Postpartum Mood Disorders

Question 1

Begins within 48 hours delivery. Peaks at 3 to 5 days. Last around 2 weeks.

Answer 1

Postpartum Blues

Question 2

Sx include: mood lability, tearfulness, sadness, anxiety, irritability, insomnia, decreased concentration

Answer 2

postpartum blues

Question 3

Treatment of postpartum blues

Answer 3

support, rest and monitoring for development of postpartum depression

Question 4

onset within 2 weeks of delivery. More likely to committ suicide or infanticide. Thought of as a first manifestation of bipolar disorder.

Answer 4

postpartum psychosis

Question 5

Sx include: delusion, hallucinations, thought disorganization, severe insomnia, aggression, agitation, impulsivity

Answer 5

postpartum psychosis

Question 6

Treatment for postpartum psychosis

Answer 6

hospitalization, antipsychotics, therapy

Question 7

Can present up to 4 months postpartum and there’s an increased risk for up to one year postpartum

Answer 7

postpartum depression

Question 8

Sx include: feelings of inadequacy, guilt, hopelessness, being overwhelmed, not bonding with baby

Answer 8

postpartum depression

Question 9

Positive score on Edinburgh Postnatal Depression Scale

Answer 9

12 or more is positive. 5-9 re-evaluate in 1 month

Question 10

Preferred medications for post partum depression

Answer 10

SSRIs. Preferrably sertraline (Zoloft) and Paroxetine (Paxil)

Question 11

SNRI option for postpartum depression

Answer 11

Duloxetine (Cymbalta)

Question 12

Are benzos and sedative hypnotics (ambien/lunesta/sonata) safe for breastfeeding?

Answer 12

No. If going to be on long-term woman should stop breastfeeding