Clinical Conundrum: A Complex Case of Postpartum Depression

  • Prabha S. ChandraEmail author
  • Sundarnag Ganjekar
  • Soumya Parameshwaran


Pregnancy and postpartum are two of the most significant periods in a woman’s life. However, they are also periods in which women are vulnerable to both mental health problems and medical illness. Psychological disturbances can have negative effects on the mother, the fetus, and the growing infant. Postpartum depression is among the commonest mental health problems in the perinatal period with several psychosocial and medical factors adding to the risk. It is hence important that clinicians use a holistic approach to assessment and treatment of women with postpartum depression. We discuss Ms. V who presented to us in the postpartum period with low mood, suicidal ideas, and poor bonding with her infant on the background of several ongoing psychosocial stressors. In addition, she also had a comorbid chronic medical condition which added to the complexity of clinical presentation and management. The chapter discusses this clinically complex situation and reviews the relevant literature with regard to postpartum depression, trauma, mother-infant bonding, and medical conditions that add to the picture. The chapter also emphasizes the need for a multidisciplinary approach in the management of postpartum depression.


Postpartum depression Trauma Pregnancy Suicide Violence Autoimmune disorders Mother-infant bonding 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Prabha S. Chandra
    • 1
    Email author
  • Sundarnag Ganjekar
    • 1
  • Soumya Parameshwaran
    • 1
  1. 1.Department of PsychiatryNational Institute of Mental Health and Neuro SciencesBangaloreIndia

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