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Post natal Flashcards

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1
Q

What are the clinical features of post natal depression? (2)

A

POST PARTUM DEPRESSION

  • Same features in depression but within 6 months of birth (peak at week 3-4)
  • Worries about the baby or ability of cope (unrealistic- “I’m not doing good enough)
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2
Q

What should you always check for in post partum mental health?

A

Always ask about harming the baby in post partum mental health

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3
Q

What score is used to assess post partum depression?

A

Edinburgh post natal depression score is used to assess post partum depresison

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4
Q

Management of post partum depression?

A

POST PARTUM DEPRESSION

REASUURE

  • its common (10%) and not because you’re a bad mum
  • wont affect your future relationship with baby
  • Special perinatal psych teams
  • SSRI (important to ask if breast feeding)
  • Low threshold for admission (mum and baby unit)
  • 50% recurrence of depression
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5
Q

Symptoms of post partum psychosis? (6)

A

Delusions/hallucinations and..

  • mood effected
  • suicididal/infanticidal ideation
  • dazed/disorientated (louis Theroux)
  • lability
  • Insomnia
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6
Q

Risk factors for post partum psychosis?

A

RISK FACTORS POST PARTUM PSYCHOSIS

Biological

  • PPH or FH of serious mental illness (psychotic depression, schizophrenia, BAD)
  • PPH of post partum psychosis

Psychosocial
-Lack of support (single parent)

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7
Q

Management of post partum psychosis

A
  • Admitted to mother baby unit together
    • Olanzapine is the best anti psychotic
      • ECT can be used
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8
Q

Why cant you give lithium in pregnancy?

A

Lithium can cause Epstein’s cardiac abnormality (tricuspid valve regurgitation)

Olanzapine/quetiapine anti psychotic mood stabilizers could be used as alternatives

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9
Q

Is Carbemazepine safe in pregnancy?

A

no

• 3% chance of defects
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10
Q

Why cant you give sodium valporate in pregnancy?

A

Sodium valporate can cause neural tube defects -NEVER GIVE TO WOMEN AT CHILD BEARING AGE

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11
Q

What are good antipsychotics to give in pregnancy?

A

Olanzapine or quetiapine are good alternatives in pregnancy if benefit outweighs risk

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12
Q

How do the timings for baby blues/PN depression/PN psychosis differ?

A

Baby blues: few weeks
PN depression: up to 1 year
PN psychosis: 1st 3 months

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Psych (22 decks)

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