, in order to immediately seek help.
Treatment of postpartum psychosis
In the overwhelming majority of women needhospitalization. Very rarely you can do without it. If possible, the mother is sent for treatment with the newborn. In the conditions of the medical institution, it will not only be treated, but also helped to take care of the baby.
But not everywhere there are appropriate hospitals, designed to stay at the same time, and mother and child, so in most of the woman is in the ward is completely alone.
To alleviate symptoms, doctors oftenPrescribe antipsychotic drugs or normotimics (mood stabilizers). If the situation requires, then the preparations of both groups are applied simultaneously. During their admission, as well as some time after the termination of the course, a woman should not breast-feed a child.
When the mother's condition stabilizes, she will need the support of relatives and friends.
Recommendations for family members:
- Be patient and calm;
- Always take the time to listen to a woman;
- Do not invite many guests while the patient does not recover. The house should be calm;
- Temporarily take on household chores to give her the opportunity to rest and sleep more.
It will be possible to fully recover only throughHalf a year-a year, however, obvious symptoms will begin to disappear after 2 weeks. After the condition stabilizes, there may come a period of some kind of depression and anxiety. To cope with such emotions a woman must feel the support of her family.
The consequences of postpartum psychosis
If the spleen after the appearance of the child passesIndependently, without negative consequences for the body, then psychosis poses a great danger. If the condition is aggravated, causing complications, then the treatment will be quite lengthy. Therefore, it is recommended to closely monitor the condition of the new mother and not give the disease to develop.
In the first place, the disorder affectsChild, because the mother can not fully follow him. When she loses interest in what is happening, then the psychological relationship between her and the baby disappears. Often children, whose mothers have suffered from depression or psychosis after childbirth, lag behind in mental and physical development.
The disease can last a fairly long period of time, so it is important to begin treatment as early as possible. This is especially important for a newborn.
If depression and spleen do not affect the body so much, then psychosis poses a great danger. A woman can harm not only herself, but also the child.
The consequences of such a violation can be very deplorable. To prevent such situations, it is necessary to urgently seek qualified medical help.