The traditional system of classifying postpartum psychiatric disorders into maternity blues, postpartum depression, and puerperal psychosis overlooks the clinical significance of hypomanic, manic, or mixed symptoms in the postpartum period. Although common after childbirth, episodes of hypomania or non‐psychotic mania, as well as mixed states, are generally not included in the traditional nomenclature. The Diagnostic and Statistical Manual of Mental Disorders (DSM) first acknowledged the role of childbirth in the triggering of manic episodes 25 years ago with the publication of its fourth edition. The official recognition that episodes of hypomania can occur during or after pregnancy came in 2013 with the publication of DSM‐5. Unfortunately, this endorsement by the DSM has not resulted in increased awareness of the common occurrence of hypomania or mania during the postpartum period.

中文翻译：

---

产后时期（低）躁狂症的首要地位：一个值得考虑的概念。

将产后精神疾病分类为产后忧郁症，产后抑郁症和产褥期精神病的传统系统忽略了产后时期躁狂，躁狂或混合症状的临床意义。虽然分娩后常见，但躁狂或非精神病性躁狂发作以及混合状态通常不包括在传统命名法中。《精神疾病诊断和统计手册》（DSM）于25年前出版了第四版，首先承认了分娩在引发躁狂发作中的作用。随着DSM-5的发布，官方开始承认轻躁狂发作可以在怀孕期间或之后发生。不幸，