Perinatal MEntal Health Flashcards
Impact of mental illness on preg?
Intrauterine growth restriction
Labour complications
More c-sections
More stillbirth, neonatal death
Failure to thrive
4 reasons when psychotropics are used in preg?
- Preg is not protective
- Relapse of schizo Common
- Antenatal depression
- Postnatal depression is common
Avoid what SSRI in preg?
Paroxetine Due to cardiac malformations
What effects if teratogen later in preg?
Neuro behavior
Motor
Cognitive development
What to do with babies of mothers with mental illness?
Preventive
Early intervention during critical periods: 0-3yo
What has profound influence on baby mental health?
Early attachment relationship
Mothers on SSRIs have risk of what in baby?
Persistent pulmonary hypertension
What 2 psychotropic drugs should not be used when breastfeeding?
Clozapine
Lithium
Longer half lives
Schizo affect fertility or women?
Nope
Childbirth impacts schizo women?
- More likely to relapse in postpartum and during preg
- Meds on the fetus/breast feeding
When does depression peak in preg?
T3 and falls after delivery
When does schizo and bipolar Dx happen in preg?
Usually predates preg
How much of the dose of meds show up in breast milk?
~10%
Antipsychotics teratogenic?
Little evidence
More dangerous not to treat
How to treat women with perinatal mental health probs?
Early treatment
Prevention
