Which of the following is a postpartum psychosis warning sign?

• A. Sadness
• B. Delusions
• C. Appetite increase
• D. Delusions and confusion

Answer: (D)

Postpartum psychosis presents with psychotic features that signal a medical emergency, not just mood changes. Delusions indicate fixed, false beliefs, and when they occur alongside confusion or disorientation, it shows a disruption in thinking that goes beyond typical postpartum mood shifts. That combination—delusions with confusion—is a strong warning sign that warrants urgent evaluation and treatment to ensure the safety of both mother and baby. Sadness can occur with postpartum blues or depression but does not by itself indicate psychosis, and an appetite change isn’t a hallmark of this condition. If such symptoms appear, immediate medical help is essential.