postpartum mental health Flashcards
what is postpartum depression?
what are RF for postpartum depression?
low socioeconomic status, history of mental health disorders, and lack of social support have been associated with higher rates of PPD.
what biological factors influence postpartum depression?
Hormonal fluctuations post-delivery, including sudden drops in progesterone, estrogen, and thyroid hormones, may contribute to PPD. Additionally, alterations in melatonin and cortisol rhythms, immune-inflammatory processes, and genetic predispositions are considered contributory.
what psychological factors influence postpartum depression?
A history of mood or anxiety disorders, previous episodes of postpartum depression, and certain personality traits such as neuroticism are associated with increased risk. Additionally, psychological stress from the transition to parenthood, and unrealistic expectations of motherhood may also contribute.
what social factors influence postpartum depression?
Lack of social support, relationship issues, life stressors, and low socioeconomic status can increase the risk of developing PPD.
what are features of postpartum depression?
how do you evaluate postpartum depression?
The Edinburgh Postnatal Depression Scale (EPDS) is a widely accepted screening tool that consists of 10 questions and takes around five minutes to complete. It evaluates the intensity of depressive symptoms over the past seven days.
what is management for postpartum depression?
Cognitive Behavioural Therapy (CBT) or Interpersonal Therapy (IPT).
SSRIs eg paroxetine and sertraline are considered in cases of high severity or distinct risks. safe in breastfeeding
In severe cases, admission to a mother and baby inpatient mental health unit might also be necessary.
what is postpartum psychosis?
Postpartum psychosis is a serious psychiatric disorder that typically develops within the first two weeks following childbirth. It is characterised by a range of psychological symptoms, including paranoia, delusions, hallucinations, mania, depression, and confusion.
who is at risk of postpartum psychosis?
Women with a prior history of severe mental illnesses such as schizophrenia or bipolar affective disorder, a family history of postpartum psychosis, or a previous episode of postpartum psychosis are at a higher risk for the condition.
what are features of postpartum psychosis?
how do you ix postpartum psychosis?
The diagnosis of postpartum psychosis is predominantly clinical, based on the presenting signs and symptoms, and requires a thorough psychiatric evaluation. Consideration should be given to other medical conditions that may cause similar symptoms, such as thyroid disorders or sepsis.
how do you manage postpartum psychosis?
Antipsychotic medications - olanzapine and quetiapine are safe to take while breastfeeding
Mood stabilisers in some instances
when is inpatient admission needed for postpartum psychosis?
Additionally, considering the potential risk to the mother or infant, referral to a specialist mother and baby inpatient mental health unit may be necessary. This is particularly crucial when the mother experiences command hallucinations, thoughts of self-harm or suicide, or delusional beliefs regarding the baby’s role or identity.
