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Cognitive therapy and supportive strategies are strongly encouraged to help reduce or replace medication in patients who experience depression during pregnancy and the puerperium .
Of these, around 200 will suffer from severe post-natal depression or the even more serious puerperal psychosis.
An indigenous midwifery tradition never developed, and rates of infant mortality and puerperal infections are high.
Under this name are sometimes confounded three distinct varieties of disease - that which occurs during pregnancy, that which follows parturition and is properly puerperal , and that which comes on months afterward during lactation.
They hated also to have the mother out of the home during the puerperium .
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