Perinatal Psychiatry Flashcards
What timeline does baby blues occur on?
a few days after birth, lasts up to a week
How common is baby blues?
VERY common
up to 75% of women experience it
What is mood like in baby blues?
Labile, all over the place
Weepy, irritable, muddled
Trouble sleeping
How do you treat baby blues?
Explanation and reassurance
How many mothers suffer of postnatal depression?
1 in 10
What are RF for postnatal depression?
Personal/FH of PND/depression Young maternal age Recent life events Marital discord Poor social support
What is the presentation of postnatal depression?
Similar to normal depression
What symptoms should you focus on for postnatal depression? Why?
Focus on the COGNITIVE symptoms
BIOLOGICAL symptoms occur physiologically post partum
Where you admit a woman with severe postpartum depression?
Mother and Baby Unit
As you need to avoid separation if possible
When does postnatal psychosis?
2 weeks after childbirth
What are RF for postnatal psychosis?
Personal/family hx of postnatal psychosis / BPAD
Postnatal infection
Obstetric complications
What are symptoms of postnatal psychosis?
Delusions (usually paranoid e.g. that nurse is trying to kill baby)
Abnomal perception /hallucination
Affective e.g. mania
What are red flags for post partum psychosis?
Abnormal delusional beliefs / hallucinations
Thoughts / plants or intent off harm to self or baby
Sudden loss of bond with baby
What antidepressant is safe to prescribe in breastfeeding
Amyltriptiliine low. dose
