CASE STUDY OF POST PARTUM PSYCHOSIS: A RARE PSYCHIATRIC EMERGENCY WITH A COMORBIDITY OF PARKINSON’S IN WOMEN AFTER CHILD BIRTH

Abstract

Post partum psychosis (puerperal psychosis) is a rare psychiatric emergency in which the symptoms of high mood and racing thoughts (mania), depression severe confusion, loss of inhibition, paranoia and hallucinations begin in the first two weeks after child birth. The symptoms vary and can change quickly. The most severe symptoms last from 2-12weeks. It is a very rare condition and it occurs 1 in every 1000 women (0.1%) who have a baby. In this case study a patient of 20 years old female was admitted to the hospital with the symptoms of altered behaviour, exhibiting extreme emotions, extreme anger, extreme sadness and Parkinson disease which was observed after the death of 1 of her child (among twins) 40days after birth and diagnosed with post partum psychosis. She was treated with anti psychotics (olanzapine), anti parkinsonian drugs and anti depressants. Patient was discharged after relieving from symptoms and discharge medications were given to the patient to control the future risk and affective patient counselling was done by the pharmacist to improve the “quality of life of the patient”.