mental issues in pregnancy Flashcards

Students will be able to describe the course of major depression and bipolar disorder during pregnancy. • Students will be able to discuss the impact of maternal mental illness on obstetrical, neonatal, and infant outcome. • The students will be able describe, through use of clininical cases, how clinical care can require (this will be interactive in class) – – liaison across multiple specialties – importance of basic pharmacology/physiology – complex decision making by balancing risks/benefits

1
Q

comorbidites with depression with women

A

panic disorder
GAD
Bulimia nervosa
thyroid disease
migraines
fibromyalgia

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2
Q

comorbidites with depression with men

A

hx of substance abuse
OCD
passive-aggressive disorder
antisocial personality disorder
paraphillias

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3
Q

risk factors for suicidal/homicidal idealation in pregnant women

A

current depresion
co-morbid anxiety disorder
unplanned pregancy

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4
Q

most common time for psych admissions within two years

A

immediatly after childbirth

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5
Q

pregnancy related mental condition considered medical emergency

A

post partum psychosis

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6
Q

highest clinical predictors of post-partum depression

A

MMD during pregnancy and/or past hx of postpartum depression, hx of bipolar disorder

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7
Q

leading cause ot maternal mortality in north america

A

postpartum suicide

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8
Q

maternal mental illnesses that improve during pregancy

A

eating disorders, mild substance abuse, panic disorder

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9
Q

maternal mental illnesses that worsen during pregancy

A

OCD

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10
Q

maternal mental illnesses that improve after pregancy

A

mild substance abuse

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11
Q

maternal mental illnesses that worsen after pregancy

A

OCD, bipolar, psychotic disprders, eating disorders

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12
Q

prenatal depression can cause what in the kid

A

agression, child behavioral problems

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13
Q

pretanal anxiety can cause what in the kid

A

ADHD, agression/conduct disorders, child anxiety

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14
Q

maternal biochemical that can have effect on child mental issue

A

glucocorticoids

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15
Q

term for the effect of maternal mental health on child wellness

A

intrauterine programming

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16
Q

reason so many drugs can have a large effect of the fetus

A

placenta has lots of p450 enzymes

17
Q

associated with increased risk of respiratory distress and low birth weight

A

SSRI

18
Q

drug that should be very cautiously given to lactating mothers

A

lithium

19
Q

critical time frames in human development

A

weeks 1-8

20
Q

drug ALL pregnant women should take

A

folic acid

21
Q

drug class that should be rarely, if ever given to pregnant women

A

anti epileptics

22
Q

strong evidence that untreated what can have an adverse effect on offspring

A

depression