Postpartum Affective Disorders

Question 1

postpartum blues

Answer 1

rapid cycling mood symptoms during the first postpartum week

Question 2

S/S of postpartum blues

Answer 2

anxiety, irritability, mood swings, tearfulness, increased sensitivity, despondency, feelings of being overwhelmed, difficulty thinking clearly, fatigue

Question 3

most prominent symptom of postpartum blues is

Answer 3

emotional liability

Question 4

postpartum blues usually peaks on days

Answer 4

4 and 5

Question 5

postpartum blues usually resolves by day

Answer 5

10

Question 6

postpartum blues follow up is important b/c up to 20% go on to develop

Answer 6

post partum depression

Question 7

post partum depression is different from post-partum blues in that

Answer 7

individual with PPD feel worse over time, and changes in mood and behaviour do not go away on their own

Question 8

PPD may persist for a minimum of ___ months if untreated

Answer 8

6 months

Question 9

S/S PPD

Answer 9

• Restless, Worthless, Guilty, Hopeless, Moody, Sad, Overwhelmed, Loss of enjoyment, Low energy level, Loss of libido
• Cry a lot, lack of energy and motivation
• Unable to make decisions or focus
• Memory loss
• Changes in sleep and/or weight
• Lack of concern for self
• Withdraw from friends and family
• Have pains that do not subside
• Feel negatively toward the baby
• Have appetite disturbances
• Have feelings of isolation from others
• Lack interest in the baby
• Worry about hurting the baby
• Act detached towards others and infant
• Recurrent thoughts of suicide and death

Question 10

diagnosis of PPD

Answer 10

• EPDS – 10 Qs with 4 possible responses, each response gets scored 0-3, max score of 30

OR

• PDSS self-report scale divided into seven conceptual domains anxiety/insecurity, sleep/eating disturbance, emotional liability, loss of self-esteem, guilt/shame, cognitive impairment, suicidal thoughts. Score range from 35-175

Question 11

postpartum psychosis

Answer 11

• Severe end of postpartum emotional disorders
• Emergency psychiatric condition can result in a significant increased risk for suicide and infanticide

Question 12

S/S postpartum psychosis

Answer 12

mood lability, delusional beliefs, hallucinations, and disorganized thinking

Question 13

postpartum psychosis usually surfaces within ____ months of giving. birth and is manifested by ___________

Answer 13

3 months
manifested by sleep disturbances, fatigue, depression, and hypomania

Question 14

moms with postpartum psychosis should not

Answer 14

be left alone with infants

Question 15

treatment of postpartum psychosis includes

Answer 15

Psychotropic drugs are almost always part of treatment, along with individual psychotherapy and support group therapy