Anxiety and depression in pregnancy

Question 1

How long does postpartum blue last

Answer 1

up to 2 weeks

Question 2

When does postpartum depression start and stop

Answer 2

begin about week 2 postpartum…
last up to 1 year postpartum

Question 3

When does postpartum psychosis start

Answer 3

begin in the first 3 months postpartum

Question 4

When does postpartum anxiety starts

Answer 4

immediately postpartum

Question 5

When does postpartum thyroiditis starts and ends

Answer 5

occurs 4-8 months after delivery
may last up to 9 - 12 months postpartum

Question 6

When does post-traumatic stress starts and end

Answer 6

Starts anytime and last a long time

Question 7

Symptoms of postpartum blues

Answer 7

Mood swing
anxiety
sadness
irritability
crying
feeling overwhelmed
reduced concentration
appetite problems
trouble sleeping

Question 8

symptoms of postpartum depression

Answer 8

Depressed mood
severe mood swings
Excessive crying
Intense irritability and anger
severe anxiety
difficulty bonding with baby
insomnia or sleeping too much
reduced interest in activities they used to enjoy
feeling of guild or inadequacy
Thought of harming self or baby

Question 9

symptoms of postpartum Anxiety

Answer 9

Constant or near constant worry that can’t be eased
feelings of dread about thing that will happen
sleep disruptions
racing thoughts
fatigue
heart palpitations
hyperventilation
sweating
nausea or vomiting
shakiness or trembling

Question 10

symptoms of postpartum thyroiditis

Answer 10

anxiety
insomnia
palpitations
fatigue
weight loss
irritability
weight gain
constipation
dry skin
depression
poor exercise
intolerance

Question 11

symptoms of post traumatic stress d/o

Answer 11

Recurrent and intrusive distressing recollections of the event
Recurrent distressing dreams and nightmares
flashbacks
intense psychological distress and/or psychological reactivity on exposure the resemble the traumatic event
Persistent avoidance of stimuli associated with event
Persistent symptoms or increase arousal

Question 12

Types of depression screening tool

Answer 12

Edinburg postnatal depression scale (EPDS):
10 question self rating scale

Post partum Depression screening scale (PDSS)
35 items self report tool

Question 13

Risks and benefits for psych medications

Answer 13

Risk of relapse of depression after discontinuing medications high substantial for women on medication if the dose is sub therapeutic
Women are advised t take the prescribed amount of medications to achieve remission of symptoms

Women who discontinue or reduce their dose of antidepressants are at a particularly high risk of prenatal depression:
However, if the initial depression was mild and the woman is motivated to implement lifestyle changes to reduce depression symptoms, this strategy can be appropriate

Withdrawal from a SSRI should be done slowly in a tapered fashion to avoid SSRI discontinuation syndrome
by 25% every 1-2 weeks