A follow-up study of post partum illness, 1946-1978
Article first published online: 23 AUG 2007
Acta Psychiatrica Scandinavica
Volume 71, Issue 5, pages 451–457, May 1985
How to Cite
Davidson, J. and Robertson, E. (1985), A follow-up study of post partum illness, 1946-1978. Acta Psychiatrica Scandinavica, 71: 451–457. doi: 10.1111/j.1600-0447.1985.tb05057.x
- Issue published online: 23 AUG 2007
- Article first published online: 23 AUG 2007
- Received June 15, 1984; accepted for publication August 25, 1984
- Puerperal psychosis;
- follow up.
Abstract Eighty-two patients, who were treated for post partum illness between 1946 and 1971, were identified and followed up. Diagnostically, the sample comprised unipolar depression (52%), bipolar disorder (18%), schizophrenia (16 %), abnormal personality with depression (8 %), organic disorder (2%), and obsessional state with depression and paranoid disorder (1% each). The overall prognosis was good, except for schizophrenia, in which more than 50 % of patients had chronic disability. Further childbirth intensified, and caused deterioration of, the underlying schizophrenia process. Following an initial illness in the puerperium, the probability of a recurrent affective illness was 43 % for unipolar and 66 % for bipolar disorder. The risk of developing another post partum illness varied from 1 in 3 to 1 in 5 pregnancies. Five percent of the sample ultimately committed suicide, and the probable incidence of infanticide was 4 %.