Experts call this group of diseases “puerperal psychoses.” “Pureperal” means six weeks after the birth of the baby and “Psychosis” means severe mental illness. Therefore, “Pure Pearl Psychosis” means a severe mental illness that occurs in a woman immediately after giving birth. This is usually surprising because mothers are usually expected to be very happy after the baby is born.
Purulent psychosis rarely occurs in one in every five hundred mothers. If a woman has had the disease before or a member of her family has such a severe mental illness that she needs psychiatric treatment, she is more likely to get the disease.
It was thought that purulent psychosis was a specific mental illness unlike other illnesses, but it is now thought to be manic-depression or schizophrenia, in which the presence of a child causes certain problems. ۔
Immediately after the birth of a child, the mother may develop three major mental illnesses:
A mother with mania is full of energy and confidence. Such a mother does not rest, stays up all night, eats very little food even though she is working hard and talking. She starts neglecting her child because she feels that she has a lot to do. Such as shopping, planning for the future, rearranging your home and your life, etc. Goka is usually in a happy mood, but if her unrealistic plans are not fulfilled, as is often the case, she becomes very irritable. Both the mother and her baby are more likely to be affected.
Mothers with severe depression are very different. She suffers from severe depression, depression and severe weakness and fatigue.
Depressed mothers often have feelings of guilt, self-loathing, and contempt for small things. The patient also feels that other people think the same way about her. ۔ Her diet is greatly reduced. His sleep is also very poor and early in the morning (about 3 o’clock in the morning) his eyes open and at that time his condition is very bad. His thoughts are suicidal. Rarely can a mother end her life and that of her child in this severe depression.
Schizophrenia is a mental illness in which the mother’s thoughts and feelings become strange. She may think that everything happening around her is related to her in some way. She may be hearing occult voices talking to her about her or her baby. She may believe that her child is strange, that she is a devil, or that she is a giant. He may also feel that he is being controlled by some other people who may benefit or harm him. Family members often do not understand why she is talking like this.
She may ignore her child, do strange things to him or her, and if she feels that people want to harm her child, she will take extra care of him.
Why do these diseases start?
Probably a factor as to why they’re doing so poorly.
The risk of developing the disease is highest at birth, especially in the first few days after delivery. Some women have congenital purulent psychosis, while others may develop the disease as a result of past life experiences.
Can it be treated?
This type of mental illness is severe but can be easily and effectively treated if diagnosed early. The most important thing is to find out as soon as possible. Therefore, gynecologists, general physicians, midwives and health visitors should know that psychosis occurs and how to recognize the symptoms of this disease ie severe insomnia, isolation or anxiety.
It is important to ask a woman when she is expecting a baby if she or someone else in her family has had a mental illness in the past. If such a disease is suspected, the help of a psychiatrist is needed.
What is the treatment for this?
The psychiatrist is interested in the well-being of the mother, the child and the family. Generally hospitalization is required due to the severity of the disease. If the mother is not very ill, for example, she is not thinking of suicide, then in some cases it is possible to treat at home.
Purulent psychosis always requires medication or physical therapy. There should be no delay in starting treatment so that the mother-child relationship is affected at least for a short period of time.
The results of psychotherapy usually do not appear for weeks and sometimes months, while the results of medication or physical therapy appear in days or weeks.
Antidepressants and antipsychotic medications are commonly used. The only physical therapy is electroconvulsive therapy (ECT) which sounds dangerous but can be extremely effective in severe depression and can save lives.
We can’t use hormones in this regard because we don’t know how hormone replacement works. However, in women who have had purulent psychosis once, the hormones can help prevent it from happening again.
Breastfeeding creates a strong bond between mother and baby, so medicines that can reach the baby through milk should be avoided. Fortunately, antidepressants are present in very small amounts in milk and do not require breastfeeding. ECT is not an obstacle in this regard at all. However, lithium carbonate, the most powerful antidepressant, is absorbed into the milk, so bottle-feeding is recommended if needed.
How can the family help the patient?
Severe mental illness such as purulent psychosis is a big problem for a new mother. It is important to help her or her baby with chores such as breastfeeding, washing clothes, changing clothes and taking care of the baby.
The patient’s husband and family members also need help so that they do not blame themselves for the patient’s illness or express anger at him.
How likely is it that the disease will recur?
The risk of recurrent purulent psychosis is about 20%, with the risk of meningitis being a little higher. If a woman has had purulent psychosis and is becoming a mother for the second time, very careful care is needed, especially in the first few days after childbirth. If there are any signs of recurrence, treatment should be started immediately. However, half of women with purulent psychosis do not suffer from any mental illness again.