Postnatal_Depression_Flashcards

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1
Q

What precautions should be taken with antidepressants in breastfeeding mothers with postnatal depression?

A

Antidepressants can be secreted in breast milk, so certain medications are avoided and others are preferred. Specialist advice should be sought if unsure.

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2
Q

Which SSRIs are recommended for breastfeeding mothers with postnatal depression?

A

Sertraline and paroxetine are recommended SSRIs for breastfeeding mothers with postnatal depression.

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3
Q

Which low-dose tricyclic antidepressant is probably safe for breastfeeding mothers with postnatal depression?

A

Low-dose amitriptyline is probably safe for breastfeeding mothers with postnatal depression.

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4
Q

Which medications should be avoided in breastfeeding mothers with postnatal depression?

A

Lithium and sodium valproate should be avoided in breastfeeding mothers with postnatal depression.

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5
Q

When should hospital admission be considered for postnatal depression?

A

Hospital admission should be considered if postnatal depression is severe with suicidal or infanticidal ideation.

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6
Q

What is the optimal setting for hospital admission in severe postnatal depression?

A

The optimal setting for hospital admission in severe postnatal depression is a Mother and Baby Unit (MBU).

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7
Q

How quickly do most women respond to treatment for postnatal depression?

A

Most women respond well to treatment within a month.

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8
Q

What psychological therapies have been proven to reduce postnatal depression?

A

Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT) have been proven to reduce postnatal depression.

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9
Q

Why is early and effective treatment of postnatal depression important?

A

Early and effective treatment of postnatal depression is important because it can affect the baby’s attachment and have lasting effects on development and personality.

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10
Q

What additional support is important for mothers with postnatal depression?

A

Ongoing social support for the mother, baby, and family is important.

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11
Q

What role do health visitors play in the follow-up period for postnatal depression?

A

Health visitors play a role in monitoring the progress of the mother and baby during the follow-up period.

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12
Q

What should be considered if postnatal depression is severe?

A

Consider admission to a Mother and Baby Unit (MBU) if postnatal depression is severe.

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13
Q

Who should be involved in the care of a mother with severe postnatal depression?

A

The home treatment team and health visitor should be involved in the care of a mother with severe postnatal depression.

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14
Q

What should be explained to mothers about the diagnosis of postnatal depression?

A

The diagnosis of postnatal depression is likely due to hormonal changes and occurs in 1 in 10 women.

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15
Q

How common is postnatal depression?

A

Postnatal depression occurs in 1 in 10 women.

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16
Q

What concerns should be addressed when supporting a mother with postnatal depression?

A

Concerns such as being a bad mother should be addressed, and support at home should be provided if needed.

17
Q

What psychological treatment should be explained to mothers with postnatal depression?

A

Psychological treatment such as Cognitive Behavioral Therapy (CBT) should be explained to mothers with postnatal depression.

18
Q

What medical treatment should be explained to mothers with postnatal depression?

A

Medical treatment such as sertraline, which is safe to use when breastfeeding, should be explained to mothers with postnatal depression.

19
Q

What is the prognosis for most mothers with postnatal depression?

A

Most mothers with postnatal depression will recover within a month.

20
Q

Who will be involved in the care of mothers with postnatal depression postnatally?

A

The postnatal community mental health team will be involved in the care of mothers with postnatal depression postnatally.