title: Postpartum psychosis: risk factors identification.
abstract: BACKGROUND
  A better understanding of risk factors associated with postpartum psychosis may contribute to the better management.
  
  
  OBJECTIVE
  This study was to identify the risk factors contributing to postpartum psychosis.
  
  
  METHODS
  In this cross-sectional, case control study 100 patients of postpartum psychosis (PP) were compared with the healthy controls. Risk factors explored were sociodemographic factors (age, education, occupation, income, and family type); positive family history; pregnancy and perinatal factors (number of antenatal check-up, parity, and complications during pregnancy, perinatal phase or in newborn); and presence of husband during peripartum period. Data were analyzed by graph pad instat software using chi square test and Fisher's exact test.
  
  
  RESULTS
  Total of 64% patients and 42% controls were less than 25 years of age (P = 0.001). Among the patients, 62% were primiparae compared with 46% in the controls (P = 0.02). Per capita family income was less than 5000 INR in 72% patients and 56% controls (P = 0.01). Maternal complications during perinatal period were observed in 38% patients and 22% controls (P = 0.01), while the complications in newborns were seen in 21% patients and 8% controls (P = 0.009). Husband was present in 58% patients and 76% controls. (P = 0.006).
  
  
  CONCLUSIONS
  The risk factors related to PP were younger age, lower per capita income, perinatal and neonatal complications, and absence of husband in peripartum phase.
authors.affiliation: Department of Psychiatry, Gujarat Medical Education and Research Society Medical College, Patan, Gujarat, India.
authors.forename: Suneet Kumar
authors.initials: SK
authors.lastname: Upadhyaya
authors.affiliation: Department of Obstetrics and Gynecology, Gujarat Medical Education and Research Society Medical College, Patan, Gujarat, India.
authors.forename: Archana
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Psychiatry, Gujarat Medical Education and Research Society Medical College, Patan, Gujarat, India.
authors.forename: Chintan M
authors.initials: CM
authors.lastname: Raval
keywords: Mental illness; Neonatal complications; Psychiatric illness; Puerperal