Post Natal Psychiatry

Question 1

What is used to screen for post natal depression?

Answer 1

Edinburgh post natal depression scale

Question 2

Maximum score of the Edinburgh scale

Answer 2

30

Question 3

What does the Edinburgh score indicate?

Answer 3

How the mother has been feeling over the previous week

Question 4

What does a score > 13 of the Edinburgh score indicate?

Answer 4

A depressive illness of varying severity

Question 5

Types of post natal psychiatric problems

Answer 5

Baby blues
Post natal depression
Puerperal psychosis

Question 6

What % of women get baby blues?

Answer 6

60 - 70%

Question 7

When does baby blues occur?

Answer 7

3 - 7 days following birth

Question 8

Who is baby blues more common in?

Answer 8

Pimigravids

Question 9

Presentation of baby blues

Answer 9

Anxious
Tearful
Irritable

Question 10

Management of baby blues

Answer 10

Reassurance
Support
Health visitor

Question 11

How many women are affected by post natal depression?

Answer 11

10%

Question 12

When does post natal depression start?

Answer 12

Within a month

Peaks at 3 months

Question 13

Presentation of post natal depression

Answer 13

Same as normal depression

Question 14

Management of post natal depression

Answer 14

Reassurance
Support
CBT 
SSRIs if symptoms severe
- sertraline
- paroxetine

Question 15

How many women are affected by peurperal psychosis?

Answer 15

0.2%

Question 16

When does puerperal psychosis occur?

Answer 16

First 2 - 3 weeks following the birth

Question 17

Presentation of puerperal psychosis

Answer 17

Severe swings in mood (similar to bipolar disorder)
Disordered perception (e.g. auditory hallucinations)

Question 18

Management of puerperal psychosis

Answer 18

Admission to hosp usually required

Question 19

Risk of puerperal psychosis reoccurring in future pregnancy

Answer 19

20%