title: [Postpartum psychoses].
abstract: We have reviewed actual forms of postpartum psychoses from three clinical cases, hospitalized for six weeks in an open service. The frequency is declining and the clinical picture can be threefold: oniroidconfusional, pure affective and schizophreniform. The short term course and long term prognosis are generally good, with the exception of latent underlying psychosis. Nevertheless, there is a real risk for further pregnancies necessitating birth control. The etiology is multifactorial: heredo-constitutional factors, reactional, psychodynamic and somatic. The most difficult differential diagnosis is that of early schizophrenia or onset of manic-depression and often the ultimate course permits to assess the diagnosis. Treatment is with psychotropic drugs, electroconvulsive treatment and psychotherapy emphasizing the early mother-child relationship.
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000523:psychology; D003866:Depressive Disorder / Q000523:psychology; D003937:Diagnosis, Differential; D004565:Electroconvulsive Therapy; D005260:Female; D006801:Humans; D009034:Mother-Child Relations; D011247:Pregnancy; D011613:Psychotherapy; D011618:Psychotic Disorders / Q000523:psychology* / Q000628:therapy; D011644:Puerperal Disorders / Q000523:psychology* / Q000628:therapy
chemical_list: D014150:Antipsychotic Agents
vernacular_title: A propos de psychoses du "post-partum".