Depression in Perinatal Period Flashcards

1
Q

Postpartum blues

A

Tearfulness and feelings of distress that affect 50-80% of new mothers
Generally occurs between days 3-5 postpartum
Self limited and usually resolves within 2 weeks
Small percentage progresses to postpartum depression

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2
Q

Mean prevalence rate of postpartum depression

A

13%

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3
Q

Symptoms unique to postpartum depression

A

Lack of enjoyment in the baby
Difficulty sleeping when the baby is sleeping
Feelings of worthlessness and guilt related to parenting
Obsessive thoughts of harm occurring to the baby
If suicidal, may believe that the baby would be better off with another mother

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4
Q

Postpartum psychosis

A

More common in first time moms
Rapid onset, usually within 2 weeks of delivery for ~40 days
Psychiatric emergency requiring hospitalization
Symptoms: insomnia, mood fluctuations, obsessive concerns, severe mood symptoms, delusions, hallucinations, disorganized behaviour, confusion and perplexity

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5
Q

When do we screen for perinatal depression?

A

Between weeks 28-32 of pregnancy

Postpartum between 6-16 weeks

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6
Q

What screening tool is used for perinatal depression?

A

Edinburgh Postnatal Depression Scale

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7
Q

First line pharm treatment for perinatal depression

A

SSRIs

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