<P> Some medical conditions may occur in the postpartum period, such as Sheehan's syndrome and peripartum cardiomyopathy . </P> <P> Postpartum urinary incontinence is experienced by about 33% of all women; women who deliver vaginally are about twice as likely to have urinary incontinence as women who give birth via a cesarean . </P> <P> During the postpartum period, a woman may urinate out up to nine pounds of water . The extra fluid that her body has taken on is no longer needed, so the mother may note that her fluid output is disproportionate to her fluid input . </P> <P> In some cases, this adjustment is not made easily, and women may suffer from postpartum depression, posttraumatic stress disorder or even puerperal psychosis . Postpartum mental illness can affect both mothers and fathers, and is not uncommon . Early detection and adequate treatment is required . Approximately 25% - 85% of postpartum women will experience the "blues" for a few days . Between 7% and 17% may experience clinical depression, with a higher risk among those women with a history of clinical depression . Rarely, in 1 in 1,000 cases, women experience a psychotic episode, again with a higher risk among those women with pre-existing mental illness . Despite the widespread myth of hormonal involvement, repeated studies have not linked hormonal changes with postpartum psychological symptoms . Rather, these are symptoms of a pre-existing mental illness, exacerbated by fatigue, changes in schedule and other common parenting stressors . </P>

When is it no longer called a miscarriage