psychiatry and childbirth

Question 1

benzos in pregnancy?

Answer 1

cleft palate, withdrawls

Question 2

risk of baby being bipolar if mother is?

Answer 2

1/7

Question 3

sodium valproate effects on child?

Answer 3

NTD, craniofacial defects, CV abnormality, IUGR, reduced IQ, cleft palate, genitourinary

Question 4

carbamazepine cam

Answer 4

facial dysmorphism, cardiac anomalies, fingernail hypoplasia, NTD

Question 5

lamotrigine?

Answer 5

cleft, steven johnson syndrome to baby if breastfed

Question 6

carbamazepine - can cause vitamin K deficiency, what could this ca use?

Answer 6

haemorrhagic disease of the newborn

Question 7

Lithium ?

Answer 7

cardiac abnormalities, risk maternal toxicity, abstains anomaly

Question 8

lithium also causes?

Answer 8

neonatal hypogycaemia, hypotonia and hypothyroidism

Question 9

lithium is contraindicated in ?

Answer 9

breeastfeeding

Question 10

can you breastfeed on carbamazepine?

Answer 10

yes

Question 11

in pregnancy, lithium should be stopped gradually

Answer 11

.

Question 12

schizophrenia - which antipsychotics are totally safe in pregnancy?

Answer 12

typicals. haloperidol, chlorpromazine are safe

Question 13

which antipsychotic contraindicated in breastfeeding due to its liability of inducing life threatening events on the infant

Answer 13

cozapine

Question 14

which other drug should not be used in breast feeding

Answer 14

olanzipine

Question 15

anti cholinergics?

Answer 15

not to be used in pregnancy

Question 16

eatin disorders tend to improve in pregnancy

Answer 16

y

Question 17

depression in pregnancy - mild/moderate?

Answer 17

psycholoigical treatment

Question 18

moderate/severe?

Answer 18

pharmalogical

Question 19

side effects of venlafaxine?

Answer 19

insomnia, hypertension, arrythmia

Question 20

in pregnancy, venlafaxine causes?

Answer 20

hypertension

Question 21

paroxetine causes - cardiac abnormalities

Answer 21

w

Question 22

which two classes of ad are found in high concentrations in breast milk?

Answer 22

TCAs and SSRIs

Question 23

ALL antidepressants carry risk of withdrawal or toxicity in neonates

Answer 23

.

Question 24

TCAs, breast feeding, pregnancy?

Answer 24

ok in breastfeeding, ok in pregnancy

Question 25

high levels of which two SSRIs in breast milk?

Answer 25

citalopram, fluoxetine

Question 26

POst natal depression. onset usually?

Answer 26

2-6 weeks post natal

Question 27

if mild/moderate?

Answer 27

counselling/self help

Question 28

if moderate/severe

Answer 28

psychotherapy/antidepressants

Question 29

day 3-10, tearful, irritable, anxiety, poor sleep, confusion

Answer 29

baby blues. reassure and support

Question 30

puerperal psychosis, when does it usually present?

Answer 30

within 2 weeks of delivery

Question 31

mania, delusions, ahllucinations, irrational ideas, sleep disturbance?

Answer 31

ps

Question 32

risk factors?

Answer 32

bipolar, 1st degree relative with history

Question 33

what is the management of this?

Answer 33

EMERGENCY - needs admission. antidepressants, antipsychotics, mood stabilisers and ECT

Question 34

what is ECT?

Answer 34

shock therapy used to induce seizures to provide relief from mental distress

Question 35

80% have a 10 year recurrence rate

Answer 35

alcohol in pregnancy, abstinence best but no harm in 2 units per week, no evidence that it is detrimental

Question 36

risk of miscarriage in alcoholism - cervix dilation

Answer 36

y

Question 37

facial derformities, lower IQ, neurodevelopment delay, epilepsy, hearing, heart and kidney defects

Answer 37

y

Question 38

cocaine, amphetamines and ecstasy. what could these cause?

Answer 38

death by stroke and arrhythmia. they are teratogenic, PET, abruption, IUGR, PTL, miscarriage

Question 39

OPIATES cause maternal deaths, neonatal withdrawal, IUGR, SIDS and still birth

Answer 39

nicotine causes miscarriages, still births, IUGR and SIDS