Screening for postpartum psychosis/predicting severe mental illness

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The following risk factors are associated with postpartum psychosis:

  • pre-existing psychotic illness (especially bipolar disorder)
  • personal history of postpartum psychosis
  • family history of affective psychosis.

Ask pregnant women/birthing parents about personal history of postpartum psychosis, other psychotic disorders (especially bipolar affective disorder and schizophrenia), and severe depressive disorder.

 

All pregnant women/birthing parents should be asked about family history of bipolar or postpartum psychosis.

 

 

Any significant and unexpected change in mental state in late pregnancy or the early postnatal period should be closely monitored and should prompt referral to mental health services and prioritisation for further assessment.