POSTPARTUM PSYCHOSIS (PPP), ITS COMMON RISK FACTORS AND MANAGEMENT IN PUBLIC AND PRIVATE SECTOR OF PESHAWAR
Abstract
INTRODUCTION Women play multiple roles in society and are therefore an integral part of society. Because of their more responsibilities they are more prone to suffer from mental problems as compared to others in community.
OBJECTIVE The main objective of the study is to determine the common risk factors and management of postpartum psychosis in both public and private sectors of Peshawar.
METHODS It was a cross sectional study conducted for duration of six months in public and private hospitals of Peshawar. 90 females with established diagnosis of postpartum psychosis were included in the study through non probability convenient sampling technique. Those female patients who were suffering from maternity/baby blues or postpartum depression were excluded from the study. A semi structured questionnaire was used as study tool to collect the data regarding the demographic characteristics, presenting symptoms, family history, past history of psychiatric disorders, medical and gynecological history, psychosocial stressors, and detail about the physical and psychological treatment given to them. Association of various stressors with postpartum psychosis was also studied. The data was presented in tables and graphs.
RESULTS The age range of the patients was from 15 to 45 years with a mean age of 29.58years.out of 90 patients 22(24.44%) belonged to urban background while 68(75.55%) were from rural areas. Husbands working away and primipara (15.6%) were the most dominant stressors in the sample followed by stressful life events and pressure for male baby.(13.3%).schizophrenia type was the commonest type (37.77%) followed by postpartum psychosis schizoaffective type (31.11%). Results also revealed that the most common practice treatment plan was drug therapy. Almost all patients were treated with anti-depressant and anti-psychotics treatment followed by electroconvulsive therapy.
CONCLUSION Postpartum psychosis is a psychiatric emergency. Early diagnosis; treatment and prevention of postpartum psychosis patients present a major challenge for psychiatrists
KEY WORDS Postpartum Psychosis, Postpartum Psychiatric disorders, Primipara
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