Chapter 31

Question 1

what are Perinatal mood disorders (PMDs)

Answer 1

a set of disorders that can occur any time during pregnancy as well as in the first year postpartum and can include depression (PPD), anxiety, obsessive-compulsive disorder, posttraumatic stress disorder (PTSD), and postpartum psychosis

Question 2

Treatment for perinatal mood disorders

Answer 2

antidepressants
cognitive behavioral therapy (CBT)
interpersonal psychotherapy

Question 3

examples of anxiety disorders

Answer 3

Obsessive-compulsive disorder (OCD)
PTSD
Generalized anxiety disorder
Panic disorder
Agoraphobia and other phobias

Question 4

what is agoraphobia

Answer 4

scared to leave house, scared of public places

Question 5

what is an anxiety disorder

Answer 5

Characterized by prominent symptoms of anxiety that impair functioning

Question 6

Treatment for anxiety disorders in pregnancy

Answer 6

Benzos ( associated with abuse and dependence)
Cognitive therapy
SSRIs (first line of therapy)

Question 7

treatment for anxiety disorder in pregnancy

Answer 7

Cognitive therapy
Benzodiazepines are Associated with abuse and dependence , Increases the risk of oral cleft and floppy infant syndrome
SSRIs - first-line therapy

Question 8

symptoms of postpartum depression w/o psychotic features

Answer 8

Sad, withdrawn, not bonding with baby, not taking care of themselves

Question 9

symptoms of Postpartum depression with psychotic features

Answer 9

delusions, hallucinations, dissociate
Safety is primary concern , inpatient will be 1 on 1 , wont leave alone with infant, sitter

Question 10

Postpartum depression

Answer 10

Experienced by 10% to 15% of postpartum women
Cause can be biologic, psychologic, situational, or multifactorial
Poor nutrition
Complications of pregnancy and birth increase the risk for PPD

Question 11

Commonly abused drugs in pregnancy

Answer 11

Tobacco
Alcohol
Marijuana
Cocaine
Methamphetamine
Opioids
Prescription drugs