Perinatal psychiatry Flashcards
what is the risk of postnatal psychosis in a future pregnancy if it occurred in earlier one?
50%
is sertraline safe in pregnancy
yes
is carbamazepine safe in pregnancy
no
is lithium safe in pregnancy
avoid if possible but not a definite no
but NOT to be used if mother is breastfeeding
Are SSRIs teratogenic
no
what is tokophobia
extreme fear of childbirth / pregnancy
postnatal baby blues timing
days 3-10 self limiting
what percentage of women experience postnatal baby blues
50%
puerperal psychosis early symptoms
sleep disturbance and confusion
irrational ideas
puerperal psychosis symptoms
mania
delusions
hallucinations
confusion
puerperal psychosis management
- admit to mother-baby unit
- antidepressants, antipsychotics, mood stabilisers and ECT
what percentage of women experience postnatal depression
10%