Postpartum mental health Flashcards
What score is used to assess postpartum mental health?
Edinburgh postnatal depression score
How common are the baby blues?
Very, occur in 60-70% of women
What causes baby blues?
Hormone changes
Who are baby blues mre common in?
Prims
What is the typical timeline of baby blues?
Evident by day 3
Peak at day 5
Subside by day 10
What is the presentation of baby blues?
Tearfulness
Irritability
Anxiety about baby
Poor concentration
What is the management of baby blues?
Reassurance and support
How common is postpartum depression?
5-10% women
What is the timeline of postpartum depression?
Usually starts at 1 month and typically peask by 3 months
What is the presentation of postpartum depression?
usual depression features- anhedonia, sleep changes etc
Fears about baby’s health and maternal deficiencies
What is the management of postpartum depression?
Reassurance and support
CBT
Severe- SSRIs eg. paroxetine, sertraline
How common is puerperal psychosis?
Uncommon, seen in 0.1% women
When does puerperal psychosis typically develop?
First 2 weeks
Who is puerperal psychosis more commonly seen in?
PMH/FH mental health conditions
Previous puerperal psychosis- 20% recurrence
What is the presentation ofpuerperal psychosis?
Often mimics bipolar or schizophrenia- severe mood swings, disordered perception
High suicidal drive
