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OBGY Week 4 > Psych in pregnancy > Flashcards

Psych in pregnancy Flashcards

1
Q

Screening for mental health issues in pregnancy?

A

Booking appointment history

Identify risk factors

Ask at every appointment

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2
Q

Risk factors?

A

Young
Domestic issues
Support
Substance abuse

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3
Q

Fetal side effect of Benzodiazepenes?

A

Cleft lip and withdrawal

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4
Q

In people with BPAD, what is the risk of them having an episode postnatally?

A

50% (Without treatment)

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5
Q

Fetal side effects of Valproate?

A 
Craniofacial defects 
CV deformities
IUGR
Reduced IQ
GU abnormalities
Cleft
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6
Q

Fetal side effects of carbamazepine?

A 
Facial dysmorphism
Cardiac
Fingernail hypoplasia
Neural tube defects
Vit K deficiency
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7
Q

Fetal side effects of Lamotrigine?

A

Cleft

Steven johnsons syndrome if breast fed

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8
Q

What should all mothers on anti convulsants be given during child birth?
Why?

A

Folic acid

To prevent neural tube defects

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9
Q

Fetal side effects of lithium?

A 
Cardiac abnormalities
Ebstein anomaly
Hypothyroid
Hypoglycaemia
Hypotonia

CANT BREASTFEED

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10
Q

How should lithium be stopped?

A

Gradually- might not remove risk to fetus

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11
Q

Antipsychotics are safe in pregnancy, which ones are not safe when breast feeding?

A

Olanzapine (Extra pyramidal effects) and Clozapine

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12
Q

What is Ebsteins anomaly?

A

Tricuspid valve- septal and posterior leaflets displaced

Anterior leaflet may have abnormal attachments

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13
Q

Fetal side effects of Paroxetine?

A

Cardiac abnormalities

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14
Q

Maternal side effects of Venflaxine?

A

HTN

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15
Q

Which antipressants are safe in breastfeeding

A

Sertraline
Amitryptilline
Nortryptilline

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16
Q

Treatment for postnatal depression?

A

Mild-Mod: Self help and counselling

Moderate-severe: Psychotherapy, AD, ?admission

17
Q

Puerperal psychosis symptoms?

A

Sleep disturbance
Confusion
Irrational ideas
Hallucinations

18
Q

When does puerperal psychosis present?

A

Around 2 weeks after delivery

19
Q

What abnormalities does FAS cause

A 
Facial deformity
Low IQ
ND delay
Epilepsy
Hearing problems
Heart and kidney defect

OBGY Week 4 (8 decks)

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