Perinatal mental health

Question 1

List 8 psychological interventions

Answer 1

Peer support, psychoeducation, counselling, psychodynamic psychothereapy, CBT, IPT, mindfulness, relationship interventions, mother infant-interactions

Question 2

List 8 risk factors for perinatal anxiety and depression, and a reference (Systematic review)

Answer 2

Lack of social or partner support, past history of mental illness, unwanted or unplanned pregnancy, past history of abuse or domestic abuse, adverse life events, high perceived stress, past or present pregnancy complications, pregnancy loss, multiple births, young age
(Biaggi et al, 2016)

Question 3

What may pre-conception interventions include?

Answer 3

1. Culturally relevant psychoeducation on mental health problems in pregnancy and postnatal period (with family and partner)
2. Reassurance: mental health problems are not uncommon in perinatal period, treatment can help
3. Treatment of emetophobia and tokophobia

Question 4

What are the possible interventions for prevention of PTSD in the perinatal period?

Answer 4

1. positive care in labour (1/3 due to negative caregiver relationships)
2. not having immediate critical incident debrief
3. Talking about the event after the trauma
4. Treatment of pre-existing trauma
5. Tretris interventino