Postpartum Psychiatric Illness: A Picture Puzzle

Postpartum Psychiatric Illness: A Picture Puzzle

Postpartum Psychiatric Illness: A Picture Puzzle

Postpartum Psychiatric Illness: A Picture Puzzle

Excerpt

The 1980s have witnessed an explosion of knowledge regarding post‐ partum illness, and a parallel expansion of interest on the part of both the public and many individuals in the health professions. When this book was proposed in 1988, the editors examined questions that were asked by many thoughtful and interested people. These questions appeared to fall into four categories, which became the four parts of the book. Part I examines many unique qualities of postpartum illness and describes the main syndromes that appear. Part II presents the best of current treatment methods. Part III examines in detail evidence implicating organic changes during the puerperium in the etiology of postpartum illness. Part IV looks at problems that exist because post‐ partum psychiatric illness has been virtually overlooked by modern science. The question of what should be done to catch up is asked, and some of the answers are suggested.

Parts I and III present evidence from a variety of sources suggesting that postpartum psychiatric syndromes implicate a range of pathophysiology which is fairly extensive and extended in time. Looked at as individual variables, a very complex phenomenon is suggested.

These data can be viewed as a dynamic mechanism that induces many changes in the reproductive and endocrine systems during the puerperium. With this approach, many clinical details, organic trends, and irregularities begin to take on the outline of a model, or a picture puzzle as it is being assembled.

One does not put a picture puzzle together in an instant. Similarly, the details of postpartum illness and its physiology cannot be coalesced readily into a short description. This book tries to indicate the presumptive outline of the picture, present as many details as possible, and then fit these details into the overall picture. The picture is looked at from different perspectives and thus involves some purposeful repetition.

Finally, in Chapter 25, when the picture is fairly advanced, its plau-

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.