Perinatal psychiatry Flashcards

1
Q

Baby blues is completely normal. True or false?

A

True

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2
Q

Onset of baby blues

A

3-10 days post delivery

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3
Q

Baby blues - definition

A

Brief period of emotional instability

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4
Q

Baby blues - clinical features

A
Tearful 
Irritable 
Anxiety
Poor seep 
Confusion
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5
Q

Baby blues - management

A

Reassurance

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6
Q

Puerperal psychosis - onset

A

Presents within 2 weeks of delivery

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7
Q

Puerperal psychosis - risk factors

A

Bipolar disorder
Previous Puerperal psychosis
First degree relative with hx of Puerperal psychosis

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8
Q

Puerperal psychosis - clinical features

A

Sleep disturbance
Confusion
Irrational ideas which come and go
Delusions

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9
Q

Puerperal psychosis - management

A

Needs admission to specialised mother-baby unit
Anti-depressants
Anti-psychotics
Mood stabilisers

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10
Q

Puerperal psychosis - some patients will go on to develop _______

A

Bipolar disorder

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11
Q

Puerperal psychosis is likely to recur if the woman has future pregnancies?

A

True

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12
Q

Post natal depression - onset

A

2-6 weeks postnatally

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13
Q

Post natal depression - how long does it usually last?

A

Weeks/months

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14
Q

Post natal depression - clinical features

A
Tearful
Irritability 
Anxious 
Lack of enjoyment 
Poor sleep
Weight loss
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15
Q

Post natal depression has an affect on bonding and child development. True or false?

A

True

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16
Q

Post natal depression - management if mild/moderate

A

Self help

Counselling

17
Q

Post natal depression - management if moderate/severe

A

Psychotherapy

Antidepresants

18
Q

When should mental health be screened for during pregnancy?

A

Throughout pregnancy

- starting at booking appointment

19
Q

If someone with MILD depression becomes pregnant, should they stay on their medications?

A

Consider stopping treatment during pregnancy and refer for psychological treatment instead

20
Q

If someone with MODERATE / SEVERE depression becomes pregnant, should they stay on their medications?

A

Yes, continue on treatments during pregnancy

21
Q

Women who have been involved with opiate abuse cannot get opiates in labour. True or false?

A

False

- they can