Kirpinar I, CosLkun I, Çayköylü A, Anaq SL, Özer H. First-case postpartum psychoses in Eastern Turkey: a clinical case and follow-up study. Acta Psychiatr Scand 1999: 100: 199–204. © Munksgaard 1999.
Objective: The aim of this study was to investigate the clinico-demographic features and long-term course of postpartum psychosis (PPP).
Method: A total of 64 in-patients with psychotic postpartum disorder, who were admitted for the first time to a psychiatry clinic, were re-examined retrospectively and then compared with 64 control patients. Follow-up investigation was carried out either by interviewing the patients personally or with the help of general practitioners (GPs). All patients were rediagnosed according to DSM-TV.
Results: The majority of PPP patients were young, married, primiparae, had a low educational level and were living in rural areas. The mean onset time of PPP after delivery was 3.62 weeks. More than 75% of the patients with PPP had further psychotic episodes during the follow-up period of 11 years; 42% of the puerperal cases were diagnosed as schizophrenia at the follow-up investigation, and 59.3′% of the patients had confuso-oneiroid syndrome.
Conclusion: These findings, unlike those of the Western studies, demonstrate that PPP is not uniform in different populations.