Although some experts say there's a one-in-three chance of post puerperal psychosis recurring, and some put it as high as 50/50, Joanne and Phil are thinking of trying for another baby in the next 12 months.
In his survey of the history of puerperal psychosis diagnoses, Brockington (1996:200-205) distinguishes mental disorder caused by puerperal sepsis from functional puerperal psychoses but seems to assimilate "puerperal insanity" to the latter.
Amanda had never heard of puerperal psychosis - a condition that affects one or two in 1,000 new mums and it was only after extensive expert medical and psychiatric help that she's been able to get her life back together again.
The following day Elaine was admitted to a psychiatric hospital where she spent the next two months It was a tough 18 months which followed with Elaine finally being diagnosed with puerperal psychosis - the most severe form of post natal depression.
Mum to Eilidh, 15, Billy, 11, and five-year-old Erin, Lorna had developed puerperal psychosis, the most severe form of the condition and was twice admitted to psychiatric hospital as doctors feared for her life.