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Estimated 7% of women in asylums
had symptoms originating in post-
partum period.
Focus on psychosis, catatonia and
delerium.
“Where mania really appears in the
puerperal state, it is… only a link in
the chain of attacks of maniacal-
depressive insanity.  The
puerperium cannot therefore be
regarded as the cause, but only as
the last impulse to the outbreak of
the disease”
E. Kraepelin, 1913
Women and Bipolar Disorder