Post-maternal depression

Question 1

Score used

Answer 1

Edinburgh Postnatal Depression Scale

Question 2

Seen in around 60-70% of women

Typically seen 3-7 days following birth and is more common in primips

Mothers are characteristically anxious, tearful and irritable

Answer 2

Baby blues

Question 3

Affects around 10% of women

Most cases start within a month and typically peaks at 3 months

Features are similar to depression seen in other circumstances

Answer 3

Postnatal depression

Question 4

Affects approximately 0.2% of women

Onset usually within the first 2-3 weeks following birth

Features include severe swings in mood (similar to bipolar disorder) and disordered perception (e.g. auditory hallucinations)

Answer 4

Puerperal psychosis

Question 5

Baby blues

Answer 5

Reassurance with health visitor

Question 6

Postnatal depression

Answer 6

Same as baby blues
CBT
Sertraline or fluoxetine

Question 7

Puerperial psychosis management

Answer 7

Admission to hospital is usually required, ideally in a Mother & Baby Unit
25-50% risk of recurrence