Test 3- PPD & PPP

Question 1

Peripartum Mood Disorders

Answer 1

No signs of emo probs.->”Baby blues”-> PPD-> PPP

Question 2

Stigmas w Motherhood (6)

Answer 2

1. Work/life balance
2. Perfect mom- social media
3. Parenting choices
4. Age
5. Body image
6. Mental health

Question 3

Postpartum Blues/Baby blues

Answer 3

SX/Characteristics
- Mild mood swings: Irritability, tearfulness, crying spells
- Anxiety
- Decreased concentration
- Insomnia
Occurs w/in 2-3 days of delivery
-> Sxs peak on 4/5th day, resolves w/in 2 weeks
-> Sxs does not interfere w caring of newborn

Question 4

Peripartum Depression (PPD) causes (4)

Answer 4

• Previous MDD episode
• Hormonal changes
• Traumatic delivery
• Situational stressors

Question 5

PPD DX

Answer 5

1. Timing: onset during preg or w/in a year after birth
2. MDE (4+), timing last min 2 weeks
   - Dysphoric mood
   - Anhedonia
   - Weight/Appetite change
   - Insomnia/Hypersomnia
   - Fatigue
   - Feelings of worthlessness/inappropriate guilt
   - Diminished ability to think/concentrate/chose
   - Suicidal ideation/actions
3. PPD (1), timing during preg or w/in a year
   - Poor fetal attachment
   - Fearing of harming the baby
   - Disinterest in baby
   - Inability to respond to baby’s needs
   - Preoccupation with baby’s health
4. Impairment/Dysfunction and Exclusion

Question 6

PPP DX

Answer 6

1. MDE-> PPD-> PPP
   SXS must be present by the 4th postpartum week = infant is 1mo old
2. PPP(1), timing w/in 4 weeks of birth
   - Delusions
   - Hallucinations
   - Manic sxs from criterion B ( grandiosity, decreased need for sleep, more talkative, flight of ideas, distractibility, goal-directed actv., impulsivity)
3. Impairment/Dysfunction and Exclusion

Question 7

PPP Whom at risk and theory

Answer 7

Risk:
- Prior PPD/PPP
- Mood disorder (esp. BP)
- 1st child
Leading cause theory: Dormant BP triggered by birth

Question 8

Infanticide

Answer 8

Not existent in US criminal code
Canada: applies from birth to 12 mo