post-partum depression

Question 1

What is postpartum depression

Answer 1

Sx start during pregnancy or w/in 4 weeks of delivery

5+ mood and cognitive Sx for 2 consecutive weeks (1 must be depressed mood or loss of interest in pleasure)

Question 2

What are postpartum blues

Answer 2

Sx start 2-3 days after delivery and RESOLVE w/in 2 weeks of onset
mild, self limited Sx
Don’t need a minimum # of Sx to diagnose!

Question 3

RF for postpartum depression are

Answer 3

Hx of depression 
increased post-natal stress 
Hx of PPD 
<25 y/o 
unintended or unwanted pregnancy 
poor self body image 
FHx of depression

Question 4

Cause of postpartum depression is

Answer 4

UNKNOWN!

may be w/w genetics or hormonal changes

Question 5

How do you screen for postpartum depression

Answer 5

Edinburgh postnatal depression scale

-this is to be done in all postpartum women regardless of Sx, 4-8 weeks after delivery

Question 6

What is the Edinburgh postnatal depression scale

Answer 6

10 questions
add numbers associated with each question
Not used to diagnose, just to screen
<10= Low risk

Question 7

Symptoms of depression include

Answer 7

• Depressed mood most of day, nearly every day
• Loss of interest or pleasure in most activities
• Insomnia or Hypersomnia
• Significant weight loss or gain (5% in 1 mo)/ decreased appetite
• Psychomotor retardation or agitation observable by others
• Fatigue, low energy
• Decreased ability to concentrate
• Thoughts of worthlessness or guilt
• Recurrent thoughts of death or SI

Question 8

How do you manage postpartum depression

Answer 8

refer to trained specialist
Inpt if SI/HI
SSRI’s

Question 9

How do you manage blues

Answer 9

self limited

increase support from family and healthcare providers