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Postpartum psychosis — MCCQE Part 1 MCQ

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HardPostpartum PsychosisPostpartum psychosisMCCQE Part 1

A 28-year-old woman 10 days postpartum says the baby is possessed and has not slept for 3 nights. She is disorganized and intermittently says the baby would be better in heaven. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Emergency psychiatric assessment and protection of mother and infant, usually with hospitalization

Postpartum psychosis is a psychiatric emergency with risk to mother and infant, often presenting with delusions, disorganization and insomnia. Baby blues are mild, transient and do not involve psychosis or dangerous beliefs. Immediate safety planning and urgent psychiatric care are required.

Reference: Canadian perinatal mental health guidance; CANMAT bipolar/postpartum resources