Obsessions and compulsions in pregnancy or postpartum
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Obsessions
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Associated compulsions
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Pregnancy
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Fear of fetal death |
Checking for fetal movements |
| Fear of contaminating the fetus by toxic agents |
Excessive washing and cleaning |
| Aggressive obsessions towards fetus |
|
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Postpartum
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Fear of intentional or accidental harm to the infant (including sexual abuse) |
Avoidant behavior (eg, avoiding knives, infant) |
| Fear of misplacing the baby |
Compulsive checking of the infant (eg, at night) |
| Intense fear of Sudden Infant Death Syndrome |
|
| Fear of contaminating the infant |
Excessive washing and cleaning |
| Fear of criticism of mothering skills |
|
OCD_pregnancy.htm1. Wenzel, A, et al. The occurrence of panic and obsessive compulsive symptoms in women with postpartum dysphoria: A prospective study. Archives of Women's Mental Health 2001; 4:5.
2. Uguz, F, Akman, C, Kaya, N, Cilli, AS. Postpartum-onset obsessive-compulsive disorder: incidence, clinical features, and related factors. J Clin Psychiatry 2007; 68:132.
3. Wisner, KL, Peindl, KS, Gigliotti, T, Hanusa, BH. Obsessions and compulsions in women with postpartum depression. J Clin Psychiatry 1999; 60:176.
4. Labad, J, Menchon, JM, Alonso, P, et al. Female reproductive cycle and obsessive-compulsive disorder. J Clin Psychiatry 2005; 66:428.
5. Brockington, IF, Macdonald, E, Wainscott, G. Anxiety, obsessions and morbid preoccupations in pregnancy and the puerperium. Arch Womens Ment Health 2006; 9:253.
6. Sichel, DA, Cohen, LS, Dimmock, JA, Rosenbaum, JF. Postpartum obsessive compulsive disorder: a case series. J Clin Psychiatry 1993; 54:156.
7. Jennings, KD, Ross, S, Popper, S, Elmore, M. Thoughts of harming infants in depressed and nondepressed mothers. J Affect Disord 1999; 54:21.
8. Abramowitz, JS, et al. The cognitive mediation of obsessive-compulsive symptoms: a longitudinal study. J Anxiety Disord 2007; 21:91.
9. Buttolph, M. Obsessive-compulsive disorders in pregnancy and childbirth, in Obsessive Compulsive Disorders, Theory and Management, 2nd Ed, Jenike, M, Baer, L, Minichiello, WE (Eds), Yearbook Medical Publishers, Chicago 1990.
10. Sichel, DA, Cohen, LS, Rosenbaum, JF, Driscoll, J. Postpartum onset of obsessive-compulsive disorder. Psychosomatics 1993; 34:277.
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