12.1a Mental Health During Pregnancy Flashcards
1
Q
Perinatal Mental Health Disorders
A
- Managed in community settings
- Greatest risk between 18-45
- Prevention is key
2
Q
Perinatal Mood Disorders (PMD)
A
- Depression
- Anxiety
- Bipolar
- Postpartum Psychosis
3
Q
Depression
A
- Major depression requires 5 of the following signs almost every day
- Depressed mood with spontaneous crying
- Markedly diminished interest in all activities
- Insomnia or Hypersomnia
- Weight changes
- Psychomotor retardation or agitation
- Fatigue or Loss of Energy
- Feelings of worthlessness (inappropriate guilt)
- Diminished ability to concentrate
- Suicidal without plan
4
Q
Critical Cues of Depression
A
- Psychologic Symptoms
- Suicidal Plan
- Major disruptions in sleep pattern
5
Q
Risk Factors of Depression
A
- Prior history in self or family
- Lack of social support
- Stressful life events
- Partner discord
- History of premenstrual syndrome
6
Q
Postpartum Depression (PPD)
A
- Depression during pregnancy is a major risk of PPD
Affects on child development
- Difficult temperament
- Attachment Insecurity
- Increased risk of developmental delay
- Lower IQ
7
Q
Management of Depression
A
- Antidepressants
- Cognitive Behavioral Therapy (CBT)
- Interpersonal Psychotherapy (IPT)
Other Management
- Exercise
- Self help strategies
- Respite from caregiving
- Self-Help Groups
8
Q
Antidepressant Medications
A
- Selective Serotonin Reuptake Inhibitors (SSRIs)
- Serotonin/Norepinephrine Reuptake Inhibitors (SNRIs)
- Tricyclic Antidepressants (TCAs)
- Monoamine Oxidase Inhibitors (MAOIs)
- Medications are not FDA approved during pregnancy
9
Q
Risks of Untreated Depression in Pregnancy
A
- Severe psychological distress
- Suicide
- Financial Hardships
- Inability to transition to parenthood
10
Q
Psychotropic Medication s
A
- Receive lowest therapeutic dose
- May need to be increase throughout pregnancy
- Do not discontinue abruptly for risk of withdrawal
11
Q
Nursing Interventions
A
- Education about depression as an illness
- Plan of care
