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Tijdschrift voor Psychiatrie 41 (1999) 3, 175 - 179

Case report

Puerperal psychosis in bipolar women taking lithium; two case studies

A.C. Kosters-Hoek

Some women with bipolar disorder run a substantial risk of developing a puerperal psychosis, in spite of taking lithium; this is illustrated bij two case reports. In addition to well known riskfactors such as giving birth to a first child, a caesarean delivery and the lack of a partner, the severity of the bipolar disorder probably plays a role. This is perhaps also true for the presence of personality disturbances. This finding has consequences for the counselling prior to pregnancy and the guidance post partum.

keywords bipolar disorder, lithium, puerperal psychosis