Artículo 6 – Clínica puerperal: blues del parto, depresión post-parto y psicosis puerperal. Definición, sintomatología, factores de riesgo y vivencia emocional.

PUERPERAL CLINIC: CHILDBIRTH BLUES, POSTPARTUM DEPRESSION AND PUERPERAL PSYCHOSIS. DEFINITION, SYMPTOMS, RISK FACTORS AND EMOTIONAL EXPERIENCE

ABSTRACT

In this text, it is intended to approach the puerperal clinic in a theoretical and descriptive way: symptoms and risk factors, the repercussions on the earliest interactions and their subsequent impact on the development of the child’s psyche, as well as, the emotional experience of motherhood from the mother’s perspective.

A search for information in Spanish and English was carried out in the following electronic databases: Medline, Pubmed, PsycInfo, Elsevier and Google Scholar. Moreover, in specific books on Postpartum Depression, in two monographic guides on Perinatal Psychiatry and in audiovisual material from the Master Degree in Perinatal Psychopathology.

The general diagnosis manuals DSM and ICD make the correct diagnosis of the puerperal clinic difficult due to their rigidity in the categories they describe. Perinatal Psychiatry does define specifically: childbirth blues, postpartum depression, and puerperal psychosis with a prevalence, respectively, of 50%, 10-15% and 0.1-0.2%.

It is vitally important to continue influencing the correct diagnosis of these disorders as well as the accompaniment of families in order to promote their integral well-being and minimize the repercussions in early interactions and the subsequent impact on the development of the child’s psyche.