Lecture 9 - Perinatal Mood Disorders Flashcards
What differentiates baby blues from a mood disorder?
Baby blues does not impair daily function and symptoms resolve within 2 weeks.
–> Does not require treatment, but can benefit from support
Persistently lasting longer than 2 weeks and impairing function meets diagnostic criteria for depression
When does baby blues usually begin?
3-5 days after childbirth
When do perinatal mood disorders usually begin?
Within the first 12 weeks postpartum.
What are some risk factors for perinatal mental illness?
Perinatal loss, IPV, history of mental illness.
What are the key problems with perinatal mood disorders?
They interfere with attachment to the newborn and family integration.
They may also threaten safety and well-being of the mother, newborn, and other children.
How do perinatal mood disorders affect partners?
10-25% of partners* develop postpartum anxiety and/or depression
*This is from the slides. The textbook specifies “male partners” so i guess the lesbians are safe
What might be the focus of psychotherapy for perinatal depression?
Focus on fears and concerns of new responsibilities and roles, monitoring for suicidal or homicidal thoughts
How can we provide anticipatory guidance for perinatal mood disorders?
Establish a culture of safety and talking about mental health. Involve partner and family members.
Teaching: S&S, difference between baby blues/mood disorders, prevention
Provide written resources + communicate where to find information and support
When is the usual onset of postpartum psychosis?
Within 2 weeks of birth
What is the Edinburgh Postnatal Depression Scale?
A screening tool for PPD
What are the three steps of perinatal mood disorder care?
- Provide anticipatory teaching
- Assess new mothers mental health
- Make referrals when necessary
PPD is more common in which population?
Vulnerable or otherwise at risk d/t psychosocial factors - younger women with less support.
