Puerperium Flashcards

Question

post-natal depression

Answer 1

low mood in postnatal period

Answer 2

baby blues postnatal depression puerpal psychosis

Answer 3

starts day 3/4-14 days

Answer 4

Mood swings Low mood Anxiety Irritability Tearfulness

Answer 5

Low mood Anhedonia (lack of pleasure in activities) Low energy

Answer 6

2 weeks- 3 months

Answer 7

Mild cases may be managed with additional support, self-help and follow up with their GP Moderate cases may be managed with antidepressant medications (e.g. SSRIs) and cognitive behavioural therapy Severe cases may need input from specialist psychiatry services, and rarely inpatient care on the mother and baby unit

Answer 8

The Edinburgh postnatal depression scale can be used to assess how the mother has felt over the past week, as a screening tool for postnatal depression. There are ten questions, with a total score out of 30 points. A score of 10 or more suggests postnatal depression.

Answer 9

Stigma Putting on a brave face Being considered a bad mother Baby might be taken away Not knowing what is normal Not knowing if treatment will help

Answer 10

Not asking Time constraints Not recognising risk factors or red flags Normalising or dismissing symptoms Lack of training or confidence Lack of access to specialist services

Answer 11

During the past months have you been bothered by feeling down, depressed or hopeless? During the past month have you often been bothered by having little interest or pleasure in doing things? Is there something you feel you need help with?

Answer 12

Poor diagnosis of mental health illness FH of severe perinatal health illness History of childhood abuse and neglect Domestic violence Language barrier Interpersonal conflict Inadequate social support Substance misuse Migration status, language and cultural barriers Unplanned or unwanted pregnancy Pregnancy complications or traumatic birth Fetal or neonatal loss

Answer 13

``` bipolar disorder severe depression disclosure recent change in mental health chronic mental illness ```

Answer 14

Delusions Hallucinations Depression Mania Confusion Thought disorder

Answer 15

Admission to the mother and baby unit Cognitive behavioural therapy Medications (antidepressants, antipsychotics or mood stabilisers) Electroconvulsive therapy (ECT)

Answer 16

The mother and baby unit is a specialist unit for pregnant women and women that have given birth in the past 12 months. They are designed so that the mother and baby can remain together and continue to bond. Mothers are supported to continue caring for their baby while they get specialist treatment. ECT Anti-psychotics, mood stabilisers, anti-depressants CBT in recovery phase Risk of recurrence is 50% higher if next pregnancy within 2 years of recovery

Answer 17

Increase risk of neural tube defect by 1-2% Neurodevelopmental issues Teratogenic

Answer 18

Fetal hypotnia Poor reflexes Arrhythmias Ebstein's anomaly Neonatal goitre Use with caution

Answer 19

fetal macrosomia | GDM

Answer 20

pulmonary HTN | paroxetine: cardiac defects

Answer 21

Monitor infants for sedation Poor feeding, behavioural defects and developmental milestones

Answer 22

Poor adaptation Jitteriness Irritability Poor gaze control Poor feeding Rarely seizures

Answer 23

neonatal withdrawal syndrome paroxetine is the worst for withdrawal symptoms withdrawal symptoms are self-limiting and generally occur within 24-48 hours (fluoxetine)