INCIDENCE OF POSTPARTUM PSYCHOSIS IN OUR TERTIARY CARE HOSPITAL: A RETROSPECTIVE STUDY
Keywords:
postpartum psychosis,, hallucinations,, psychological disorders, incidence.Abstract
Background: Postpartum psychosis (PPP) is a severe and potentially life-threatening mental health disorder that
affects women in the postnatal period, typically within the first two weeks after childbirth. PPP can have severe
effects on both mother and child if treatment is not received. It is characterized by symptoms such as mood
swings, delusions, hallucinations, and disordered thinking. Data regarding the prevalence of PPP in India are
scarce, especially in tertiary care settings, despite its substantial impact.
Aim & Methods: This retrospective study aims to determine the incidence of postpartum psychosis among
women delivering at our tertiary care hospital, identify associated risk factors, and explore the clinical
characteristics and treatment outcomes of affected women. Medical records of 4953 women who gave delivery
were examined from June 2022 to July 2024.
Results: A retrospective review of medical records identified 7 cases of PPP among 4,953 deliveries (incidence
rate: 1.41 per 1000 deliveries). Multivariate analysis revealed previous psychiatric history, history of childhood
trauma, and primiparity as significant risk factors. The most prevalent symptoms were delusions and
hallucinations. Our findings highlight the importance of early identification and intervention for women at risk of
PPP.
Conclusion: Postpartum psychosis is a rare but severe mental health disorder requiring prompt attention. Our
study highlights the importance of routine mental health assessments for postpartum women, targeted
interventions for high-risk women & the necessity of better screening and detection techniques in Indian
healthcare settings in order to recognize women who are at risk and enable prompt intervention.