Post-maternal depression Flashcards
Score used
Edinburgh Postnatal Depression Scale
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
Baby blues
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
Postnatal depression
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)
Puerperal psychosis
Baby blues
Reassurance with health visitor
Postnatal depression
Same as baby blues
CBT
Sertraline or fluoxetine
Puerperial psychosis management
Admission to hospital is usually required, ideally in a Mother & Baby Unit
25-50% risk of recurrence