Puerperal Psychiatric Disorders: A 6 - Year Retrospective Review at the Psychiatric Hospital, Uselu, Benin City, Nigeria.

E. Okogbenin, B. James, G. Eze, O. Igberase, J. Omoaregba
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Abstract

Background: Puerperal psychiatric illness occurs at a critical time in the life of a mother and her baby with deleterious effects not just on the mother but on the physical and psychological health of the baby. Not much is known about the magnitude and the pattern of postpartum psychiatric morbidity in Nigeria. Aim: To determine the prevalence and pattern of puerperal psychiatric disorders among patients presenting to psychiatric services at the Psychiatric Hospital, Uselu, Benin City and identify its socio-demographic characteristics. Methods: We conducted a retrospective review between June 2002 and June 2008 of cases with diagnoses of psychiatric disorders linked to the pueperium and extracted relevant data using an instrument designed by the authors. Results: About 1.7% of new cases seen during the period had a post partum psychiatric disorder. Depression (50%) was the commonest type of post-partum psychiatric illness, followed by mania (21.3%), bipolar affective disorder (12.5%) and schizophrenia (10.3%). Most had onset of psychiatric symptoms less than 4 weeks, were mostly young, of low socio-economic class and married. Conclusion: Emphasis should be placed on psychiatric complications in the post-partum period. There is a need to educate health professionals to detect these cases early and thus reduce morbidity.
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产褥期精神疾病:尼日利亚贝宁市乌塞卢精神病院6年回顾性分析。
背景:产褥期精神疾病发生在母亲和婴儿生命中的关键时期,不仅对母亲有害,而且对婴儿的身心健康也有有害影响。人们对尼日利亚产后精神病发病率的规模和模式知之甚少。目的:确定在贝宁市乌塞卢精神病医院接受精神病治疗的患者中产后精神障碍的患病率和模式,并确定其社会人口特征。方法:回顾性分析2002年6月至2008年6月期间诊断为尿床相关精神障碍的病例,并使用作者设计的仪器提取相关数据。结果:约1.7%的新发病例在此期间出现产后精神障碍。抑郁症(50%)是最常见的产后精神疾病类型,其次是躁狂症(21.3%)、双相情感障碍(12.5%)和精神分裂症(10.3%)。大多数出现精神症状的时间少于4周,大多数是年轻人,社会经济地位低,已婚。结论:应重视产后精神并发症的防治。有必要教育保健专业人员及早发现这些病例,从而降低发病率。
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