Postnatal depression

Question 1

What is postnatal depression?

Answer 1

Characterised by low mood in the postnatal period (within first 3 months)

Question 2

Usual onset of postnatal depression?

Answer 2

1-4 weeks postpartum

Question 3

Risk factors for postnatal depression?

Answer 3

• Family or personal history of depression or anxiety
• Complicated pregnancy
• Traumatic birth
• Relationship difficulties (including domestic violence)
• History of abuse or trauma
• Lack of support
• Financial difficulties

Question 4

Clinical features of postnatal depression?

Answer 4

Low mood

Anhedonia (lack of pleasure in activities)

Anergia (low energy)

Question 5

What is the difference between postnatal depression and “baby blues”?

Answer 5

“baby blues” do not last for more than 2 weeks after giving birth.

Question 6

Management of mild postnatal depression cases?

Answer 6

Managed with additional support, self-help and GP follow-up.

Question 7

Management of moderate postnatal depression cases?

Answer 7

Managed with antidepressant medications (e.g. SSRI’s) and CBT (cognitive behavioural therapy).

Question 8

Management of severe postnatal depression cases?

Answer 8

May require input from specialist psychiatry services, in rare cases inpatient care on mother and baby unit may be required.