Obs blues/depression

Question 1

What is the timeline for PP blues?

Answer 1

Peaks at 5 days, resolves in 2 weeks

Question 2

How common is PP blues?

Answer 2

40-80%

Question 3

What are RF for PP blues?

Answer 3

hx of depression, depressive symptoms in pregnancy, family history of depression, PMS, stress around child care, psychosocial impairment

Question 4

How common is PP depression?

Answer 4

5-9% point prevalence; 10-25% lifetime risk

Question 5

What is the timeline for PP depression?

Answer 5

Begins within 1 month of delivery but may diagnose up to 12 months

Question 6

What is the definition of PP depression?

Answer 6

> = 5, nearly every day, most of the day for >=2 weeks:

• Depressed mood
• Loss of interest/pleasure
• Insomnia/hypersomnia
• Change in appetite or weight
• Psychomotor retardation/agitation
• Low energy
• Poor concentration
• Worthelssness or guilt
• Thoughts of death or suicide

Question 7

RF for PP depression

Answer 7

Hx of depression, marital conflict, stressful life events in previous 12 months, lack of perceived social support, living w/o a partner, unplanned pregnancy, previous miscarriage, not breastfeeding, sick leave during pregnancy, congenital malformations, GDM, hx of bipolar d/o, family psych history

Question 8

What SSRI treats PP depression?

Answer 8

Same as in gen pop except breastfeeding, in which case use sertraline or paroxetine