Psychiatric consultation to the postpartum mother

Current Psychiatry Reports
Eleanor A Anderson, Deborah R Kim

Abstract

The immediate postpartum period is a time of acute vulnerability to mental illness, which presents unique challenges for the psychiatric consultant. Because the postpartum hospital stay is typically brief, the consultant must have a working knowledge of postpartum physiology and the myriad forms of mental illness that may emerge in this vulnerable time, in order to quickly make a diagnosis and formulate a treatment plan. This review aims to characterize the most common reasons for postpartum consultation, review postpartum physiology and psychiatric conditions, and propose an evidence-based, practical approach to treatment. A literature search using the terms "postpartum," "obstetric," "consultation," and "psychiatry" yielded six studies that identified reasons for psychiatric consultation to the obstetrics and gynecology services. These studies informed the structure of the article such that we review the most common reasons for consultation and how to approach each issue. The most common reason for consultation is past psychiatric history, often in the absence of current symptoms. For each clinical situation, including depression, adverse birth events, and psychosis, we present a differential diagnosis, as well as risk factor...Continue Reading

References

Jan 1, 1975·International Journal of Psychiatry in Medicine·J E Groves
Nov 1, 1992·The British Journal of Psychiatry : the Journal of Mental Science·M P Austin
Jul 1, 1992·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·C T BeckP Rutowski
Mar 1, 1991·The British Journal of Psychiatry : the Journal of Mental Science·D E StewartA M van Hulst
May 1, 1989·The British Journal of Psychiatry : the Journal of Mental Science·B HarrisD Riad-Fahmy
Aug 1, 1989·Journal of Abnormal Psychology·V E Whiffen, I H Gotlib
May 1, 1987·The British Journal of Psychiatry : the Journal of Mental Science·R E KendellC Platz
Jun 1, 1987·The British Journal of Psychiatry : the Journal of Mental Science·J L CoxR Sagovsky
Jun 1, 1985·The British Journal of Psychiatry : the Journal of Mental Science·R M WrateJ L Cox
Mar 1, 1994·The British Journal of Psychiatry : the Journal of Mental Science·B Harris
Feb 1, 1994·Journal of Affective Disorders·K L WisnerB H Hanusa
Feb 1, 1994·Annals of Internal Medicine·L J WongW E O'Brien
Feb 1, 1996·The Australian and New Zealand Journal of Psychiatry·A Dunsis, G C Smith
Dec 1, 1996·The Journal of Obstetrics and Gynaecology Research·S J TsaiC B Sim
Aug 1, 1997·Archives of Disease in Childhood·L Murray, P Cooper
Nov 10, 1998·Biological Psychiatry·D R RubinowC A Roca
Oct 27, 1999·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·E BoulangerP Dequiedt
May 20, 2000·American Journal of Obstetrics and Gynecology·G G EvinsS L Galvin
Jun 1, 2000·The American Journal of Psychiatry·M BlochD R Rubinow
Aug 23, 2000·The American Journal of Orthopsychiatry·D OysermanK B Firminger
Dec 8, 2000·Psychosomatics·S Nair, M F Morrison
Mar 22, 2001·Psychoneuroendocrinology·M Brett, S Baxendale
Apr 21, 2001·General Hospital Psychiatry·I M EngelhardA Arntz
Jun 1, 2001·The American Journal of Psychiatry·I Jones, N Craddock
Oct 5, 2001·Journal of Child Psychology and Psychiatry, and Allied Disciplines·P HughesP Fonagy
Nov 20, 2002·Journal of Psychosomatic Obstetrics and Gynaecology·M RigatelliG Palmieri
Feb 14, 2003·Lancet·Kalman Kovacs
Mar 14, 2003·Current Opinion in Obstetrics & Gynecology·Patricia Hughes, Samantha Riches
Jun 28, 2003·Journal of Family Psychology : JFP : Journal of the Division of Family Psychology of the American Psychological Association (Division 43)·Corina BenjetRegina Kuersten-Hogan
Aug 6, 2003·The American Journal of Psychiatry·Sharon J GardinerJonathan Rampono
Oct 2, 2003·The British Journal of Psychiatry : the Journal of Mental Science·Margaret Oates
Oct 3, 2003·Expert Opinion on Pharmacotherapy·Verinder Sharma
Apr 2, 2004·The American Journal of Psychiatry·Kimberly A YonkersLori Altshuler
Jul 2, 2004·The American Journal of Psychiatry·Katherine L WisnerRobert L Findling
Jul 6, 2004·General Hospital Psychiatry·Emma RobertsonDonna E Stewart
Oct 13, 2004·Biological Psychiatry·Katherine L WisnerJames M Perel
May 3, 2005·Obstetrics and Gynecology·Gregory M EnnsJoan E Pellegrino
May 7, 2005·Journal of Inherited Metabolic Disease·D R CorderoR Toffle
Jun 28, 2005·Journal of Affective Disorders·Miki BlochEhud Klein
Dec 13, 2005·Journal of Affective Disorders·Kathleen Murphy-EberenzDouglas F Levinson
Dec 27, 2005·General Hospital Psychiatry·Miki BlochEhud Klein
Jan 3, 2006·The British Journal of Psychiatry : the Journal of Mental Science·Emma Robertson BlackmoreNick Craddock
May 27, 2006·Journal of Women's Health·Dorothy SitKatherine L Wisner

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