Perinatal Psychiatry Flashcards

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1
Q

What would necessitate an urgent referral to a specialist mental health team? (3)

A
  • Recent significant change in mental state or emergence of new symptoms.
  • New thoughts of violent self-harm.
  • New and persistent expressions of incompetency as a mother or estrangement from their baby.
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2
Q

When should admission of a mother to a mother and baby unit be considered? (5)

A
  • Rapid changing mental state.
  • Suicidal ideation.
  • Significant estrangement from their child.
  • Pervasive guilt/hopelessness.
  • Evidence of psychosis.
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3
Q

How long does baby blues typically last for?

A

3-10 days; generally self-limiting.

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4
Q

Which SSRIs have the lowest risk during the 3rd trimester?

A

Sertaline/fluoxetine

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5
Q

Which antipsychotic should be avoided at all times due to the risk of agranulocytosis?

A

Clozapine

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6
Q

Toxicity from which drug can mimic PET?

A

Lithium

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7
Q

What is the difference in risk of a neural tube defect when a mother is taking sodium valproate?

A

100-200/10000; rising from 6/10000

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8
Q

Apart from neural tube defects, what other risk does sodium valproate carry for the foetus?

A
  • Craniofacial defects

- Effects on child’s intellectual development

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9
Q

What are some features of foetal alcohol syndrome? (6)

A
  • Facial deformities
  • Lower IQ
  • Neurodevelopmental delay
  • Hearing
  • Heart defects
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10
Q

Is alcohol contraindicated in breastfeeding?

A

No; only if >8units a week.

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