Perinatal Mental Health

Question 1

what are the most common presentations of perinatal mental health

Answer 1

Baby blues 50-80%
Antenatal depression 10-15%
Postnatal depression 10-15%
Disorders of mother/infant attachment 18%
Postpartum relapse in known BPAD 50-67%
Risk of recurrent post-partum psychosis 50-90%

Question 2

what are the 3 depressive disorders

Answer 2

Antenatal Depression
Baby Blues
Postnatal Depression

Question 3

how quickly does post partum psychosis occur

Answer 3

It starts suddenly in the days, or weeks, after having a baby.

It can last several weeks

Question 4

what are some of the risk factors of post partum psychosis

Answer 4

PSYCHIATRIC HISTORY
FAMILY PSYCHIATRIC HISTORY
FIRST CHILD

Hormonal
Genetic
Thyroid Dysfunction

Question 5

what are some of the symptoms of PPP

Answer 5

feeling ‘high’, ‘manic’ or ‘on top of the world’.
low mood and tearfulness.
anxiety or irritability.
rapid changes in mood.
severe confusion.
being restless and agitated.
racing thoughts.
behaviour that is out of character.

Question 6

what 2 drugs should not be used in pregnancy to treat a depressed mood

Answer 6

progesterone and sodium valproate

Question 7

which antidepressant is most commonly used for pregnant mothers

Answer 7

fluoxetine

Question 8

what medications can you not breast feed on

Answer 8

clozapine, lamotrigine, lithium