Abstract
The postpartum period represents a risk for the development or exacerbation of mental disorders. The "baby blues" is an entity whose main symptom is sadness, and can evolve into a major depression (in this period known as postpartum depression); both entities have high prevalence and it is important to address them early to avoid complications such as suicide or infanticide. Meanwhile, postpartum psychosis comprises an alteration in the perception of reality that occurs in the first four weeks after giving birth, and is considered a debut of bipolar disorder; this entity is also a risk factor for suicide and infanticide. The approach to these disorders must be comprehensive, obtaining a detailed medical history and physical examination and ruling out possible organic causes for the symptoms, in order to initiate treatment in a timely manner.
Keywords
References
Benjamin James Sadock, Virginia Alcott Sadock, Pedro Ruiz. Kaplan & Sadock, Sinopsis de Psiquiatría. 11th. USA. Wlters Kluwer. 2015
Rachel VanderKruik, Maria Barrei, Doris Chou et al. The global prevalence of postpartum psychosis: a systematic review. BMC [Internet] 2017 [consultado 25 marzo 2020]; 17 (272): 2-9. https://doi.org/10.1186/s12888-017-1427-7
Jennifer L. Payne, Jamie Maguire. Pathophysiological mechanisms implicated in postpartum depression. Elsevier [Internet] 2018 [consultado 29 marzo 2020]
Yordany Arias Molina, Niurka Proenza, Carmen Sagué Larrea et al. Psicosis puerperal en adulta joven. Mul Med [Internet] 2018 [consultado 25 marzo 2020]; 22(6): 1242-1251. Disponible en https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=85564
Enrique Jadresic M. Depresión posparto en el contexto del hospital general. CLC [Internet] 2017 [consultado 26 marzo 2020]; 28 (6): 874-880. https://doi.org/10.1016/j.rmclc.2017.10.007
Constanza Mendoza, Sandra Saldivia. Actualización en depresión postparto: el desafío permanente de optimizar su detección y abordaje. Scielo [Internet] 2015 [consultado 02 abril 2020]; 143 (7) 887-894.https://doi.org/10.4067/S0034-98872015000700010
Adele Viguera, MD. Postpartum blues. UpToDate [Internet] 2019 [consultado 03 abril 2020]. Disponible en https://www.uptodate.com/contents/postpartum-blues
Donna E. Stewart, C.M., M.D., and Simone Vigod, M.D. Postpartum Depression. NEJM [Internet] 2016 [consultado 25 marzo 2020]; 375 (22): 2177-2186. https://doi.org/10.1056/NEJMcp1607649
Michael E. Silverman, Ph.D., Abraham Reichenberg, Ph.D., David A. Savitz, Ph.D. et al. The risk factors for postpartum depression: A population-based study. Wiley [Internet] 2016 [consultado 01 abril 2020]; 34(2):178-187. https://doi.org/10.1002/da.22597
Adele Viguera, MD. Postpartum unipolar major depression: Epidemiology, clinical features, assessment, and diagnosis. UpToDate [Internet] 2018 [consultado 01 abril 2020]. Disponible en https://www.uptodate.com/contents/postpartum-unipolar-major-depression-epidemiology-clinical-features-assessment-and-diagnosis
Hoffman BL, Schorge JO, Bradshaw KD, Halvorson LM, Schaffer JI, Corton MM. Williams Ginecología [Internet]. New York, NY: McGraw-Hill; 2017 [revisión2017; consultado 05 abril 2020]. Disponible en https://ezproxy.ucimed.com:2066/content.aspx?bookid=2739§ionid=230099145#1166856610
Meléndez Marianna, Díaz Mardorys, Bohorjas Lía et al. Depresión postparto y los factores de riesgo. Salus [Internet] 2017 [consultado 27 marzo 2020]; 21(3):7-12. Disponible en https://www.redalyc.org/articulo.oa?id=375955679003
Brummelte S, Galea L. Postpartum depression: Etiology, treatment and consequences for maternal care. Elsevier [Internet] 2016 [consultado 02 abril 2020] https://doi.org/10.1016/j.yhbeh.2015.08.008
American Psychiatric Association. Trastornos depresivos. Manual Diagnóstico y Estadístico de los Trastornos Mentales (DSM-5). 5ta edición. Madrid, España: Editorial Médica Panamericana; 2014, p.155-188
American College of Obstetricians and Gynecologists. Screening for Perinatal Depression. ACOG [Internet] 2015 [consultado 01 abril 2020]; 132(5) 208-212. https://doi.org/10.1097/AOG.0000000000002927
Adele Viguera, MD. Postpartum depression: Risks of abnormal child development. UpToDate [Internet] 2019 [consultado 01 abril 2020]. Disponible en https://www.uptodate.com/contents/postpartum-depression-risks-of-abnormal-child-development
Ariela Frieder, Madeleine Fersh, Rachel Hainline & Kristina M. Deligiannidis. Pharmacotherapy of Postpartum Depression: Current Approaches and Novel Drug Development. CNS Drugs [Internet] 2019 [consultado 02 abril 2020]; 33, 265-282. https://doi.org/10.1007/s40263-019-00605-7
Tinkleman A, Hill E, Deligiannidis K. Management of New Onset Psychosis in the Postpartum Period. J Clin Psychiatry [Internet] 2017 [Consultado 14 Mayo 2020]; 78 (9): 1423-1424. https://doi.org/10.4088/JCP.17ac11880
Davies W. Understanding the pathophysiology of postpartum psychosis: challenges and new approaches. World J Psychiatr [Internet] 2017 [Consultado 16 Mayo 2020]; 7(2):77-88. https://doi.org/10.5498/wjp.v7.i2.77
Hendrick V. Bipolar disorder in postpartum women: Epidemiology, clinical features, assessment and diagnosis. UpToDate [Internet] 2019 [Consultado 17 Mayo 2020]. Disponible en: https://www.uptodate.com/contents/bipolar-disorder-in-postpartum-women-epidemiology-clinical-features-assessment-and-diagnosis
Payne J. Postpartum psychosis: epidemiology, pathogenesis, clinical manifestations, course, assessment and diagnosis. UpToDate [Internet]. 2018 [Consultado 13 Mayo 2020]. Disponible en: https://www.uptodate.com/contents/postpartum-psychosis-epidemiology-pathogenesis-clinical-manifestations-course-assessment-and-diagnosis
Bergink V, Rasgon N, Wisner K. Postpartum psychosis: madness, mania and melancholia in motherhood. Am J Psychiatry [Internet] 2016 [Consultado 15 Mayo 2020]; 173(12): 1179-1188. https://doi.org/10.1176/appi.ajp.2016.16040454
Payne J. Treatment of postpartum psychosis. UpToDate [Internet] 2019 [Consultado 18 Mayo 2020]. Disponible en: https://www.uptodate.com/contents/treatment-of-postpartum-psychosis
Forde R, Peters S, Wittkowski A. Recovery from postpartum psychosis: a systematic review and metasynthesis of women's and families' experiences. Arch Womens Ment Health [Internet] 2020 [Consultado 13 Mayo 2020]. https://doi.org/10.1007/s00737-020-01025-z
Bergink V, Burgerhout K, Koorengevel K, et al. Treatment of psychosis and mania in the postpartum period. Am J Psychiatry [Internet] 2015 [Consultado 18 Mayo 2020]; 172(2):115-123. https://doi.org/10.1176/appi.ajp.2014.13121652
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2020 Array