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