Pre-, Peri- and Post-Natal Depression Flashcards
1
Q
Perinatal Depression - Facts (4)
A
- 50-80% start in prenatal period.
- Not a part of conventional screening
- <15% receive adequate treatment
- 1 in 5 women experience a mental health problem during or after pregnancy.
2
Q
PND - Impact on Mother (4)
A
- Suicide accounts for 20% of post-partum deaths.
- ↑ Incidence of preterm delivery and perinatal complications.
- 35-50% recurrence risk in subsequent pregnancy.
- 1-7% develop PTSD.
3
Q
PND - Impact on Child (3)
A
- ↑ risk of social, behavioral and cognitive dysfunction.
- Antenatal anxiety associated with poor cognitive-emotional development in newborns.
- 4-7% more likely to experience MDD before 16 y.o.
4
Q
PND - Impact on Child Mechanism (2)
A
- ↑ HPA activity -> ↑ cortisol in mother -> ↑ AM activity in newborn -> ↑ risk of developmental issues.
- Prenatal DA ↓ -> Newborn SE ↓ -> ↓ cognitive development.
5
Q
Emotional and Environmental Factors (6)
A
- PMH: mental health issues, miscarriages.
- Adverse experience: violence, abuse, incarceration.
- Lack of social support
- Unintended pregnancy
- Poor quality of interpersonal relationships
- Sleep deprivation
6
Q
Screening for PND - Prenatally (10)
A
- Changes in sleep pattern, signs of sleep deprivation.
- Changes in appetite
- Fatigue
- Irritability
- Feeling overwhelmed for longer periods
- Anhedonia
- Feelings of hopelessness
- Disinterest in social connections
- ↓ interest in sexual activity
- Ideation of self-harm, harming baby or others.
7
Q
Screening for PND - Postnatally (5)
A
All of the above +
- Difficult or traumatic pregnancy or birth.
- Anxiety or depression during pregnancy.
- Premature birth
- Baby in NICU
- Difficulties breastfeeding
8
Q
What can we do as Physios? (3)
A
- Support creation of a new paradigm (recognizing signs, educate about seeking help, disrupt social prejudice).
- Encourage engagement in PA to reduce impact on PND.
- Normalizing -> Educate -> Management
- Refer to a specialist, PA, Support group.
9
Q
A
