Pregnancy & Breastfeeding -2

Question 1

prevalence of baby blues

Answer 1

35-75%

Question 2

what is baby blues

Answer 2

transient mood distrubance characterised by emotional lability, sadness, tearfulness and irritability

Question 3

duration of baby blue

Answer 3

few days after deliver
up to two weeks w/out Rx

Question 4

what happens if baby blue extend beyond 2 weeks?

Answer 4

it is postpartum depression

Question 5

Prevalence of postpartum depression?

Answer 5

10-15%

Question 6

is postpartum depression similar to major depression disorder?

Answer 6

yes. very much.

Question 7

risk factor for postpartum depression?

Answer 7

Hx of mood disorder
Lack of social support
traumatic childbirth
complicated pregnancy

Question 8

impact of postpartum deprssion on infant?

Answer 8

delays in emotional cognitive and social skills
behavioural problems

Question 9

what screening is recommended for postpartum deprssion?

Answer 9

Edinburgh Postnatal Depression Scale EPDS

Question 10

prognosis of postpartum depression

Answer 10

some will reccover
some will have risk of MDD in future

Question 11

prevalence of birth defect in pregnant women on valproate

Answer 11

1/10

Question 12

Birth defects seen in pregnant women on valproate

Answer 12

Spina bifida
Facial &skull malformation
Malformation of limbs, heart, kidney, UT and sexual organs

Question 13

effect of valproate on development of baby?

Answer 13

delay walk and talk
lower IQ
poor speech and language skills
memory problem

Question 14

Valproate increase risk of what developmental disorders in babies?

Answer 14

• Autism
  -ADHD

Question 15

when can a women < 55 be put on valproate?

Answer 15

• Two independent specialist have agreed (no other alternative suitable)
  -Enrolled in the Pregnancy Prevention Plan (MHRA)