197b peripartum depression

Question 1

major depression

Answer 1

2 weeks, most days
depressed mood
diminished interest/pleasure
psychomotor change
weight change
sleep changes
etc...

Question 2

Rx length

Answer 2

+6 months after wellness for single episodes

3 episodes - need maintenance therapy

Question 3

depression and preg

Answer 3

overweight/obesity
prenatal care compliance
alcohol and drugs
ect

Question 4

psychotherapy

Answer 4

uses brain to creat dysfunction of thoughts

Question 5

antidepressants

Answer 5

SSRI
TCA
SNRI

Question 6

preg and stopping drugs

Answer 6

women who stopped drugs suffered recurrent major depressive disorder more often

Question 7

birth defects

Answer 7

SSRI - maybe very small elevated risk

MDD has preterm birth risks by itself

no effect on growth rate post birth

Question 8

neuro development and antidep

Answer 8

no relation for SSRI

Question 9

environemntal rx

Answer 9

bright light therpay

aerobic exercise

acupuncture

Question 10

postpartum depression

Answer 10

not the baby blues (gone by 10 days)

PDD peaks 1st 3 months post birth

Question 11

postpartum psychosis

Answer 11

rapid onset
delusions, hallucinations
dipolar disorder
rx- Lithium

Question 12

screening for depression post birth

Answer 12

required in IL

help with attachment

Question 13

breast feeding and anti depr

Answer 13

its fine