title: Clinical and Socio-Demographic Profile of Women with Post-Partum Psychiatric Conditions at a Federal Neuropsychiatric Hospital in Southeast Nigeria between 2009 and 2011.
abstract: BACKGROUND
  Pregnancy and labor in areas with high maternal morbidities as in Nigeria could be sufficiently stressful to precipitate mental disorders in women after delivery, which may be a new or a relapse of previously existing one, or an exacerbation of an attenuated mental illness in the nursing mother. Mental illness in a nursing mother, if not treated may result in impaired mother-infant relationship.
  
  
  OBJECTIVE
  To determine the clinical and socio-demographic characteristics of women diagnosed with postpartum psychiatric conditions in a tertiary mental health facility of a developing country.
  
  
  METHODS
  A retrospective case note reviews of 76 women diagnosed with postpartum psychiatric conditions for the first time in the Federal Neuropsychiatric Hospital Enugu between January 2009 and December 2011.
  
  
  RESULTS
  The mean age of the women was 27.76 years, with 63% (48/76) of them coming from the rural areas. 93% (71/76) of them had at least a secondary education and 78% (59/76) of the women had a family history of psychiatric disorders. Schizophrenia was commonest, 48.7% (37/76) followed by depression, 22% (17/76) and mania, 15% (11/76). Those presenting with schizophrenia were younger when compared with other diagnostic groups, had a lower level of education and presented earlier for treatment. The husbands were the primary caregivers in 48% of them.
  
  
  CONCLUSIONS
  With 63% (48/76) of them being rural dwellers, policy changes become imperative that would encourage establishment of psychiatric services in rural areas to ensure early detection and prompt treatment of postpartum women with a need for psychiatric services.
authors.affiliation: Department of Psychological Medicine, University of Nigeria, Nsukka, Enugu State, Nigeria.
authors.forename: A C
authors.initials: AC
authors.lastname: Ndukuba
authors.affiliation: Department of Psychological Medicine, University of Nigeria, Nsukka, Enugu State, Nigeria.
authors.forename: P C
authors.initials: PC
authors.lastname: Odinka
authors.affiliation: Department of Psychological Medicine, University of Nigeria Teaching Hospital Ituku-Ozalla, Enugu State, Nigeria.
authors.forename: R C
authors.initials: RC
authors.lastname: Muomah
authors.affiliation: Department of Psychological Medicine, University of Nigeria Teaching Hospital Ituku-Ozalla, Enugu State, Nigeria.
authors.forename: S O
authors.initials: SO
authors.lastname: Nwoha
keywords: Clinical; Postpartum Mental disorders; Socio-demographic; Southeast Nigeria