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What follow-up care and support should be provided to a patient after an episode of postpartum psychosis?
Answer
After an episode of postpartum psychosis, follow-up care and support should include a comprehensive care plan covering the postnatal period, with clear treatment goals and routine outcome monitoring.
There should be increased contact with and referral to specialist perinatal mental health services to ensure expert management and continuity of care.
The care plan must include the names and contact details of key professionals involved and be documented in all relevant records, with a copy provided to the woman and all involved healthcare professionals.
Psychotropic medication should be reviewed and adjusted as needed once the woman is medically stable, with careful monitoring of the baby for any adverse effects if the mother is breastfeeding or taking medication.
Assessment and support for the mother–baby relationship are essential, including evaluation of verbal interaction, emotional sensitivity, and physical care at all postnatal contacts, with further intervention if problems persist.
Women should be supported in their choice of infant feeding method, with encouragement to breastfeed unless contraindicated by specific medications.
Specialist perinatal inpatient services, such as mother and baby units, should be considered if inpatient care is required within 12 months postpartum.
Psychological and psychosocial interventions should be delivered by competent practitioners with appropriate supervision and outcome monitoring.
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