OCD in Postpartum mothers: Prevalence, Risk & Key Differences

Key things to know What the evidence shows
How common is it? 6.2% global pooled*
Is it more common among postpartum mothers? Higher than general female-population estimates
Are postpartum mothers at higher risk? #N/A
How much higher is the risk? Older diagnostic meta-analysis: RR 2.38 vs women generally
How often can it be missed? Very high; intrusive infant-harm thoughts may be mistaken for intent/psychosis
Does it show up differently among postpartum mothers? Yes
How might it look different? Infant-harm/aggressive obsessions, checking and reassurance seeking particularly prominent
What commonly occurs alongside it? Postpartum depression; anxiety disorders
What can it be confused with? Normal intrusive infant thoughts; postpartum psychosis; postpartum depression; GAD
Common screening tool OCI-R
Separate screening tool for postpartum mothers Perinatal OCD-specific tools exist, but no single standard population screener
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