Mental Health

Question 1

Describe post partum blues

Answer 1

Presents day 5-7 post partum
Self limiting
Symptoms are low mood, tearful

Question 2

When does post partum depression present

Answer 2

<2 months post partum

Question 3

Symptoms of post partum depression

Answer 3

Chronic low mood
Anhedonia
Low energy
Poor sleep
Low appetite
Fear of not bonding with baby

Question 4

How to grade severity of post natal depression

Answer 4

Edinburgh scale
Questionnaire looking at last 7 days
>10/30 possible depression but always check answer regarding self harm and suicidal ideation

Question 5

Management of post natal depression

Answer 5

Talking therapy with midwife

Antidepressants

Question 6

What is the safest antidepressant during depression

Answer 6

Fluoxetine

Question 7

When does post partum psychosis present

Answer 7

<2 weeks post partum

Question 8

Risk factors for post partum psychosis

Answer 8

Bipolar
Previous history
FH
FH of bipolar

Question 9

Symptoms of post partum psychosis

Answer 9

Delusions
Hallucinations
Thought disorders
Mania

Question 10

Management of post partum psychosis

Answer 10

Admit to mother and baby unit
Antipsychotics - chlorpromazine
Mood stabilisers - lithium
Don’t breastfeed

Question 11

Risk factors for pregnancy mental health issues

Answer 11

Preexisting mental health condition
Lack of supporting partner
Poor support network
Young 
Unrealistic expectations of motherhood
Domestic abuse
Recreational drugs
Anaemia 
FH/personal history 
Financial strain

Question 12

Fetal side effects of lithium

Answer 12

CHD - Ebsteins anomaly (RV outflow obstruction)
Hypothyroidism 
Hypotonia
Feeding difficulty
Stillbirth/miscarriage