Cases reported "Puerperal Disorders"

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11/59. The Fregoli syndrome and puerperal psychosis.

    Four cases of the Fregoli syndrome occurring in the setting of puerperal psychosis are described. They are discussed in relation to previously reported cases and it is proposed that the acute onset of the psychosis and ambivalence arising with childbirth are important factors in the pathogenesis.
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keywords = psychosis
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12/59. Psychosis following hydatidiform mole in a patient with recurrent puerperal psychosis.

    The association of a puerperal psychosis with the removal of a trophoblastic tumour supports the hormonal hypothesis for the aetiology of puerperal psychosis and suggests new lines of investigation into this disorder.
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keywords = psychosis
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13/59. Prepartum psychosis.

    Four patients are described who suffered from postpartum psychosis, and also from similar episodes starting in late pregnancy. It is argued that these patients provide evidence for the prepartum onset of postpartum psychosis in a small minority of patients. The relevance of this to the aetiology of puerperal psychosis is discussed.
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ranking = 1.1666666666667
keywords = psychosis
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14/59. Postpartum psychosis: a family's perspective.

    One couple's experience of a postpartum mental illness that led to the tragedy of infanticide is described. A case background is presented to highlight significant objective data relevant to a previous pregnancy. Individual recommendations are made to the health care profession on how to better intervene with families experiencing a postpartum psychiatric illness. nursing implications are discussed.
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ranking = 0.66666666666667
keywords = psychosis
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15/59. Postpartum psychosis with abnormal movements: dopamine supersensitivity unmasked by withdrawal of endogenous estrogens?

    The authors describe two cases of postpartum psychosis accompanied by abnormal extrapyramidal movements. The presentation of these cases, as well as research evidence indicating that estrogens influence dopamine receptor function, leads the authors to hypothesize that dopamine receptor supersensitivity may have been induced by prepartum increases in endogenous estrogens and unmasked by postpartum estrogen withdrawal.
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ranking = 0.83333333333333
keywords = psychosis
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16/59. Postpartum depression: a debilitating yet often unassessed problem.

    Postpartum depression, which affects up to 20 percent of new mothers, is an illness often neglected or dismissed by health professionals, leaving the majority of such mothers and their families untreated and confused. This article describes the reasons postpartum depression frequently goes unrecognized and the characteristics, symptoms, and risk factors that help identify this syndrome. Treatment approaches and interventions, the impact on the family, and the family's involvement in the stages of treatment are addressed. Developing a support group for those experiencing postpartum depression is one way social workers can bring this syndrome to the forefront. Implications for social work practice in identifying, referring, and treating mothers at risk for and currently experiencing postpartum depression are discussed.
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ranking = 0.0073657878369476
keywords = depression
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17/59. The emergence of psychopathology in a previously adaptive mother-infant dyad.

    A mother and her six-week-old infant began attending group therapy sessions designed to raise awareness of developmental events. The mother consistently displayed a high degree of responsiveness and sensitivity to the infant's needs; in fact, her behavior served as a model of adaptive interaction for the entire group. After six months of sessions, when the infant manifested full-blown weaning patterns, the mother reported symptoms indicating a major depressive episode, such as pervasive dejection and rejection, listlessness, and anxiety attacks. After several individual sessions, during which discussion focused on the etiology of these emotions, the depression remitted and the mother was able to resume previous adaptive interaction designed to promote the infant's development. This case study reveals that highly adaptive parents may be susceptible to depression when developmental events that signify imminent separation from their infants or a similar dramatic change in their relationship occur.
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ranking = 0.0018414469592369
keywords = depression
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18/59. Puerperal psychosis following ablaction with bromocriptine.

    Addiction in the context of drug abuse usually is perceived as habitual dependence on the part of the consumer of a potentially habit forming drug. attention is drawn to an alternative pattern of drug abuse, namely, unwarranted prescription of drugs on the part of physicians. An example of what the writers perceive is the habitual distribution of a potentially harmful drug in the absence of a clear-cut indication. attention is being drawn to the worldwide use of bromocriptine, an agent suspected of causing occasional vasospasm, hypertensive cerebral accident and myocardial infarction, for the purpose of ablactation. An additional observation is described where, following administration of bromocriptine in the puerperium manifestations consistent with ergotism developed. The clinical picture was also consistent with pure puerperal psychosis. attention is also drawn to the likelihood of a cause-effect relationship between the abovementioned drug (an ergot derivative) and the ensuing psychotic reaction.
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ranking = 0.83333333333333
keywords = psychosis
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19/59. The psychiatrist in the obstetric unit. Establishing a liaison service.

    The establishment and first 18 months of a psychiatric liaison service to a general hospital obstetric unit are described. The service was initially intended to predict antenatally those at risk of post-natal depression and to offer follow-up throughout pregnancy and in the post-natal period. However, a large proportion of referrals were of women currently unwell. Furthermore, post-natal follow-up in the community proved difficult. Referrals, diagnoses and disposal are analysed, leading to conclusions about the effectiveness and problem of such a service. The components of a comprehensive obstetric liaison provision are proposed, emphasising the need for strong community links built around a CPN service, allowing adequate postnatal psychiatric care.
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ranking = 0.00092072347961846
keywords = depression
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20/59. 'Puerperal psychosis' following male-to-female sex reassignment?

    Psychosis is reported following abrupt withdrawal of oestrogen and surgery for male-to-female sex reassignment. The resemblance of the patient's mental state to puerperal psychosis suggested a hormonal aetiology.
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ranking = 0.83333333333333
keywords = psychosis
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