Post baby psychosis etc Flashcards
What percentage of mothers does postnatal depression occur in?
10-15%
What percentage of mothers does postnatal depression occur in?
10-15%
What percentage does puerperal psychosis occur in?
0.2%
What are the three clinical pictures puerperal psychosis can present like?
Delirius, affective (BAD and schizoaffective) or BAD
How many women get ‘maternity blues’ and when does this occur usually?
50%, 3-4 days post partum
How many women get post-natal depression and when does this occur?
10-15%, <1 month
How many women get puerperal psychosis?
0.2%, 7-14 days post-partum
What other drugs can be used?
Lithium, tryptophan and triiodothyronine, buspirone= 5-HT1 partial AGONIST…Prindolol- a beta blocker and 5-HT1 antagonist.
How is ECT thought to work in the brain?
Thought to decrease 5-HT1 and increase 5-HT2 receptors in the brain
What are the contraindications to ECT?
Raised ICP, Cardiovascular disease and dementing illness, epilepsy and other neuro disorders and cervical spine disease.
What percentage does puerperal psychosis occur in?
0.2%
What are the three clinical pictures puerperal psychosis can present like?
Delirius, affective (BAD and schizoaffective) or BAD
How many women get ‘maternity blues’ and when does this occur usually?
50%, 3-4 days post partum
How many women get post-natal depression and when does this occur?
10-15%, <1 month
How many women get puerperal psychosis?
0.2%, 7-14 days post-partum
