Perinatal Psychiatry Flashcards
Which anticonvulsant drug is safest in pregnancy?
Lamotrigine
Which mood stabiliser is most likely to cause ebstenien anomoly in a baby? What is ebsteins anomaly?
Lithium
Ebstein’s anomaly is a congenital heart defect in which the septal and posterior leaflets of the tricuspid valve are displaced towards the apex of the right ventricle of the heart.
When is lithium contraindicated?
Breastfeeding
Which antipsychotic is contraindicated in breastfeeding?
Clozapine
Which is the best SSRI to use in a breastfeeding mother?
Sertraline
What % of women will suffer from post natal depression?
10%
How long after childbirth does post natal depression usually occur?
2 - 6 weeks
Which anxiolytic drugs should be avoided in pregnancy due to risk of cleft palate and neonatal withdrawal?
Benzodiazepines
What is the chance of a baby being affected by bipolar if its mum has bipolar?
1 in 7
Are antipsychotics considered to be safe or unsafe in pregnancy?
Safe
Which antipsychotic may cause extrapyramindal reactions in breast fed babies?
Olanzapine
Why should venlafaxine be avoided in pregnancy?
Risk of hypertension
Which SSRI puts the fetus most as risk of cardiac abnormalities?
Paroxtetine
How many women will get the baby blues?
50%
When does the baby blues usually start?
Day 3 - 10
