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In the USA, severe psychiatric illness after childbirth strikes one
woman for every 1000 births, or about 3500 women each year. An
unrecorded number of new mothers experience lesser degrees of
postpartum illness, and two distinct forms of severe illness can be
distinguished. One form, called postpartum psychosis, is an
agitated, very changeable condition, often characterized by
confusion, hallucinations, delusions and sometimes episodes of
violent behaviour. The other condition, major postpartum
depression, begins two or three weeks after childbirth, and is
characterized by confusion, depression of mood, and often with
exhaustion, headache and digestive upset. Mixtures of the two
severe disorders occur frequently. This volume contains a number of
essays which support the position that postpartum disorders are
primarily organic and are mainly disorders of hormonal deficit.
They develop as the endocrine system falls back from the
hyperactivity of pregnancy toward or beyond the levels of the prior
non-pregnant state. Tremendous therapeutic opportunities exist or
are imminent for both the organic and the psychological components
of postpartum mental illness.
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