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Reproduction > Pregnancy and Mental Health > Flashcards

Pregnancy and Mental Health Flashcards

1
Q

What are baby blues?

A

A transient liability in mood

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2
Q

When do baby blues typically occur?

A

3 days after birth

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3
Q

How long does baby blues take to resolve?

A

About 7 days

resolves about day 10

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4
Q

Who is baby blues more common in?

A

Primip’s (first child)

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5
Q

How do baby blues normally present?

A

Anxious about parenting skills
Tearful
Irritable

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6
Q

What is the management of baby blues?

A

Reassurance and support

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7
Q

What should you screen for in someone who had baby blues?

A

Screen for postnatal depression

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8
Q

When should you screen for postnatal depression after baby blues?

A

4-6 weeks

3-4 months

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9
Q

When can postpartum depression develop?

A

Up to 1 year after giving birth

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10
Q

How does postpartum depression usually present?

A

Lower mood
Lower energy levels
Poor appetite
Poor sleep

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11
Q

What might there be concerns of with postpartum depression?

A

Concerns of the mother harming herself or the baby

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12
Q

What might the mother be concerned of with postpartum depression?

A

Bonding with the baby

Caring for the baby

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13
Q

What is the first line management of postpartum depression?

A

Cognitive behavioural therapy

Interpersonal therapy

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14
Q

What is the second line management of postpartum depression?

A

SSRI’s

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15
Q

What SSRI’s might be given for postpartum depression?

A 
Sertraline 
Paroxetine (better as less goes into the milk)
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16
Q

What is the difference between postpartum depression and baby blues?

A

Baby blues comes on within the first 2 weeks and resolves spontaneously

17
Q

What is another name for postpartum psychosis?

A

Puerperal psychosis

18
Q

What is postpartum psychosis?

A

serious but rare mental health problem which develops after you give birth

19
Q

What are the possible presentations of postpartum psychosis?

A 
Paranoia
Delusions
Hallucinations
Mania
Depression 
Confusion
Mood swings similar to bipolar disorder
20
Q

When are women more at risk of postpartum psychosis?

A

If they have a history of severe mental illness (bipolar or schizophrenic)
Family history of postpartum psychosis

21
Q

What is the management of postpartum psychosis?

A

Inpatient psychiatric care

22
Q

What type of medication is given to those with postpartum psychosis?

A

Antipsychotics

Mood stabilisers

23
Q

What screening tool is used for post natal depression?

A

The Edinburgh (depression) scale

24
Q

When does puerpural psychosis usually occur after giving birth?

A

2-3 weeks after giving birth

25
Q

How is someone with postpartum psychosis usually managed?

A

Admission to hospital is usually required, ideally in a Mother & Baby Unit

26
Q

How likely is puerpural psychosis likely to occur in subsequent pregnancies?

A

25-50% risk of recurrence following future pregnancies

Reproduction (88 decks)

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