Mood and Affect Postpartum Affective/ Mood Disorders Flashcards
postpartum blues (baby blues)
-transient period of rapid cycling mood symptoms that usually occurs in the first 10 days after delivery (emotional liability)
symptoms of baby blues
-mild depressive symptoms: anxiety irritability, mood swings, tearfulness, increased sensitivity, difficulty thinking clearly, fatigue
manifestations of baby blues
-anorexia
-tearfulness
-difficulty sleeping and sadness
when do baby blue usually resolve?
10-14 days
do baby blues require treatment?
no
why is it so important to follow up with baby blues?
20% manifest into postpartum depression
PPD
-form of clinical depression
when does PPD become evident
within 1st 6 weeks
how Lon with PPD persist if untreated?
min of 6 months
onset of PPD
slow, usually within 1st 2-4 weeks
PPD risk factors
-hx of depression
-fam hx, genetic susceptibility
-1st pregnancy
-IPV, substance use
-low self-esteem
-young age (<25)
-chronic stressors
-anger or ambivalence towards pregnancy
-multifetal pregnancy
-lack of social support network
sx/s of PPD
-restlessness
-worthless
-guilty
-moody
-hopeless
-sad
-overwhelmed
-loss of enjoyment
-low energy
-loss of libido
is postpartum psychosis emergent?
yes
when does postpartum psychosis generally become evident?
as early as 48 hours after birth or by 3 months
what can postpartum psychosis lead to?
suicide or infanticide
