الفهرس 
Introduction & Aim of the workOnly 14 pages are availabe for public view
 |  | from | 301 |  |  |
| | | from | 301 | | |
Abstract
Perinatal psychiatry is an important aspect of modern psychiatric practice. It is a field in which major advances have occurred in the past three decades, so it is an opportune time to investigate the psychopathology, phenomenology, classification, risk factors and early detection of perinatal psychiatric disorders as these disorders had a direct negative effects on mothers, off springs, parents and even the surrounding community. Also the psychosexual aspects of the menopause have yet to be fully investigated. The main target of this study is to find out the factors that may play a role in both post partum and postmenopausal psychiatric disorders and also factors that may share in predicting these disorders. Through this study and within our interpretation, we can concluded the following results. 1 The post partum psychiatric disorders were more prevalent among age group range (2030ys) while older patients were less frequent. 2/3 of them came from rural areas. 2 Marital disruption was highly significant in puerperal patients. 3 50% of puerperal patients had family history of psychiatric disorders whether puerperal or not. 4 We found that the unemployment of the current spouse with subsequent disturbed financial status of him, also the negative attitude of him towards the patients and the baby were significant risk factors for the puerperal psychiatric disorders. 5 About 40% of the whole puerperal group had depressive disorder (31.7% had major depressive disorder, 8.3% had adjustment disorder with depressed mood). Bipolar I and mixed episode constitute 15% and 6.7% respectively. The delirium and other cognitive disorders (3.3%), schizophrenia and psychotic disorder (25%), post traumatic stress disorder (3.3%) obsessive compulsive disorder (5%) and generalized anxiety disorder (1.7%), according to the new classification of puerperal illness, 40% of them had negative mother infant relationship. 6 73.7% of post partum depressed patients and 77% of manic patients were hospitalized. Patients with impaired cognition were admitted during the 1st two weeks. The majority of patients with post partum psychosis were admitted during the 1st post partum month. About <U+00BC> of patients with post partum depression were admitted in the period between the 1 st and the 2nd post month and about 50% of them were admitted for about one month. 7 About 70% of the puerperal group had past history of psychiatric illness. The majority of them was post partum (28.3%), (20%) was non puerperal, (10%) with pregnancy and (10%) with and without pregnancy. About half of the whole patients had past history of mood disorder (48.3%) while schizophrenia constitute (16.7%). PH of psychiatric hospitalization was found in (46.6%) of the patients while (65%) of them had past history of blue reflecting a significant association between various postpartium psychiatric disorders; as severe blue can progress to postnatal depression or even psychosis. 8The majority of puerperal illness was precipitated by various stressors, marital disharmony was found in <U+00BE> of depressed patients, more than 50% in post partum psychosis and about 80% in neurotic disorders. Social financial and occupational stressors had significant difference between the diagnostic groups. Stressors of pregnancy and child birth were positive in 84% of major depression and more than half of post partum psychosis. 9Difficult labour, complicated purperium, female gender and negative emotional reaction towards baby were found to be a significant risk factors in various puerperal diagnostic disorders. Unwanted and unplanned pregnancy were found in <U+00BC> patients with major depression and 40% of patients with post partum psychosis. 10History of premenstrual tension syndrome (PMTS) had highly significant differences in the puerperal and postmenopausal groups if compared with control group (+ve in 65% of the patients). Also cycle length, regulation and dysmenorrhoea had a significant difference with the control group reflecting a significant association between women psychiatric disorders (PMTS, puerperal and postmenopausal psychiatric disorders). 11Among post partum psychotic patients, cluster ?A? personality was prevalent, while cluster ?B? and depressive personality were common in patients with major depression.