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ORIGINAL ARTICLE
Year : 2014  |  Volume : 6  |  Issue : 6  |  Page : 274-277

Postpartum psychosis: Risk factors identification


1 Department of Psychiatry, Gujarat Medical Education and Research Society Medical College, Patan, Gujarat, India
2 Department of Obstetrics and Gynecology, Gujarat Medical Education and Research Society Medical College, Patan, Gujarat, India

Correspondence Address:
Suneet Kumar Upadhyaya
Department of Psychiatry, Gujarat Medical Education and Research Society Medical College, Patan-384 265, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1947-2714.134373

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Background: A better understanding of risk factors associated with postpartum psychosis may contribute to the better management. Aims: This study was to identify the risk factors contributing to postpartum psychosis. Materials and Methods: In this cross-sectional, case control study 100 patients of postpartum psychosis (PP) were compared with the healthy controls. Risk factors explored were sociodemographic factors (age, education, occupation, income, and family type); positive family history; pregnancy and perinatal factors (number of antenatal check-up, parity, and complications during pregnancy, perinatal phase or in newborn); and presence of husband during peripartum period. Data were analyzed by graph pad instat software using chi square test and Fisher's exact test. Results: Total of 64% patients and 42% controls were less than 25 years of age (P = 0.001). Among the patients, 62% were primiparae compared with 46% in the controls (P = 0.02). Per capita family income was less than 5000 INR in 72% patients and 56% controls (P = 0.01). Maternal complications during perinatal period were observed in 38% patients and 22% controls (P = 0.01), while the complications in newborns were seen in 21% patients and 8% controls (P = 0.009). Husband was present in 58% patients and 76% controls. (P = 0.006). Conclusions: The risk factors related to PP were younger age, lower per capita income, perinatal and neonatal complications, and absence of husband in peripartum phase.


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