title: Psychiatric Morbidity and Correlates in Postpartum Women in a Tertiary Care Hospital.
abstract: BACKGROUND
  A range of psychological disorders occur in women in the postpartum period apart from the traditional blues, postpartum depression and psychosis. These include obsession of infanticide, PTSD, morbid preoccupations regarding child birth and disorders of mother-infant relationships, though they are under emphasized.
  
  
  METHODS
  it is a cross-sectional study conducted in the tertiary maternity care hospital. A total of 152 study subjects were interviewed on MINI (Mini International Neuropsychiatric Inventory) and GAF (Global Assessment of Functioning) within 2 weeks after delivery.
  
  
  RESULTS
  The psychiatric morbidity was seen in 67 (44%) of the study subjects. About 26% of subjects had Depressive disorder NOS. Obsessive harm to the child, Panic disorder, Social phobia were the other disorders identified. There were no cases of Mania, Bipolar disorder, psychosis, post traumatic stress disorder or substance use disorder diagnosed across the sample. The Global Assessment of Functioning (GAF) score averaged 87.8. Statistically significant association was seen to be present between psychiatric illness and number of previous still births and dead children before this delivery (P = 0.045).
  
  
  CONCLUSIONS
  The study reveals that psychiatric co-morbidity is very common in the postpartum period and can be detected as early as first week after delivery. Social phobia identified as a common association is a new finding and needs further replication. It needs a larger sample with a prospective assessment to generalize the findings of our study.
authors: Department of Psychiatry, MMC and RI, Mysore, Karnataka, India.
authors: Narendra
authors: N
authors: Kumar
authors: Department of Psychiatry, MMC and RI, Mysore, Karnataka, India.
authors: Anil Kumar Mysore
authors: AK
authors: Nagaraj
authors: Department of Obstetrics and Gynecology, B. J. Medical College, Pune, Maharashtra, India.
authors: Umashree
authors: U
authors: Koudike
authors: Department of Community and Medicine, MMC and RI, Mysore, Karnataka, India.
authors: Sumanth Mallikarjuna
authors: SM
authors: Majgi
keywords: Anxiety disorders; correlates; depression; obsessions; postpartum