Depression in Perinatal Period

Question 1

Postpartum blues

Answer 1

Tearfulness and feelings of distress that affect 50-80% of new mothers
Generally occurs between days 3-5 postpartum
Self limited and usually resolves within 2 weeks
Small percentage progresses to postpartum depression

Question 2

Mean prevalence rate of postpartum depression

Answer 2

13%

Question 3

Symptoms unique to postpartum depression

Answer 3

Lack of enjoyment in the baby
Difficulty sleeping when the baby is sleeping
Feelings of worthlessness and guilt related to parenting
Obsessive thoughts of harm occurring to the baby
If suicidal, may believe that the baby would be better off with another mother

Question 4

Postpartum psychosis

Answer 4

More common in first time moms
Rapid onset, usually within 2 weeks of delivery for ~40 days
Psychiatric emergency requiring hospitalization
Symptoms: insomnia, mood fluctuations, obsessive concerns, severe mood symptoms, delusions, hallucinations, disorganized behaviour, confusion and perplexity

Question 5

When do we screen for perinatal depression?

Answer 5

Between weeks 28-32 of pregnancy

Postpartum between 6-16 weeks

Question 6

What screening tool is used for perinatal depression?

Answer 6

Edinburgh Postnatal Depression Scale

Question 7

First line pharm treatment for perinatal depression

Answer 7

SSRIs