Obs - Mental Illness

Question 1

when do the baby blues happen?

Answer 1

3-10days post partum

Question 2

features of baby blues? Tx?

Answer 2

tearful
anxious
irritable
poor sleep

reassure

Question 3

when does puerpal psychosis happen?

Answer 3

2 weeks after birth

Question 4

features of puerpal psychosis?

Answer 4

confused
delusions
hallucinations
mania
sleep disturbance

Question 5

Tx for puerpal psychosis?

Answer 5

admit to unit
antidepressants + antipsychotics
mood stabilisers
may need ECT

Question 6

when does PND happen after birth?

Answer 6

2-6weeks

Question 7

features of PND?

Answer 7

tearful
irritable
anxious
lack of enjoyment
poor sleep
concerns for baby

Question 8

Tx for PND?

Answer 8

CBT

anti depressants

Question 9

what are those who have PND at risk of?

Answer 9

risk of poor child bonding

risk of depression in later life

Question 10

what SSRIs are safe during pregnancy?

Answer 10

sertraline

Question 11

what SSRI is harmful to baby? what can it cause?

Answer 11

paroxetine

cardiac abnoralities
PPHt

Question 12

what is sodium valproate at risk of giving to babies?

Answer 12

NTD

Question 13

what can carbemazepine do to babies?

Answer 13

NTF
facial dysmorphia
fingernail hypoplasia

Question 14

what is lamotrigine at risk of doing to babies?

Answer 14

clef palate

SJS

Question 15

can Li be used when breastfeeding?

Answer 15

no

Question 16

what can Li do to babies?

Answer 16

ebstein’s abnormality
hypotonia
hypothyroid
hypoglycaemia

Question 17

can antipsychotics be used when breastfeeding?

Answer 17

yes but monitor fetus

Question 18

what can antipsychotics do to babies?

Answer 18

growth restrict

Question 19

what are the 1st/3rd trim risks when using benzos?

Answer 19

1st - malformations

3rd - floppy baby (hypothermia, hypotonia, low RR)