Chapter 18: Postpartum Psychosocial Adaptations Flashcards

1
Q

Postpartum Blues

A

Mild transient, self-limiting condition**

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2
Q

Postpartum Blues: Timeframe

A

-Begins in the first week, peaks around day 5 and ends within 2 weeks.

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3
Q

If postpartum blues lasts longer than two weeks,

A

It may indicate a more serious condition.

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4
Q

Postpartum blues may be a result of:

A

▪ Emotional letdown that occurs after birth
▪ Postpartum discomforts
▪ Fatigue & anxiety about her ability to care for the infant
▪ Body image concern

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5
Q

What are symptoms of postpartum blues?

A
FIIT-MA
o	Fatigue
o	Irritability
o	Insomnia
o	Tearfulness 
o	Mood instability
o	Anxiety
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6
Q

Nursing Psychosocial Assessment: Postpartum blues

A
  • Although self limiting, mother’s greatly benefit when empathy and support are freely given by health care team and family.
  • Because the condition is so common in postpartum women, caregivers or family members may not be as empathetic as they would for a condition deemed more serious.
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7
Q

A mother with postpartum blues should be encouraged to

A

Rest, take time for herself and discuss her feelings.

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8
Q

Patient Teaching: Postpartum blues

A
  • Reassure that such feelings are normal and generally lasts less than 2 weeks.
  • Advise patient and family to call HCP if depression becomes severe or lasts longer than 2 weeks or if she is unable to cope with daily life.
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9
Q

Postpartum blues is NOT R/T

A

Postpartum depression and postpartum psychosis which are disabling conditions and require therapeutic management for full recovery.

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10
Q

Postpartum depression: Timeframe

A
  • Onset during pregnancy or within 4 weeks after childbirth that lasts at least 2 weeks.
  • Usually develops during the first 3 months but may occur any time during the first year postpartum.
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11
Q

What causes postpartum depression?

A
  • More likely in primigravidas

- Cause is unknown

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12
Q

Theories for postpartum depression include

A

Biochemical
Genetic
Psychosocial Factors
Life stress

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13
Q

Symptoms of Postpartum depression include

A

o Depressed with loss of interest in usual activities
o Unusual emotional response toward family
o PERSISTENT depressed state; for at least a 2 week period & worsens over time. **
o Intense feelings of anxiety, unworthiness, guilt, agitation, and shame/loss of self
o Generalized: fatigue irritability, c/o ill health
o Difficulty concentrating, making decisions, little interest in food, weight change, recurrent thoughts of death or suicide

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14
Q

Therapeutic Management of Postpartum Depression includes a combination of:

A

o Psychotherapy
o Social support
o Medication

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15
Q

What are common medications used in postpartum depression?

A

▪ Serotonin reuptake inhibitors

▪ Tricycline antidepressants

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16
Q

How often are medications taken to treat postpartum depression?

A

▪ Takes up to 4 weeks to be fully effective

▪ Continued 9-12 months after remission of symptoms

17
Q

Edinburg Postnatal Depression Screen

A

· is a 10-item questionnaire identifying women who have PPD.
· Items of the scale correspond to various clinical depression symptoms