Societal Contribution to Incidence of Puerperal Psychosis in Federal Psychiatric Hospital, Calabar, Cross River State, Nigeria

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DOI: 10.21522/TIJNR.2015.02.01.Art002

Authors : Umoh, Edet Okon


The purpose of this study was to examine societal contribution in incidence of puerperal psychosis in Federal Psychiatric hospital, Calabar. In order to achieve this purpose, three research questions and three hypotheses were formulated to guide the study. The descriptive survey research design was used for the study. The population of study comprised all female psychiatric patients suffering from puerperal psychosis in Federal Psychiatric Hospital, Calabar. A convenience method of non-probability sampling was used to select sample for the study. This was made possible with in-patients’ record from female wards in the hospital revealing a total of 50 patients. Instruments used for collection of data were questionnaires and face to face interview. The reliability of the instrument was established through internal consistency technique using Cronbach Alpha Analysis. A reliability estimate of 0.867 was obtained for the instrument. Chi-square statistical analysis was used for testing the hypotheses. All the hypotheses formulated were tested at. 05 level of significance. The result of the analysis revealed that acceptability of married women by family does significantly contribute to puerperal psychosis. Again, denial of pregnancy does significantly contribute to puerperal psychosis. Finally, the result revealed that continuous delivery of same sex children does significantly contribute to puerperal psychosis. Based on this findings, it was concluded that society do contribute to incidence of puerperal psychosis in Federal Psychiatric Hospital Calabar, Nigeria. It was therefore recommended that the media, traditional leader and religious organisations should educate the citizens on the importance of family members allowing married couples to live their life without undue intervention. Lastly, Government should enforce legislation to punish any man who for one reason or the other maltreats his wife.

Keywords: puerperium, psychosis, tranquilizer


[1.]   Almeida, Ana; Merminod, Gaëlle; Schechter, Daniel S. (2009). "Mothers with severe psychiatric illness and their newborns: a hospital-based model of perinatal consultation". Zero to Three 29 (5): 40–6. ISSN 0736-8038.

[2.]   Doucet S, Jones I, Letourneau N et al. (2011). Interventions for the prevention and treatment of postpartum psychosis: a systematic review. Archives of Women's Mental Health. 14(2): 89-98.

[3.]   Gelder, M., Gath, D., Mayon, R., and Cowen, P. (1996) Oxford Textbook of Psychiatry, 3rd Edition


[5.]   Jones, I.; Craddock, N (2001). "Familiality of the Puerperal Trigger in Bipolar Disorder: Results of a Family Study". American Journal of Psychiatry 158 (6): 913–7. doi:10.1176/appi.ajp.158.6.913. PMID 11384899.

[6.]   Jones, Ian; Hamshere, M; Nangle, JM; Bennett, P; Green, E; Heron, J; Segurado, R; Lambert, D; Holmans, P; Corvin, A; Owen, M; Jones, L; Gill, M; Craddock, N (2007). "Bipolar Affective Puerperal Psychosis: Genome-Wide Significant Evidence for Linkage to Chromosome 16". American Journal of Psychiatry 164 (7): 1099–104. doi:10.1176/appi.ajp.164.7.1099. PMID 17606662.

[7.]   Jones I and Smith S (2009) Puerperal Psychosis: Identifying and caring for women at risk. Advances in Psychiatric Treatment. 15: 411-418.

[8.]   Kaplan & Sadock’s (1994), Synopsis of Psychiatry: Behavioural Sciences/Psychiatry 10th Edition

[9.]   Marcé, L V (1862). Traité Pratique des Maladies Mentales [Practical Treatise on Mental Illness] (in French). Paris: Martinet. p. 146.

[10.]   Oates, M (1988). "The development of an integrated community-orientated service for severe postnatal mental illness". In Kumar, R; Brockington, I F. Motherhood and Mental Illness: Causes and Consequences. London: Wright. pp. 133–58.

[11.]   Osiander, Friedrich Benjamin (1797). "Glücklich gehobenes hitziges Fieber einer Wöchnerin mit Wahnsinn" [Happy young mother with a violent fever upscale madness]. Neue Denkwuerdigkeiten fuer Aerzte und Geburtshelfer [New memoirs for physicians and obstetricians] (in German) 1. Goettingen: Rosenbusch. pp. 52–128

[12.]   Peplau, Hildegard E. (1998), Psychodynamic Nursing. In A. Tomey & M. Alligood. Nursing Theorists and their Work (4th ed., pp. 337). St. Louis, Mosby.

[13.]   Reed, P; Sermin, N; Appleby, L; Faragher, B (1999). "A comparison of clinical response to electroconvulsive therapy in puerperal and non-puerperal psychoses". Journal of Affective Disorders 54 (3): 255–60. doi:10.1016/s0165-0327(99)00012-9. PMID 10467968.

[14.]   Robertson, E. (2005). "Risk of puerperal and non-puerperal recurrence of illness following bipolar affective puerperal (post-partum) psychosis". The British Journal of Psychiatry 186 (3): 258–9. doi:10.1192/bjp.186.3.258. PMID 15738508.

[15.]   Stafford-Clark & Smith, Andrew C. (1978), Psychiatry for Students 5th Edition George Allen & Unwin (Oublishers) Limited, Great Britain

[16.]   Twomey, Teresa (2009). Understanding Postpartum Psychosis: A Temporary Madness. Westport, CT: Praeger. p. 12. ISBN 978-0-313-35346-8.