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• W89301088 abstract "Mrs. B, a 28-year-old woman with no prior psychiatric history, delivered a healthy daughterafter a first, normal pregnancy. During the first two days postpartum, she was breastfeedingher daughter with notably reduced sleep. By the third day postpartum, she becameconvinced that her husband wanted to kill their newborn. After her mother suggestedthat she discontinue breastfeeding, she became extremely violent, kicking her mother inthe abdomen. Over the next 4 days, the family continued to struggle as Mrs. B becameprogressively more impulsive, irritable, and disorganized.One week postpartum, she was admitted to the Mother-Baby Unit of the Erasmus MC.During the admission interview, she exposed her breasts while shouting: “Look at these! Mybreasts are great! I want to breastfeed 24 hours non-stop!” She was diagnosed as manicwith psychotic features (Young Mania Rating Scale 34). Physical examination and routinelaboratory investigations were normal. She was treated with haloperidol and lorazepam.One week after admission, she remained actively manic with psychotic features, requiringthe addition of lithium. On a combination of haloperidol, lithium, and lorazepam, her manicand psychotic symptoms went into remission over the next 3 weeks. She was dischargedhome from the hospital seven weeks after delivery, with close outpatient follow-up, lithiummonotherapy, and mother-child interaction therapy.Three months postpartum, she was diagnosed with autoimmune thyroiditis and thyroxinereplacement was started. Lithium therapy was discontinued after 9 months. During a followupof two years she did not experience major psychiatric symptoms." @default.
• W89301088 created "2016-06-24" @default.
• W89301088 creator A5071233055 @default.
• W89301088 date "2012-10-31" @default.
• W89301088 modified "2023-09-23" @default.
• W89301088 title "First-onset postpartum psychosis" @default.
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