@article{discovery10166862,
       publisher = {Elsevier BV},
            note = {{\copyright} 2023 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)},
         journal = {Schizophrenia Research},
           title = {Catatonia in the peripartum: A cohort study using electronic health records},
            year = {2023},
           month = {March},
        abstract = {BACKGROUND: Due to limited existing literature available on the presentation and treatment of catatonia in the peripartum, this retrospective descriptive cohort study aimed to examine demographic data, catatonic features, diagnoses pre- and post-catatonic episodes, treatment and the presence of obstetric complications. METHODS: Individuals with catatonia were identified in a previous study using anonymised electronic healthcare records from a large mental health trust in South-East London. The presence of features from the Bush-Francis Catatonia Screening Instrument was coded by the investigators and longitudinal data were extracted from structured fields and free text. 

RESULTS: 21 individuals were identified from the larger cohort, each of whom experienced one episode of catatonia in the postpartum period, and all had had an inpatient psychiatric admission. 13 patients (62�\%) presented after their first pregnancy and 12 (57�\%) experienced obstetric complications. 11 (53�\%) attempted breastfeeding and 10 (48�\%) received a diagnosis of a depressive disorder following the episode of catatonia. The majority presented with immobility or stupor, mutism, staring and withdrawal. All were treated with antipsychotics and 19 (90�\%) received benzodiazepines. 

CONCLUSIONS: This study suggests that signs and symptoms of catatonia during the peripartum are similar to other catatonic presentations. However, the postpartum may be a period of high risk for catatonia and obstetric factors, such as birth complications, may be relevant.},
             url = {https://doi.org/10.1016/j.schres.2023.02.022},
          author = {Delvi, Afraa and Wilson, Claire A and Jasani, Iman and Guliani, Joshana and Rao, Ranga and Seneviratne, Gertrude and Rogers, Jonathan P},
        keywords = {Catatonia, Electroconvulsive therapy, Perinatal, Peripartum, Postnatal, Postpartum},
            issn = {0920-9964}
}