Postpartum psychosis — DRCOG MCQ

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HardPostnatalPostpartum psychosisDRCOG

Six days after birth, a 31-year-old has insomnia, paranoid beliefs and rapidly fluctuating mood. What is the most appropriate management?

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Correct answer: C — Arrange emergency mental-health assessment

Abrupt postpartum onset of paranoia, severe insomnia and mood disturbance suggests postpartum psychosis, a psychiatric emergency. Arrange same-day emergency mental-health assessment and ensure safety for mother and baby.

Reference: NICE CG192: Antenatal and postnatal mental health: https://www.nice.org.uk/guidance/cg192/chapter/recommendations