Table 1.

Description of cases of postpartum psychosis from March 2020 to February 2021 at University of Arkansas for Medical Sciences Women’s Mental Health Program

	Case 1	Case 2	Case 3	Case 4	Case 5	Case 6	Case 7	Case 8	Case 9
Age	37	25	28	33	36	24	30	45	29
Education level	Doctorate	Bachelor’s	Trade School	Bachelor’s	Bachelor’s	High School	Some College	Trade School	Bachelor’s
Race*	White	White	Black	White	White	Black	White	White	White
Gravida (G)/Parity (P)	G2P2	G1P1	G5P4	G4P2	G2P2	G3P3	G3P1	G5P3	G1P1
Weeks of gestation at delivery	35w	39w1d	39w0d	39w	39w4d	37w6d	28w5d	38w4d	39w
Delivery method	C-section	Vaginal	C-section	C-section	Vaginal	C-section	C-section	Vaginal	C-section
Pregnancy Complications	Oligohydramnios	None	None	None	Gestational diabetes	No prenatal care	Preeclampsia	AMA	Preeclampsia, fetal distress
COVID-19 infection	Vaccine, postpartum	Yes, at delivery	Yes, second trimester	Yes, postpartum	No	No	No	No	No
Antenatal Comorbidities	Essential HTN	None	Asthma	Asthma	None	DM II, asthma	None	None	Essential HTN
Past psychiatric history	Postpartum depression	PTSD, suspected bipolar 1 disorder	PTSD	None	One previous episode of MDD	Postpartum psychosis	Depression unspecified	GAD	None
Family psychiatric history	Bipolar disorder (sister)	Bipolar disorder (mother, grandmother, and aunt)	Psychotic disorder (brother)	None	Anxiety (mom), depression (dad)	Unknown	Anxiety (sister)	None	None
History of substance use	None	None	None	None	None	Marijuana continued during pregnancy	None	None	None
Symptoms	No sleep for 6 days, disorganized thought processes, disorganized behavior, labile, attempted to elope from inpatient unit, pressured speech, irritable mood	No sleep for 1 week, starting projects, talking about suicide frequently, pressured speech, labile, impulsive, disorganized thought processes, attempted to elope from inpatient unit	Severe MDD with psychotic features, auditory hallucinations, paranoia, suicidal ideation, guilt, hopelessness, irritability	Decreased need for sleep, grandiose delusions, pressured speech, hyperreligious, excessive spending, hypersexuality, irritability	Paranoia, intrusive thoughts of harm coming to family, irrational fears that she would lose children, referential thinking	Paranoia, command auditory hallucinations to harm infant, disorganized behavior	Racing thoughts, insomnia, disorganized speech, delusions, paranoia, reported catatonia at outside hospital	Disorientation, disorganized thoughts, insomnia, perseveration, paranoia	Intrusive thoughts of daughter being sexually abused, visual hallucinations, catatonia, disorganized thoughts, not attending to ADLs, insomnia
Treatment	Inpatient hospitalization, lithium, lorazepam, olanzapine	Inpatient hospitalization, lithium, lorazepam	Fluoxetine, haloperidol	Inpatient hospitalization, lithium, lorazepam	Inpatient hospitalization, lithium, olanzapine, ECT	Inpatient hospitalization, lithium, risperidone	Inpatient hospitalization, lithium, quetiapine, lorazepam	Lithium, lorazepam	Inpatient hospitalization, lorazepam, olanzapine

^*All women identified as non-Hispanic; AMA, advanced maternal age; DM II, type II diabetes mellitus; PTSD, post-traumatic stress disorder; MDD, major depressive disorder; GAD, generalized anxiety disorder; HTN, hypertension