Perinatal Psychiatry Flashcards
What would necessitate an urgent referral to a specialist mental health team? (3)
- 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.
When should admission of a mother to a mother and baby unit be considered? (5)
- Rapid changing mental state.
- Suicidal ideation.
- Significant estrangement from their child.
- Pervasive guilt/hopelessness.
- Evidence of psychosis.
How long does baby blues typically last for?
3-10 days; generally self-limiting.
Which SSRIs have the lowest risk during the 3rd trimester?
Sertaline/fluoxetine
Which antipsychotic should be avoided at all times due to the risk of agranulocytosis?
Clozapine
Toxicity from which drug can mimic PET?
Lithium
What is the difference in risk of a neural tube defect when a mother is taking sodium valproate?
100-200/10000; rising from 6/10000
Apart from neural tube defects, what other risk does sodium valproate carry for the foetus?
- Craniofacial defects
- Effects on child’s intellectual development
What are some features of foetal alcohol syndrome? (6)
- Facial deformities
- Lower IQ
- Neurodevelopmental delay
- Hearing
- Heart defects
Is alcohol contraindicated in breastfeeding?
No; only if >8units a week.