More Than Just Baby Blues? A Diagnostic Dilemma.

Abstract

This case report is to emphasize that postpartum depression can pose as a diagnostic dilemma. And it is essential to identify and treat it. A 27-yearfemale, primi,37weeks+5days came with complaints of leaking per vaginum and thick meconium-stainedliquor. Patient was noticed speaking differently and did not respond properly. Patient was taken up for emergency LSCS in view of oligohydramnios with fetaldistress. Postop - patient became restless and refused to talk to others and refused to feed the baby. Patient was refusing eye contact and had poor social communication. Psychiatrist diagnosed the patient as postpartum depression and patient was started on T.Ativan 1mg bd, T.Serta 50 mg od and T.Sizodon 1mg hs.Neurologistadviced CT brain due to sudden behavioraldisturbances. CT brain showed? pituitary haemorrhage brain normal. Patient improved symptomatically with the management given and was discharged with T.Wysolone 5mg one od and half at night as per neurosurgeon’s advice. Though postpartum blues or depression is quite common, it is important to always consider other differential diagnosis and to rule out organic causes before coming to a diagnosis