A follow-up study of post partum illness, 1946-1978

Acta Psychiatr Scand. 1985 May;71(5):451-7. doi: 10.1111/j.1600-0447.1985.tb05057.x.

Abstract

Eighty-two patients, who were treated for post partum illness between 1946 and 1971, were identified and followed up. Diagnostically, the sample comprised unipolar depression (52%), bipolar disorder (18%), schizophrenia (16%), abnormal personality with depression (8%), organic disorder (2%), and obsessional state with depression and paranoid disorder (1% each). The overall prognosis was good, except for schizophrenia, in which more than 50% of patients had chronic disability. Further childbirth intensified, and caused deterioration of, the underlying schizophrenia process. Following an initial illness in the puerperium, the probability of a recurrent affective illness was 43% for unipolar and 66% for bipolar disorder. The risk of developing another post partum illness varied from 1 in 3 to 1 in 5 pregnancies. Five percent of the sample ultimately committed suicide, and the probable incidence of infanticide was 4%.

MeSH terms

  • Adult
  • Bipolar Disorder / psychology
  • Depressive Disorder / psychology
  • Female
  • Follow-Up Studies
  • Humans
  • Neurocognitive Disorders / psychology
  • Obsessive-Compulsive Disorder / psychology
  • Paranoid Disorders / psychology
  • Personality Disorders / psychology
  • Pregnancy
  • Psychotic Disorders / psychology*
  • Psychotic Disorders / therapy
  • Puerperal Disorders / psychology*
  • Puerperal Disorders / therapy
  • Recurrence
  • Schizophrenic Psychology