Postpartum mental health problems

Question 1

What is baby blues?

Answer 1

Seen 3-7 days post birth
More common in primps

Mothers are tearful, anxious and irritable

Managed with reassurance and support

Question 2

What is post partum depression?

Answer 2

1-3 months post birth
Features similar to depression

Management
- reassure and support
- CBT can help
- SSRIs such as sertraline and paroxetine can be used (present in breast milk but not as harmful)

Question 3

What is Puerperal Psychosis?

Answer 3

2-3 weeks post pregnancy
Severe mood swings, disordered perception e.g. hallucinations

Management
- require admission to mother and baby unit
- 25-50% risk of recurrence