ABSTRACT

This chapter presents a case study of a 30-year-old lady who is suffering from postpartum psychosis. This is a severe episode of mental illness that begins in the days or weeks following delivery and is considered a psychiatric emergency. Postpartum psychosis should not be confused with postnatal blues. Postpartum depression occurs in around 10" of postnatal women and involves the normal symptoms of depression such as low mood, loss of interest, loss of appetite, insomnia and feelings of worthlessness or guilt. The symptoms of depression must be present daily for at least 2 weeks to make this diagnosis. Blood tests including full blood count, electrolytes, thyroid function and magnesium should be performed to investigate for anaemia, thyroid dysfunction and electrolyte imbalance as a cause of palpitations. Accurate and timely diagnosis and management are essential to avoid harm to both the mother and the baby.