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Issue 13(48), Volume 1 | ISSN 3030-377X | 5.06.2025
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INTERNATIONAL SCIENTIFIC JOURNAL
POSTPARTUM PSYCHOSIS: A SERIOUS MENTAL DISORDER
THREATENING THE HEALTH OF BOTH MOTHER AND CHILD
Odinakhon Lochinbek qizi Sulaymonova
Kokand University, Andijan Branch
Faculty of Medicine, General Medicine Program, Year 1
Abstract:
Postpartum psychosis is a severe psychiatric condition that arises
during the perinatal period and is marked by acute disorientation, hallucinations,
delusions, and significant behavioral disturbances. This article provides a
comprehensive analysis of the clinical features, etiological factors, potential
consequences, international practices, and the legislative approaches adopted in the
Republic of Uzbekistan concerning postpartum psychosis.
Key Words:
Postpartum psychosis, maternal mental health, childbirth,
psychiatric disorders, postpartum care, infant safety, reproductive health, Uzbekistan
health legislation, perinatal period.
Introduction
Mental well-being in mothers is a critical element in nurturing a healthy
generation. During the postpartum period, a number of women experience serious
psychological disturbances, including psychotic episodes. Without timely diagnosis
and treatment, such conditions may result in self-harm or harm to the newborn.
According to the World Health Organization (WHO), postpartum psychosis affects
approximately 0.89 to 2.6 out of every 1,000 births globally. In the United Kingdom,
statistics indicate that around 1,380 women annually experience this condition
—
roughly 2 per 1,000 births. In Denmark, studies report that within the first three
months postpartum, 0.64 women per 1,000 require inpatient psychiatric care.
In Asia, postpartum depression is more prevalent, though some cases progress
into psychosis. For example, in South Korea, postpartum psychosis occurs in 0.82%
of new mothers, while the rate of perinatal depression in China reaches 16.3%.
Similar trends are observed in Japan and India, where cultural factors, societal
support, and attitudes towards women significantly influence the occurrence and
recognition of mental health disorders.
In Uzbekistan, unfortunately, official statistics on postpartum psychosis are not
readily available. However, perinatal care protocols introduced by the Ministry of
Health in 2022 emphasize the importance of assessing the psychological condition of
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mothers, indicating a growing recognition of the need for systematic research and
monitoring in this area.
Definition and Clinical Characteristics
Postpartum psychosis typically develops within 48 to 72 hours after childbirth,
though in some cases it may appear within several weeks. According to the
International Classification of Diseases (ICD-10), it is coded as F53.1
—
severe
mental and behavioral disorders associated with the puerperium.
Key Symptoms
:
Disorientation and confusion
Hallucinations (visual or auditory)
Recurrent psychotic episodes
Delusional beliefs about the baby (e.g.,
“
the baby is evil
”
or
“
possessed
”
)
Insomnia, anxiety, and emotional instability
Possible Causes
The development of postpartum psychosis is often associated with a
combination of biological, psychological, and social factors.
Biological factors: Sharp drops in estrogen and progesterone levels
Psychiatric history: Women with a personal or family history of bipolar disorder
or schizophrenia are at higher risk
Psychosocial factors: High stress, lack of social support, and family instability
Risks and Consequences
In a state of psychosis, a mother may be unable to properly care for her infant. In
extreme cases, she may neglect or even physically harm the child. According to
WHO data:
5% of women with postpartum psychosis attempt suicide
4% have committed infanticide
Real Case Example
:
In the United States, Andrea Yates, suffering from untreated postpartum
psychosis, tragically drowned her five children in 2001. She was later found not
guilty by reason of insanity and admitted to a mental health facility. This case raised
global awareness of the dangers of untreated maternal mental illness.
Legal Protection in Uzbekistan
According to the Law on Reproductive Health Protection (2000) of the Republic
of Uzbekistan, women
’
s physical and mental health during the perinatal period must
be safeguarded. Furthermore, the Ministry of Health
’
s 2022 Clinical Guidelines on
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perinatal and postnatal care highlight the importance of providing psychological
support.
Recommended Actions for Medical Professionals
:
Evaluate mental health using validated tools (e.g., Edinburgh Postnatal
Depression Scale
–
EPDS)
Refer to a psychiatrist when symptoms of psychosis are present
Promote bonding and positive interaction between mother and infant.
Treatment and Rehabilitation
Postpartum psychosis requires immediate medical attention and a multi-
disciplinary approach.
Pharmacological treatment: Use of antipsychotics (e.g., olanzapine, risperidone);
antidepressants in selected cases
Psychotherapy: Cognitive-behavioral therapy and family counseling
Hospitalization: In cases where there is a danger to self or others
Family involvement: Ongoing social and emotional support during recovery
Conclusion
Postpartum psychosis is a severe and potentially life-threatening condition that
requires early diagnosis and comprehensive treatment. The collaboration of
gynecologists, psychiatrists, and family members is crucial in managing this
condition and ensuring the safety of both the mother and the child. Promoting mental
health awareness, providing timely intervention, and establishing a support system
can help prevent the devastating consequences of postpartum mental disorders.
References
:
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O‘
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