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Obstetrics > Puerperium: Mental Health and Thyroiditis > Flashcards

Puerperium: Mental Health and Thyroiditis Flashcards

1
Q

What % of postpartum mental health is baby blues

A

70

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2
Q

What time frame does baby blues occur

A

4-7d

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3
Q

When is baby blues more common

A

Young mothers

First pregnancy

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4
Q

What are common symptoms of baby blues

A

Anxious, Tearful, Irritable

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5
Q

How is baby blues managed

A

Reassurance and support from health visitor

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6
Q

What % partum mental health conditions is post-natal depression

A

10%

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7
Q

What is the time frame for post-natal depression

A

1 month and peaks at 3 months

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8
Q

How will post-natal depression present

A

Similar to depression:

  • Low mood
  • Anhedonia
  • Fatigue
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9
Q

How should post-natal depression be managed

A

Reassurance
CBT
SSRI if severe

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10
Q

When are SSRIs for post-natal depression considered

A

If severe

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11
Q

What SSRIs are offered

A

Sertraline, Paroxetine

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12
Q

What % of post-natal mental health conditions are puerperal psychosis

A

0.5%

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13
Q

What time frame does puerperal psychosis occur

A

2-3 Weeks

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14
Q

How does puerperal psychosis present

A

Extreme mood swings (bipolar-like)

Auditory hallucinations

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15
Q

What is the management for puerperal psychosis

A

Urgent admission to hospital

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16
Q

What is the risk of puerperal psychosis occurring in future pregnancies

A

20%

17
Q

What is used to asses for depression postnatally

A

Edinburgh Post-Natal Depression Scale

18
Q

What score on edingburgh post-natal depression score indicates depression

A

> 13

19
Q

What are the 3 diagnostic criteria for post-partum thyroiditis

A
  1. Within 12 months pregnancy
  2. Clinical features coincide with hypothyroidism
  3. Abnormal TFTs
20
Q

What are found in 90% of patients with postpartum thyroiditis

A

Thyroid peroxidase antibodies

21
Q

What are the 3-stages of presentation of post-partum thyroiditis

A
  1. Thyrotoxicosis
  2. Hypothyroidism
  3. Normal TFTs
22
Q

Why is the thyrotoxic phase not treated with anti-thyroid medications

A

As often patients are not actually hyper-thyroid

23
Q

What is used to treat post-partum thyroiditis

A

B-blocker for symptoms

Thyroxine for hypothyroid phase

24
Q

What is problem with post-partum thyroiditis

A

High chance recurrence in future pregnancies

Obstetrics (27 decks)

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