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bcv ev e r , a bou t 3 to 10 t imes h i gh e r tha n t h e rates r e corde d i n
s tudie s i n Nor th Americ a , where l onger s t udy observati on
periods ha ve oc cu r red {209 }. The r ate i n thi s s t Udy, on t he
o t he r h a nd, is much l e s s t han t he i nc i de nc e of 1 in l (l(l
delive ries ( IO pe r 1000) record ed i n Zaria , Ni geri a by
McDa v idson and Parry [ 194 ) .
Bec ause, t h i s Is one of the r a r er c omp l i c ation s o f t he
post pa rtum a lar ger coho r t of women t ha n wa s r ecrui t ed i n t h i s
s t Udy would be ne ed ed to giv e a mor e accura te i nc i de nc e of the
occur renc e ot the disease i n the Kumasi populat i on . This stUdy
finding , there f o re, on l y g ives a g l imp s e o f the incidence o f
the d isorder and more specif i c r esearc h wi th a lar ge r
pop ulation ba s e i s need ed t o c on f i na the i nc idenc e r e po r t ed
he r e a nd a lso t o i den tif Y specific risk f actors i n thi s
popu l ation.
Psycbiatric disorders :
Fou r s Ubj ec ts wer e i de nt i fied wi t h a pf.;ych i a t ric
djscr der- i n thi s ea r ly puez-p e r-a I pe r i od . Two o f t he m wer e
hosp i t a l ise d b ec au se of t his c ompl i cation. The diagnoses i n
t h e two admitted cases we r e puerpe ral psychosis a nd an acute
c on f usi o na l ment o.l s t ate d l aoeder- o f a n undetermined o r i g i n .
The two other SUbj e c t s s e e n at f o l l ow- up had mi lder p s ychia­
tri c d i seas e s na mely a n a nxie ty d i s orde r a nd a de p r essi o n . Th e
su b j e ct wi t h t he anxiety d isorder had flori d diseas e wi t h