Perinatal psychiatry Flashcards

1
Q

What 3 main conditions should you consider when evaluting a woman’s pyschological symtoms who has just given birth?

A
  • Postnatal blues
  • Postnatal depression
  • Puerperal psychosis
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2
Q

Symptoms of post natal blues?

A

Typical sx:

  • emotional lability
  • tearfulness
  • mild anxiety
  • irritability

Sx generally mild and not pervasive

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3
Q

How common is postnatal blues?

When does it occur?

How long does it last?

A
  • Common occurrence in postpartum period, 50-80%
  • Most frequently present about Day 5 but usually present between Day 3 to 10
  • The Blues generally last 48 hours and no specific treatment is required
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4
Q

What causes postnatal blues?

A

Attributed to hormonal changes in combination with physical and emotional exhaustion

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5
Q

What are risk factors for postnatal depression?

A
  • If woman has suffered previous severe depressive illness or PND illness, risk of developing a further illness following this delivery is around 50%
  • Depression history
  • Psychiatric disorders
  • Traumatic birth/pregnancy
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6
Q

When does postnatal depression occur?

A
  • Peak onset b/w 2-4w postpartum
  • secondary peak around 3m postpartum
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7
Q

How long does it take to recover from postnatal depression?

A
  • With prompt and appropriate treatment 2/3 of illnesses will resolve within 2-3m
  • Without treatment, it can take 6m or longer to recover
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8
Q

How is puerperal psychosis characterised?

A

Sudden onset of:

  • behavioural disturbances
  • hallucinations
  • delusions
  • fear
  • perplexity
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9
Q

What does puerperal psychosis occur?

A
  • 50% present by day 7
  • 75% present by day 16
  • 95% present by day 90
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10
Q

What is the risk of post-partum pychosis if the patient has Bipolar Disorder or previous postpartum psychosis

A

50%

(99% of postpartum psychoses are either bipolar or schizoaffective disorder)

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