Pre-Post Natal Psych Flashcards
What are risk factors for Psych Disturbances?
Hx of Depression Inc Phys Sx Lack od social support Recent stressful life events Minorities Less education Unmarried/disstisfied
What are Sx of the Baby Blues?
Mood Lability
Tearfulness
Anxiety
Irritability
What is PPD?
2-3 mon postpartum
Edinburgh Postnatal Depression scale
Sensitivity to Hormone Change
What is Postpartum Anxiety?
Equally Common, less public awareness Gen Anx disorder Panic Attacks Hypochondriasis OCD (Scary thoughts?)
What are the traits of Postpartum Psychosis?
Manic or Mixed episode as part of Bipolar
Risk of suicide and infanticide
Some no Hx of psych illness
What are the Sx of PP Psychosis?
Initial Sx: Restlessness, irritability, insomnia Emerging Sx: Shifting mood Confusion Erratic Beh Delusional Beh Auditory Command Hallucinations
What needs to be assessed in mom’s w/ thoughts of harming infant?
Judgement
Reality Testing
Anger Control
Intent
What are the Risks of Untreated depression in Pregnancy?
Preterm Delivery
low birth weight
Small for gest age/Red body/head growth
What are risks of Tx with SSRIs in Pregnancy?
Inc risk of Miscarriage
Higher NICU admit rates
Low birth rates
Paroxetine is Cat D
What is the Tx of Bipolar Disorder During Preggo?
Difficult to Tx: Meds are teratogens
Risk of Relapse High Post Part
Lithium safest bust still has teratogenic risk
Tegretol and Depakote Sig Teratogenic Risk
What are the Risks of Untreated PPD?
Attachment issues in the child -Neg facial Expressions -Less interaction -Boys more vulnerable -Inc insecure attachment Prevention is best
What is the Tx of PPD?
Psych Sx most common complicatios in modern Obstetrics
High Expectations, High Demands
Meds and Psychotherapy
