Postpartum depression Flashcards
What is postpartum depression?
A depressive disorder that can develop up to a year after childbirth
What are the biological factors in the development of postpartum depression?
Sudden drops in oestrogen, progesterone and thyroid hormone
Genetic predispositions
What are the psychological factors in the development of postpartum depression?
History of mood or anxiety disorder
Previous episodes of postpartum depression
Unrealistic expectations of motherhood
Psychological stress from becoming a new parent
What are the social factors in the development of postpartum depression?
Lack of social support
Relationship issues
Life stressors
Low socioeconomic status
What are the symptoms of postpartum depression?
Persistent low mood
Anhedonia
Low energy levels
Reduced appetite
Disturbed sleep patterns
Concerns bonding with baby or caring for baby
What are the differentials of postpartum depression?
‘Baby blues’
Postpartum psychosis
Adjustment disorder
Generalised anxiety disorder
What scale is used to help diagnose postpartum depression?
Edinburgh postnatal depression scale
What is the Edinburgh postnatal depression scale?
Evaluates how the mother has felt over the past 10 days
- Covers anhedonia, anxiety, overwhelm, sleeping, low mood and thoughts of self harm
What score on the Edinburgh postnatal depression scale is indicative of postnatal depression?
A score of 13 (out of a maximum of 30) is indicative of postnatal depression
What is the first line management of postnatal depression?
Self help strategies
CBT
What is the second line management of postnatal depression?
SSRIs - sertraline/paroxetine
What is the typical timeline of postnatal depression?
Symptoms typically start within a month of birth, and peak at 3 months
