Perinatal Mental Health (RANZCOG)

Question 1

When should routine screening for depression, anxiety and psychosocial risk factors occur?

Answer 1

As early as practical antenatally
repeat at least once later in pregnancy
again 6-12 weeks postnatal
at least once again in first postnatal year

Question 2

What is an abnormal EPDS score?

Answer 2

10-12: repeat in 2-4 weeks

13 or higher = arrange further assessment.

Question 3

How would you screen for psychosocial risk factors? When is this recommended?

Answer 3

ANRQ tool. As early as practical in pregnancy.

Question 4

List conservative measures to optimise mental wellbeing

Answer 4

smoking/alcohol and drug cessation
family violence screening and supports
utilise whanau/friends supports
sleep advice

Question 5

Prevalence of ‘baby blues’

Answer 5

80% 3-5 days postnatal. Transient and self limiting

Question 6

Prevalence of anxiety and depression during pregnancy?

Answer 6

10% during pregnancy, 1/7 in the year after birth.

Question 7

Incidence of puerperal psychosis?

Answer 7

1/1000

Question 8

What is the incidence of perinatal mental health disorders in men/partners?

Answer 8

10%