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Postpartum Psychosis More Likely In Bipolar Mothers

Date: May 24,2017   Read: 
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Postpartum Psychosis More Likely In Bipolar Mothers
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"Pregnant women with bipolar disorder have a significantly higher risk of developing postpartum psychosis than other mothers, researchers say."


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Researchers at Stanford University and Erasmus Medical Center in Netherlands reviewed literature on the underresearched disorder, which increases the risk of a mother harming herself or her child. It affects two mothers in 1,000 and differs from postpartum depression, which is experienced by one in seven women, often involving delusions or hallucinations.

Other symptoms include frequent crying, anger, anxiety, withdrawal from loved ones, the feeling of numbness or being disconnected from the baby and sometimes thoughts of hurting oneself or the infant.


The problem is compounded by a reluctance by doctors to prescribe lithium, which is the most effective and fast-acting drug to treat postpartum psychosis, to breastfeeding mothers, fearing it would have an adverse impact on the baby, said lead author Dr. Katherine Wisner, proffessor of Psychiatry and Behavioral Sciences and Obstetrics and Gynecology at Northwestern University Feinberg School of Medicine. The review was published by the American Journal of Psychiatry.

"More often than not, the risk of the medication is less than the risk of the uncontrolled disorder," Wisner said in a press release. "This is a really serious disorder, and no one likes to treat women with medication during pregnancy or breastfeeding, but there's certainly very high risk in not treating as well, such as the risk for suicide," Wisner said.

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Wisner said nearly everyone knows a woman with bipolar disorder since the condition affects as much as 5 percent of the population.

“These women need to be aware that postpartum psychosis is a possibility and that there are preventive treatments that are highly effective,” Wisner said.

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