PP Depression Flashcards
1
Q
PP Blues or Baby Blues
A
- Tearfulness, anxiety, irritation, restlessness from day 3 - 10 PP
- Occurs in about 80% of women
- General irritability, weepiness, feeling down
2
Q
PP Depression
A
- Higher risk in women with history of mental health problems
- 15-20% PP women and 10% PP partners
- Lasts longer than 2 weeks PP, symptoms worsen
3
Q
PP Depression Diagnosis
A
- Symptoms persist for 2+ weeks
- Symptoms occur much of the day, almost every day
- Screening with Edinburgh Postnatal Depression Scale
- Must have at least 4 of these symptoms: depressed mood, agitation, fatigue, lack of interest in pleasure, poor concentration and decision making, poor appetite, insomnia, feelings of failure as a mother, guilt, unusual worry over infant’s health, suicidal thoughts
4
Q
PP Depression Treatment
A
- Increasing comprehensive coping methods: sleep, nutrition, exercise, social support, counseling
- Meds: SSRIs, often Zoloft for breastfeeding moms, initiate at 1/2 usual dose and treat for 6 months after full remission
- Psychotherapy may help
5
Q
PP Psychosis
A
- Very rare: 1/1,000 births
- Onset is very sudden and usually occurs within first 4 weeks PP
- People with hx of bipolar are at risk
- Psychiatric emergency due to risk of suicide or fetal harm
- 5% infanticide/suicide rate
6
Q
PP Psychosis S/S
A
- Bizarre behavior
- Disorganization of thought
- Hallucinations
- Delusions
- Irritation
- Hyperactive
- Decreased need for sleep
- Significant mood changes with poor decision making
