A 36-year-old woman is brought by her partner 10 days after birth. She has not slept for 3 nights, says the baby has special powers and hears voices

Question

A 36-year-old woman is brought by her partner 10 days after birth. She has not slept for 3 nights, says the baby has special powers and hears voices telling her she is unsafe. There is no substance misuse history. When should this patient be referred?

Accepted Answer

Refer for same-day urgent specialist perinatal mental health assessment

Answer

Start counselling and no further action

Answer

Advise the partner to supervise and avoid referral

Answer

Prescribe a short course of zopiclone as the sole response

Answer

Review in 2 weeks for baby blues

Postpartum psychosis — DRCOG MCQ

A 36-year-old woman is brought by her partner 10 days after birth. She has not slept for 3 nights, says the baby has special powers and hears voices telling her she is unsafe. There is no substance misuse history. When should this patient be referred?