Perinatal Mental Health Flashcards
1
Q
The ‘pinks’
A
Normal phenomena Excitement and euphoria Talkative and overactive Insomnia 1st 48 hours post partum Resolves by itself
2
Q
The ‘Blues’
A
Emotional lability and tearfulness Mild anxiety Irritability 50-80% postpartum Day 3-10 Generally mild Lasts 48 hours Hormonal changes
3
Q
Postnatal depression clinical features
A
Developers within 3m Lasts 2-3m 10% of births Increased risk if previous Low mood Loss of pleasure Fatigue Suicidal ideation Anxiety about babies health Reduced affection for baby Infanticidal thoughts
4
Q
Management of post natal depression
A
Primary care -> midwives and health visitors Mother and baby groups Relationship counselling Problem solving Antidepressants for more severe ECT if really bad Most women respond to standard treatment 50% chance of recurrence
5
Q
Puerperal psychosis
A
0.2% population risk Rapid onset 4 days to 3 weeks post partum Insomnia and restlessness Perplexicity and suspiciousness Marked psychotic symptoms Fluctuate Often retain some insight 50% risk of recurrence -> asses risk and manage 75% recover in 6w
6
Q
Indications for referral
A
Previous or current: -schizophrenia -bipolar -postpartum -severe depression On mood stabilisers FH
