Perinatal psychiatry Flashcards
Baby blues is completely normal. True or false?
True
Onset of baby blues
3-10 days post delivery
Baby blues - definition
Brief period of emotional instability
Baby blues - clinical features
Tearful Irritable Anxiety Poor seep Confusion
Baby blues - management
Reassurance
Puerperal psychosis - onset
Presents within 2 weeks of delivery
Puerperal psychosis - risk factors
Bipolar disorder
Previous Puerperal psychosis
First degree relative with hx of Puerperal psychosis
Puerperal psychosis - clinical features
Sleep disturbance
Confusion
Irrational ideas which come and go
Delusions
Puerperal psychosis - management
Needs admission to specialised mother-baby unit
Anti-depressants
Anti-psychotics
Mood stabilisers
Puerperal psychosis - some patients will go on to develop _______
Bipolar disorder
Puerperal psychosis is likely to recur if the woman has future pregnancies?
True
Post natal depression - onset
2-6 weeks postnatally
Post natal depression - how long does it usually last?
Weeks/months
Post natal depression - clinical features
Tearful Irritability Anxious Lack of enjoyment Poor sleep Weight loss
Post natal depression has an affect on bonding and child development. True or false?
True
Post natal depression - management if mild/moderate
Self help
Counselling
Post natal depression - management if moderate/severe
Psychotherapy
Antidepresants
When should mental health be screened for during pregnancy?
Throughout pregnancy
- starting at booking appointment
If someone with MILD depression becomes pregnant, should they stay on their medications?
Consider stopping treatment during pregnancy and refer for psychological treatment instead
If someone with MODERATE / SEVERE depression becomes pregnant, should they stay on their medications?
Yes, continue on treatments during pregnancy
Women who have been involved with opiate abuse cannot get opiates in labour. True or false?
False
- they can
