Perinatal mental health Flashcards
what are the screening tool that doctors can use for postnatal depression? what score is clinically significant?
Edinburgh postnatal depression scale during the antenatal period/postnatal period.
Greater than 13 may indicate risk of PND
what types of psychotherapies may be best for a woman suffering from post natal depression?
CBT
IPT
Psychodynamic therapy
what might you do/organise for a new mother with MILD symptoms of postnatal depression?
Psychoeducation Lifestyle advice Peer support Provide ongoing opportunities for further discussion Involve significant others
what might you do/organise for a new mother with MODERATE symptoms of postnatal depression?
Psychoeducation Lifestyle advice + self help advice Peer support Provide ongoing opportunities for further discussion Involve significant others Psychotherapy
what might you do for a new mother with severe symptoms of postnatal depression?
Psychological therapy
Medication
Mother–infant psychotherapy
may refer to: Mental health service Mental health nurse Psychologist/psychiatrist Possible inpatient care
what might you do if a new mother presents with an episode of mania or psychosis?
Urgent intensive medical assessment and
management, consideration of inpatient treatment,
psychological therapy
requires specialist psychiatric opinion and review
what questions can we ask to assess risk to infant if perinatal mental health suspected?
Have you felt irritated by your baby?
Have you had significant regrets about having this baby?
Does the baby feel like it’s not yours at times?
Have you wanted to shake or slap your baby?
Have you ever harmed your baby?
what are some key detrimental effects of postpartum depression on an infant?
poor nutrition and growth
poor attachment between mother and baby
significant predisposed risk of developing mental illness
increased risk of harm to infant
failure to meet developmental milestones on time
what is some lifestyle advice you can suggest for a new mother suffering from PND?
muscle relaxation techniques time out from baby physical exercise avoid alcohol/caffeine adequate sleep
what psychotropic drug is contraindicated during breastfeeding?
clozapine
what are 2 ix you would do for a new mother who you suspect may either have PND or postpartum psychosis?
FBE- anaemia
TFTs
what are some questions you might ask about the current presentation of a women with suspected PND?
Any issues with the birth? (PTSD)
Any hallucination/delusions etc?
Anhedonia/guilt/worthlessness/loss of weight?
Any intrusive obsessional thoughts?
Change in previous level of functioning- e.g. unable to carry out ADLs
When and how long has have you been feeling like this?
Difficulties establishing breastfeeding?
