الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 78 |  |  |
| | | from | 78 | | |
Abstract
Postpartum period is usually considered to be 6 – 8 weeks after delivery, for many women, this is a period of increased physiological vulnerability and distress, which is detectable across a broad spectrum of reactions with consequences for the woman’s well-being, for bonding between the mother and the child, and for the whole family. Psychiatric disorders in postpartum period are frequent and serious complications of childbirth that do not differ significantly from affective illness occurring in women at other time. This opinion is reflected in the fourth edition of Diagnostic and Statistics Manual of Mental Disorder (DSM-IV), which includes postpartum psychiatric illness as a subtype of either bipolar disorder or major depressive disorder. Social factors like marital status, life events, social isolation, low income or financial problems and low level of education could be risk factors in occurrence of postpartum psychiatric disorders. The aims of the present study were to identify psychiatric disorders in postpartum period, determine risk factors, clinical presentation and complications of postpartum psychiatric disorders, and identify the correlation between psychosocial stressors and psychiatric disorders in postpartum period.
The present study sample included 50 patients suffered from postpartum psychiatric disorders, their ages ranged from 23-29 years; pregnant for the 1st time, had normal deliveries, breast feeding and educated. The present work showed the following:
Among the selected representative population the number of postpartum blues (PPB) patients was 34 (68%) while the number of postpartum depression (PPD) patients was 10 (20%) while the number of postpartum panic disorder (PP Panic D) patients was 4 (8%) and the number of postpartum generalized anxiety disorder (PP GAD) patients was 2 (4%). The highest mean value of age was to PPB patients (26+2.1) with statistically no significant difference in mean values of age among the studied patients in various disorders in the present study. Regarding to clinical features of various disorders in the present study:
o With mood symptoms like (depressed mood, lack of interest, sadness and anxiety) there was statistically high significant difference (p. value < 0.001) while with (crying and feeling of guilt) there was statistically significant difference (p. value < 0.05) among the studied patients of different disorders. With disturbed thoughts like (fearful ideations and poor concentration) there was statistically high significant difference (p. value < 0.001) among the studied patients of different disorders. With vegetative symptoms like (loss of appetite and desire in sex) there was statistically high significant difference (p. value < 0.001) while with (insomnia) there was statistically moderate significant difference (p. value < 0.01) among the studied patients of different disorders. With somatic symptoms (shortness of breathing, palpitation, chest pain, hot flushes, sweating, muscle tension, fatigue and fainting) there was statistically high significant difference (p. value < 0.001) among the studied patients of different disorders. The present study revealed a strong linkage between socioeconomic factors and occurrence of postpartum psychiatric disorders as we found the following results: History of death to one of parents resulting in lack of support to new mothers presented in (100%) of (PPD, PP Panic D, PP GAD) and (11.8%) of PPB patients with statistically high significant difference. Unemployment of new mothers presented in (100%) of PPD and PP Panic D patients and 40.3% of PPB patients with statistically moderate significant difference. Dissatisfaction of new mothers in their marital lives either due to problems with husbands or families-in-law presented in (100%) of PP GAD patients, (88.2%) of PPB patients, (50%) of PP Panic D patients and (80%) of PPD patients with statistically high significant difference. According to scores of Global assessment of functioning scale there was statistically moderate significant difference between patients of (PPB, PPD, PP Panic D and PP GAD), with noticing that PPB patients had the highest scores ranged from 74-98 (84.05+7.1) which is meaning that they were functionally the least affected among the studied patients. According to scores of Edinburgh postnatal depression scale there was statistically high significant difference between patients of (PPB, PPD, PP Panic D and PP GAD), with noticing that only PPD patients scored >10 which is meaning that there was no possibility of co morbidity between depression and any of other postpartum psychiatric disorders in the studied patients. According to scores of Holmes& Rahe stress scale (for stressful life event) there was statistically high significant difference between patients of (PPB, PPD, PP Panic D and PP GAD), with noticing that PP GAD patients had the highest scores ranged from 401-404 (401+1.56) which is meaning that PP GAD patients were the most affected by stressful life events in the year of pregnancy and labor among the studied patients. According to scores of Quality of life scale there was statistically high significant difference between patients of (PPB, PPD, PP Panic D and PP GAD), with noticing that PP GAD patients had the lowest scores ranged from 34-36 (34+1) which is meaning that PP GAD patients were the most affected by low quality of life among the studied patients. According to scores of Stress level assessment questionnaire there was statistically high significant difference between patients of (PPB, PPD, PP Panic D and PP GAD), with noticing that PP GAD patients had the highest stress level as their scores ranged from 94-96 (94+1) which is meaning that PP GAD patients were the most affected with high stress level among the studied patients.