Mental health issues and reproduction

Question 1

Perinatal mental health disorders

Answer 1

• Relapse of pre-existing disorder
• Exacerbating pre-exisiting subclinical difficulties
• Postpartum/Puerperal Psychosis

Question 2

Suicide in peripartum

Answer 2

• pregnancy somewhat protective
• r/f: postpartum, mental illness, violence
• risk of associated infanticide

Question 3

Perinatal anxiety and depression

Answer 3

Baby blues (postpartum depression)

• persistence of untreated symptoms up to 4-years postpartum
• prevalence 6 weeks postpartum: 13%
• prevalence 32 weeks: 16%
• 1/3 antenatal depression persist to postpartum depression