Perinatal Psychiatry Flashcards
what is the biggest cause fo death in women during the perinatal period?
suicide
maternal anxiety at 32/52 is associtaed with what in children?
emotional and mental difficulties in children aged 4-13yrs
why do most women present to psychiatry with antenatal depression?
antidepressants discontinued abruptly
what percetage of women relapse if discontinue antidepressants abruptly during pregnancy?
2/3rds
what is important to consider when prescribing psychotropics in pregnancy?
benefits and risk
avoid polypharmacy
use safer meds at lowest possible dose
what percentage of pregnancies are unplanned?
50%
80% in those with major mental illness
what are the congential abnormalities associated with valproate?
organ dysgenesis: nueral tube defects, limb defects, low birth weight, retarted psychomotor deveopment
why is valproate contraindicated in women of chil bearign age?
inc risk of PCOS
increases metabolism of COP
Neonatal withdrawl syndrome is associated with which drug type?
SSRIs
agitation, crying, poor feeding, v rarely seizures
how is neonatal withdrawal syndrome from SSRIs managed?
generally mild and self limiting
will resolve within day or two
how is postnatal depression defined?
any non-psychotic depressive episode occuring in teh first postnatal year
when is the peak occurence of postnatal depression?
6-8 weeks
what is puerperal psychosis?
severe manic/ pyschotic episode precipitated by childbirth
when do most women present with puerperal psychosis?
day 1
very abrupt onset
how is puerperal psychosis managed?
often requires admission to mother and baby unit for 6-8 weeks
