12.1b Postpartum Mood Disorders Flashcards
1
Q
Postpartum Mood Disorders
A
- Preexisting conditions of mood are likely to worsen during postpartum
- 85% of mothers experience mild depression “Baby Blues”
Characterized by
- Mood swings
- Sadness/Anxiety
- Crying
- Difficulty Sleeping
- Loss of Appetite
- Treatment is not needed and usually resolves in a few days
2
Q
Postpartum Depression
A
- Change from heightened estrogen and progesterone to much lower after birth may be a cause of PPD.
- Can also be caused by poor nutrition
- Low folate causes poor response of antidepressant medication
- History of PPD puts someone at severe risk for PPD again
3
Q
PPD Risk Factors
A
- Young Age
- Unintended Pregnancy
- History of premenstrual dysphoria (feeling of uselessness before menstruation)
- Family history
- Unmarried
- Lack of Social Support
- Socioeconomic Status
- Low Education
- Substance Abuse
- Low Self-Esteem
- Severe psychosocial problems
- Complications in Pregnancy
4
Q
PPD Screening
A
- Highly treatable if caught early
ASSESSMENT TOOLS - Edinburgh Postnatal Depression Screen (EPDS) (Patient response to 10 statements) - Postpartum Depression Screening Scale (PDSS) 1. Sleeping/Eating Disturbances 2. Anxiety/Insecurity 3. Emotional Liability 4. Mental Confusion 5. Loss of Self 6. Guilt or Shame 7. Suicidal Thoughts
5
Q
Patient Health Questionnaire Tool
A
- If “Yes” is an answer to either question, screen is positive
- Over the past 2 weeks have you felt depressed or hopeless
- Over the past 2 weeks have you felt little pleasure in doing things
6
Q
Paternal PPD
A
- BEST PREDICTOR IS PARTNER WITH PPD
Other Risks
- History of Depression
- Younger than 25
- Low Socioeconomic Class
- Unmarried
- Inadequate Support
- Family/Social Stressors
7
Q
Signs of PPD
A
- Fatigue
- Frustration
- Anger/Irritability
- Indecisiveness
- Withdrawal from social situations
- Alcohol/Drugs
- Marital Conflict
- Partner Violence
- Somatic Symptoms
8
Q
PPD
A
- More serious and persistent than Postpartum Blues.
- Lasts longer than 2 weeks
- Intense fear/anger/anxiety/despondency
- Feelings of incompetency towards parenthood
9
Q
Post Partum Major Depression
A
- Loss of appetite or weird food cravings
- Binges with abnormal appetite
- Weight Gain
- Sleep Disturbances
- Irritability
- Detachment from Newborn
- Guilt and shame can cause women to have obsessive thoughts of harming their baby.
10
Q
Nursing Inteventions
A
- Education on signs of PPD and PPB is incredibly important
11
Q
Blues
A
- Sad, anxious and overwhelmed
- Crying, loss of appetite, difficulty sleeping
12
Q
Depression
A
- Same signs as blues but lasts longer (sad, anxious, overwhelmed)
- Maybe thoughts of harming themselves or baby
- Also may not have interest in the baby
13
Q
Psychosis
A
- Seeing or hearing things that are not there
- Feeling of confusion
- Rapid mood swings
- May try to hurt themselves or their baby
14
Q
WHEN TO CALL HCP
A
- Blues lasts longer than 2 weeks
- Depression gets worse
- Difficulty preforming tasks at home/work
- Inability to care for self or baby
- Thoughts of harming baby
15
Q
Postpartum Psychosis
A
- Most severe mood disorder postpartum
- Can be due to major depression and often associated with bipolar disorder (maniac-depressive)
SYMPTOMS
- Mania
- Depression
- Elevated energy, cognition, and mood
- One or more depressive episodes
