Ten days after delivery a woman is agitated and has delusions about her baby. What is the most likely diagnosis?
Answer and explanation
Correct answer: A. Postpartum psychosis
- Step 1: The picture of delusions and agitation within weeks of delivery fits Postpartum psychosis.
Answer
Postpartum psychosis.
Why not the others: 'Postnatal depression': it gives low mood without delusions and usually starts later. 'Baby blues': it gives tearfulness in the first week and settles. 'Puerperal sepsis': it gives fever and abdominal pain with a tender uterus.
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