M3 ANX DPR Flashcards
In the puerperium, what percentage will develop a non-psychotic postpartum depressive disorder within 6 months of delivery?
15%
Prevalence of post partum blues
26-84%
Maternity blues peaks at what postpartum day?
4th-5th
Maternity blues normalizes by what postpartum day?
10
Management for maternity blues
Supportive treatment
Incidence of post partum depression
10-20%
Post partum depression is associated with the following EXCEPT
a. antenatal depression
b. smoking
c. unmarried status
d. old maternal age
D
Percentage of postpartum depression that is recurrent
70%
Percentage of women with postpartum depression that will develop depression 1 year later
25%
Postpartum woman with possible mood disorder and suicidal or homicidal thoughts. What is the next best step?
Immediate referral to psychiatrist or emergency department
Postpartum woman with possible mood disorder no suicidal or homicidal thoughts, but with psychotic symptoms. What is the management?
Consider tx with typical antipsychotic and co-manage with psych
Postpartum woman with possible mood disorder no suicidal or homicidal thoughts, currently with mania or bipolar disorder history but without psychotic symptoms. What medications should be give?
a. valproate
b. carbamazepine
c. lithium
d. typical antipsychotic
D
Specific cardiac teratogenic effect of lithium
ebstein anomaly
Major teratgenic effect of valproic acid
NTDs
Major teratogenic effect of carbamazepine
hydantoin syndrome