Postpartum Period, Psychosis
Conditions
Keywords
Labor, Psychology, Postpartum Psychology
Brief summary
A range of psychological disorders occur in women in the postpartum period. These include the blues, which occurs in the first days after birth and which is very common and self-limiting; severe psychoses often associated with mania or bipolar illness, occurring in the first weeks after birth; and mild to moderate depression, occurring weeks to months after birth. Studies have been done focused on postpartum psychosis using a retrospective investigation, which gave only a limited material on the prevalence of psychological disorders in postpartum women. The investigators hypothesized that different pathways to psychosis function as the risk factors which may be overlapped, truly independent, mediating, or moderating, in new mothers who are at high risk and/or during the early period of delivery. In addition, the investigators purposed that the temporal sequence of biological, social and demographic variables are also the potential factors contributing to the development of postpartum psychosis.
Interventions
None listed
Sponsors
Nanjing Medical University
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Pregnant women * Chinese
Exclusion criteria
* Age \< 18 years or \> 50 years * Gestational age \< 32 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of psychoses | 3 months and 6 months postpartum |
Secondary
| Measure | Time frame |
|---|---|
| Antepartum social status | One year before labor and delivery (recorded by antepartum communication) |
| Antepartum psychological level | 1 day before birth |
| Intrapartum complications | 1 day after birth |
| Baby characteristics | One minute, 5min, 15min after baby was born |
| Antepartum economic level | One year before labor and delivery (recorded by antepartum communication) |
| Medical caregiver characteristics | One day before and after the labor completion |
| Parturient family characteristics | One week before labor and delivery, recorded by investigators through patients' antepartum communication |
| Intrapartum medical procedures | One day after birth |
| Maternal characteristics | One day after birth |
Countries
China
Outcome results
None listed