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Risk and childbirth in psychiatry

Published online by Cambridge University Press:  02 January 2018

Margaret Oates
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The relationship between childbirth and serious mental illness has been known since the time of Ancient Greece. It was first described in the psychiatric literature by Esquirol and later by his pupil Marcé in 1857. A substantial number of women become mentally ill, often for the first time, following childbirth. There are few events associated with such a measurable and predictable risk to mental health as childbirth, with its nine months warning. Despite this, there is little awareness amongst general psychiatrists of the predictable and manageable risk that faces many of their female patients should they become pregnant, nor of the risks that mentally ill mothers may pose for their children.

Type
Research Article
Information
Advances in Psychiatric Treatment , Volume 1 , Issue 5 , May 1995 , pp. 146 - 153
Copyright
Copyright © The Royal College of Psychiatrists 1995 

References

Appleby, L. & Dickens, C. (1993) Mothering skills of women with mental illness. British Medical Journal, 306, 348–349.Google Scholar
Cooper, P. & Murray, L. (1995) The course and recurrence of postnatal depression. British Journal of Psychiatry, 166, 191–195.Google Scholar
Cox, J. L., Holden, J. M. & Sagovsky, R. (1987) Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale (EPDS). British Journal of Psychiatry, 150, 782–786.Google Scholar
Cox, J. L., Murray, D. & Chapman, G. (1993) A controlled study of the onset prevalence and duration of postnatal depression. British Journal of Psychiatry, 163, 27–31.Google Scholar
Dalton, K. (1985) Progesterone prophylaxis used successfully in postnatal depression. Practitioner, 229, 507–508.Google Scholar
Dean, C., Williams, R. J. & Brockington, I. F. (1989) Is puerperal psychosis the same as bipolar manic-depressive disorder? A family study. Psychological Medicine, 19, 637–647.Google Scholar
Elliott, S. A. (1989) Psychological strategies in the prevention and treatment of postnatal depression. Baillière's Clinical Obstetrics & Gynaecology, 3, 879–904.Google Scholar
Harder, D. W. (1980) Child competence and psychiatric risk IV relationships of parent, diagnostic classification and parent psychopathology: severity to child functioning. Journal of Nervous and Mental Disease, 1866, 343–347.Google Scholar
Henderson, A., Gregoire, A. & Kumar, R. C. (1991) Treatment of severe postnatal depression with oestradiol skin patches. Lancet, 338, 816–817.Google Scholar
Holden, J. M., Sagovsky, R. & Cox, J. L. (1989) Counselling in a general practice setting: a controlled study of health visitors; intervention in treatment of postnatal depression. British Medical Journal, 298, 223–226.Google Scholar
Kadrmas, A. & Winokur, G. (1979) Post-partum mania. British Journal of Psychiatry, 135, 551–554.Google Scholar
Kendell, R. E. et al (1976) The influence of childbirth on psychiatric morbidity. Psychological Medicine, 6, 297–307.Google Scholar
Kendell, R. E., Chalmers, L., Platz, C. (1987) The epidemiology of puerperal psychoses. British Journal of Psychiatry, 150, 662–673.Google Scholar
Kendell, R. E. (1985) Pregnancy, childbirth and mental illness. In Progress in Obstetrics and Gynaecology, vol. 5 (ed Studd, J.) pp. 146–159. Edinburgh: Churchill Livingstone.Google Scholar
Marks, M. N. et al (1992) Contribution of psychological and social factors to psychotic and non-psychotic relapse after childbirth in women with previous histories of affective disorder. Journal of Affective Disorder, 29, 253–264.Google Scholar
Meltzer, E. S. & Kumar, R. (1985) Puerperal mental illness, clinical features and classification: a study of 142 mother and baby admissions. British Journal of Psychiatry, 147, 647–654.Google Scholar
Murray, L. (1992) The impact of postnatal depression on infant development. Journal of Child Psychology and Psychiatry, 33, 543–562.CrossRefGoogle ScholarPubMed
Murray, L. & Cooper, P. (1994) Three psychological treatments for postpartum depression: a comparative trial of impact on mothers and their infants. Marcé Society International Conference Proceedings, Cambridge.Google Scholar
Oates, M. R. (1987) Different types of abusing parents. In Understanding Child Abuse, 2nd edn (ed Jones, D.) London: Hodder & Stoughton.Google Scholar
Oates, M. R. (1988) The development of an integrated community-orientated service for severe postnatal mental illness. In Motherhood and Mental Illness, Vol. 2 (eds Kumar, R. & Brockington, I. F.) London: Wright.Google Scholar
Oates, M. R. (1994) Postnatal mental illness: organisation and function of a psychiatric service. In Aspects of Perinatal Psychiatry: use and misuse of the EPDS (eds Cox, J. & Holden, J.) London: Gaskell.Google Scholar
Ruben, P. C. (1987) Prescribing in Pregnancy. London: British Medical Association.Google Scholar
Stein, A., Gath, D. H., Bucher, J. et al (1991) The relationship between postnatal depression and mother-child interaction. British Journal of Psychiatry, 158, 46–52.Google Scholar
Stewart, D. E., Klompenhouwer, J. L., Kendell, R. E. et al (1991) Prophylactic lithium in puerperal psychosis: The experience of three centres. British Journal of Psychiatry, 158, 393–397.Google Scholar
Wieck, A. (1989) Endocrine aspects of postnatal mental disorders. Baillières Clinical Obstetrics & Gynaecology, 3, 857–877.CrossRefGoogle ScholarPubMed
Wieck, A., Kumar, R., Hirst, A. D. et al (1991) Increased sensitivity of dopamine receptors and recurrence of affective psychosis after childbirth. British Medical Journal, 303, 613–616.Google Scholar
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