Perinatal Psychiatry Flashcards
risks to the child for untreated mental health
low birth weight
pre-term
adverse childhood outcomes
poor bonding
first line drugs for depression in pregnancy?
SSRIs
choice of SSRIs in pregnancy
= sertraline has least placental exposure
= fluoxetine safest (been around longest)
what SSRI do you not use in pregnancy?
paroxetine as risks congenital cardiac malformations
presentation of third day blues
emotionally labile
lasts <1 weeks
responds to support
presentation of post-natal depression
peaks days 2-4 and days 10-14
presentation of puerperal psychosis
3-14 days post-birth confusion anxiety restlessness paranoia hallucinations delirium
management of puerperal psychosis
exclude sepsis
referral
what are second generation antipsychotics associated with in pregnancy?
GDM
first line antipsychotics in pregnancy
olanzapine
quetiapine
is there a safe mood stabiliser in pregnancy?
no
what are valproate and carbamazepine associated with in pregnancy?
neural tube defeccts
what can lithium cause in pregnancy?
1st trimester Ebstein’s anomaly (tricuspid valve does not form properly)
first line for anxiety in pregnancy
SSRIs
why do you not use BZDs in pregnancy?
3rd trimester risks floppy baby
