Puerperal psychosis

The distribution and excretion of risperidone and 9-hydroxyrisperidone into the breast milk of a young woman with puerperal psychosis, who was treated with risperidone, has been reported (208). 

Chapter 78 Puerperal psychosis Preparation Assessment Management Take-home message Further reading Resources... 

Bipolar affective disorder (BPAD) (25), pregnancy (29), puerperal psychosis (78)... 

With older adults, always consider the Three Ds depression, dementia and delirium, but remember any diagnosis is possible (exceptii puerperal psychosis). Older adults ... 

Josie Soler, 27, presents to ED with her 5-day old son, Ezekiel. Staff describe her as disorganized and perplexed their records show a puerperal psychosis after her first child s birth, two years ago. 

Postpartum (puerperal) psychosis may resemble delirium, with rapid onset, fluctuatii mental state, confusion, disoi anization and hallucinations. It may be affective (manic/depressive) or resemble a paranoid psychosis (Table 78.11. Consider pueiperal psychosis in any new mum who s ... 

Post-partum (puerperal) psychosis Usually <2 weeks Subtypes Affective (depressive/manic) Schizophreniform Organic (deliriumlike) Usually needs admission Breastfeeding affects medication choice... 

Puerperal psychosis can quickly deteriorate - what you see today may be much worse tomorrow. Always discuss with seniors and decide whether risks allow ... 

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