post natal depression Flashcards
1
Q
baby blues
A
> 50% woman in first week or so after birth
2
Q
baby blues - symptoms
A
mood swings low mood anxiety irratible tearfullness
3
Q
baby blues - due to combo of
A
hormonal changes recovery from birth fatigue sleep deprivation new responsibility establishing feeding
4
Q
baby blues - management
A
symptoms usually mild and resolve within 2wks
no treatment required
5
Q
postnatal depression.- features
A
low mood
anhedonia
low energy
symptoms should be present 2+ weeks
6
Q
postnatal depression.- Mx mild cases
A
additional support
self help
GP followup
7
Q
postnatal depression.- Mx moderate cases
A
SSRI
CBT
8
Q
postnatal depression.- Mx severe cases
A
psychiatric input
Mother and baby unit
9
Q
Edinburgh Postnatal Depression Scale
A
score 10+ suggests PN depression
10
Q
Puerperal Psychosis
A
delusions hallucinations depression mania confusion thought disorder
11
Q
Puerperal Psychosis Mx
A
admission to mother and baby unit SSRI antidepressant antipsychotic mood stabilisers ECT
