Postpartum blues, depression and psychosis

Question 1

postpartum blues prevalence and onset?

Answer 1

40-80 %, 2-3 days.

Question 2

postpartum blues symptoms?

Answer 2

mild depression, tearfulness, irritability, dysphoria, anxiety, insomnia, and impaired concentration. these symptoms peak at day 5 and resolve within 2 weeks.

Question 3

postpartum management?

Answer 3

reassurance and monitoring ( high risk to develop postpartum depression, focus on indication such as persistence beyond 2 weeks or the development of suicidal ideation).

Question 4

postpartum depression prevalence and onset?

Answer 4

8-15 %, typically within 4- 6 weeks ( can be up to 1 year).

Question 5

postpartum depression symptoms?

Answer 5

2 or more weeks of moderate to severe depression, sleep or appetite disturbance, low energy, psychomotor changes, guilt, concentration difficulty, suicidal ideation.

Question 6

postpartum management?

Answer 6

antidepressants, psychotherapy.

Question 7

postpartum psychosis prevalence and onset?

Answer 7

0.1-0.2%, variable: days to weeks.

Question 8

postpartum psychosis symptoms?

Answer 8

delusions, hallucinations, thought disorganization, bizarre behavior.

Question 9

postpartum psychosis management?

Answer 9

antipsychotics, antidepressants, mood stabilizer, hospitalization ( do not leave mother alone with infant due to risk of infanticide).