Depression in pregnancy

Question 1

Define depression in pregnancy.

Answer 1

Depression which can occur during pregnancy.

Question 2

Explain the aetiology/risk factors of depression in pregnancy.

Answer 2

History of depression

Fhx of depression

Question 3

Summarise the epidemiology of depression in pregnancy.

Answer 3

1 in 10 women have antenatal depression

Question 4

Recognise the presenting symptoms of depression in pregnancy.

Answer 4

Feeling down

Loss of appetite

Difficulty sleeping

Irritability

Question 5

Recognise the signs of depression in pregnancy on physical examination.

Answer 5

PHQ-9 can be helpful

Question 6

Generate a management plan for depression in pregnancy.

Answer 6

SSRIs: sertroline and citalopram

SNRIs

TCAs

Question 7

Identify the possible complications of depression in pregnancy and its management. Summarise the prognosis for patients with depression in pregnancy.

Answer 7

May reoccur in subsequent pregnancies, usually resolve in a few months.