[Postpartum psychiatry].
The four important syndromes that constitute postnatal psychiatry are chronologically: 1) Post-Traumatic Stress Disorder (PTSD), 2) Baby-blues, 3) Puerperal psychosis and 4) Postnatal depression. The PTSD (prevalence 1%) occurs from 24 to 48 hours after a difficult childbirth. Anxiety predominates in association with nightmares and recurrent images of the experience. Baby-blues (prevalence 80%) is a feeling of sadness that doesn't need to be treated. It occurs around the third day of post-partum. Its intensity is a predictive factor of postnatal depression. Puerperal psychosis (prevalence 0.2%) is a disturbance of psychotic or manic proportion, mainly in women with a psychiatric previous history. It occurs between the first and the third week of the post-partum period. Postnatal depression (prevalence 20%) is a major depressive state commencing four to six weeks after delivery. It is rarely diagnosed early and child abuse is one of its consequences. Prevention--the important point of the treatment--is most of the time neglected.
Godfroid
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Université Libre de Bruxelles.
Charlot
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D000328:Adult; D019052:Depression, Postpartum / Q000523:psychology; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D011247:Pregnancy; D011618:Psychotic Disorders / Q000209:etiology; D011644:Puerperal Disorders / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology
La psychiatrie du post-partum.