Perinatal MEntal Health Flashcards Preview

Jason's MD3 Psychiatry Rot > Perinatal MEntal Health > Flashcards

Flashcards in Perinatal MEntal Health Deck (19):
1

Impact of mental illness on preg?

Intrauterine growth restriction
Labour complications
More c-sections

More stillbirth, neonatal death
Failure to thrive

2

4 reasons when psychotropics are used in preg?

1. Preg is not protective
2. Relapse of schizo Common
3. Antenatal depression
4. Postnatal depression is common

3

Avoid what SSRI in preg?

Paroxetine Due to cardiac malformations

4

What effects if teratogen later in preg?

Neuro behavior
Motor
Cognitive development

5

What to do with babies of mothers with mental illness?

Preventive
Early intervention during critical periods: 0-3yo

6

What has profound influence on baby mental health?

Early attachment relationship

7

Mothers on SSRIs have risk of what in baby?

Persistent pulmonary hypertension

8

What 2 psychotropic drugs should not be used when breastfeeding?

Clozapine
Lithium

Longer half lives

9

Schizo affect fertility or women?

Nope

10

Childbirth impacts schizo women?

-More likely to relapse in postpartum and during preg

-Meds on the fetus/breast feeding

11

When does depression peak in preg?

T3 and falls after delivery

12

When does schizo and bipolar Dx happen in preg?

Usually predates preg

13

How much of the dose of meds show up in breast milk?

~10%

14

Antipsychotics teratogenic?

Little evidence
More dangerous not to treat

15

How to treat women with perinatal mental health probs?

Early treatment
Prevention

16

Schizo preg women who smoke %? Vs. normal pop. %

~50%

Gen pop:

17

How many women with post partum depression has depression previously?

50%

18

Risk of what with lithium in pregnancy

Ebstein's anomaly
(Tricuspid valve displacement)

19

When is perinatal mental health?

Pregnancy and 12 months postpartum