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Postnatal crises are linked to the risk of Bipolar Disorder

Postnatal crises are linked to the risk of Bipolar Disorder

Postpartum psychosis - popularly known as postpartum depression - can be considered as a presentation of bipolar affective disorder. Most of the women who develop this crisis, however, do not receive the diagnosis of bipolarity.

The claim is from researchers at Arhus University in Denmark, who conducted a study with the aim of evaluating postpartum psychosis as a trigger for Bipolar Affective Disorder. They followed individually 120,378 women, who already had a first contact with any psychiatric disorder except the diagnosis of bipolar disorder. This first contact with bipolarity occurred for 2,870 of these women during the first year after the birth of their first child. Among the 120,378 women, 3,062 were diagnosed with Bipolar Affective Disorder, and of these, 132 had the first psychiatric imbalance up to 12 months postpartum.

Experts also noted that there was a higher incidence of bipolarity in women who had seizures the first month after delivery. In addition, the severity of this crisis increases the risk, since inpatients were more likely to present bipolar disorder than those who only underwent outpatient follow-up.

Fifteen years after initial contact, approximately 14% of women who had postpartum psychosis in the immediate period (0 to 30 days after birth) progressed with bipolar disorder. Only 5% of the patients who had it later (31 to 365 days postpartum) and 4% of the women who had it at other times developed this psychopathy. A more extensive analysis showed that 19% women with immediate disorder developed bipolarity up to 22 years after initial psychiatric contact. On the other hand, 6% of women with a disorder in the late period and 5% of women with a disorder at other times had bipolarity.

Recognize postpartum depression

Attention to first symptoms

Symptoms of depression postpartum range from mild to severe. They are numerous and can start with unreasonable crying, irritability, husband and family intolerance, insomnia, inappetence, aggression, and passivity.

Depression may come back

Women who have gone through postpartum depression in the first pregnancy are more likely to present it in the second pregnancy. Therefore, it is essential to talk openly with the obstetrician accompanying the pregnancy, reporting all personal history, seeking preventive treatment.

Baby care

A woman in postpartum depression rarely has a change in the ability to take care of your baby. That is, she does not abandon her own luck. This difficulty only occurs in the most serious cases. In these circumstances, doctors may indicate the introduction of the medication until the situation is normalized.

Disorders of the disease

The disease is also categorized as sadness, baby blue, physiological depression or transient mood disorder, in which symptoms appear around the fifth day after delivery, and should disappear after two weeks. If this does not occur, pathological depression is characterized. On the other hand, puerperal psychosis is much more serious, since it presents a delusional, often hallucinatory picture that appears on the second day after delivery and can last up to three months after the baby is born.

Seek the doctor

diagnosis is difficult, often the woman thinks she is just tired and lacking energy, in addition, she may feel guilty for the sadness she is feeling. Therefore, if you notice emotional instability, it is best to talk to your gynecologist, who can more accurately evaluate and refer you to a specialist, who may be a psychologist or psychiatrist.


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