A 28 yo female who delivered 6 weeks ago feels sad and has no interest to feeding the baby. She
has been eating poorly and having difficulty sleeping. She feels weak throughout the day and has
stopped taking the baby out of the house. She also says that the baby has evil eyes. What is the most
a. Postpartum blues
b. Postpaetum depression
c. Postpurtum psychosis
e. Psychotic depression
Q. 1. What is the key?
Q. 2. What are the points in favour?
Ans. 1. The key is C. Postpartum psychosis.
Ans. 2. Points in favour: i) features of depression: feels sad, poor eating, difficulty sleep, feeling weak ii)
delusional ideas: thinks baby has evil eyes and not taking the baby out of the house. These points to
postpartum psychosis. [Postpartum psychosis starts within 2 wks (occasionally later) of delivery and it
can take 6 -12 months or more to recover from postpartum psychosis].