Perinatal mental health disorders Flashcards
What does the perinatal period cover? [1]
Pre-conception
Pregnancy
Childbirth
Up to 2 years after childbirth
What is the difference in anxiety and depression between men and women? [1]
Give three reasons
Women are three times more likely to suffer from anxiety and depression than men
- Biological predisposition
- Social gender-related issues
- Menstruation, pregnancy, postpartum, menopause
Describe what normal perinatal mental health is like
4/5 women will go through with minor or no mental health issues
Can care, bond and develop w baby
What is phenomena of ‘baby pink?’ [1]
1/10 mothers - postpartum euphoria, hypomania and intense feeling of happiness and elation for a couple of weeks
Describe the difference between secure attachment style and insecure attachment style [2]
- Include defintions for insecure avoidant and insecure ambivalent
How many new mothers will suffer from perinatal mental health disorders? [1]
When is the highest risk period? [1]
10-20%
- Highest risk is 3-6 weeks post natally
What are the risk of children born to women with perinatal mental health disorders? [3]
- Increased risk of premature or LBW
- They internalise and externalise behaviour problems
- Have poor performance at school
Describe a risk factor for perinatal depression [1]
Among mothers with poor external support
When does post-natal depression most likely occur? [1]
0-6 weeks after birth
What is the treatment for post-natal depression? [3]
What screening tool is used? [1]
Tx:
* Antidepressants
* Psychotherapy
* ECT
Screening: Edinburgh Postnatal Depression Tool
Describe the symptoms of post-partum psychosis [4]
Acute onset of florid psychotic symptoms:
- delusions
- hallucinations
- mixed mood
- confusion
What is a key risk factor of post-partum psychosis? [1]
How long will people make a recovery from this? [1]
Bipolar is key risk factor
Most people will recover in 6-12 months
What are key questions need to ask in a history of a perinatal mental health patient? [3]
View of pregnancy and baby
How coping as a mother
Interaction with unborn / infant baby
What questions in general history do you need to ask in a clinical assessment of perinatal mental health patient? [3]
Fhx / hx of similar episodes
Previous pregnancies and breastfeeding
Level of function
What questions in about risk do you need to ask in a clinical assessment of perinatal mental health patient? [3]
Significant changes in mental state
New thoughts or acts of violent self harm
Expressions of incompetency
Estrangement from child
From history taking sessions:
What are three key questions need to ask about in a post-partum depression patient? [2]
2 cardinal features of post-partum depression need to address;
- Feelings of guilt and shame
- Ilccit these when look at others - e.g. how do you feel when you see other mothers?
- Feelings of detachment from the baby
- Do you feel love for your child? Do you feel disconnected?
Need to ask about risk
- do you ever feel like it would better that baby is without you?
- AND
- have you ever had feelings (fleeting) of not having baby
How old can a baby be that they can be admitted with mum in MBU? [1]
What is risk of pyschotropic drugs going into breast milk? [1]
All psychotropic drugs go into breast milk
Which drugs are contraindicated in pregnancy? [2]
Carbamazapine
Valproate
What are the physiological changes in pregnancy that affect PK of lithium, methadone and escitalopram.
How would you adjust the doses for this? [3]
