Perinatal mental health Flashcards Preview

Olivia MD3 2nd semester > Perinatal mental health > Flashcards

Flashcards in Perinatal mental health Deck (12):
1

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

2

what types of psychotherapies may be best for a woman suffering from post natal depression?

CBT
IPT
Psychodynamic therapy

3

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

4

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

5

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

6

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

7

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?

8

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

9

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

10

what psychotropic drug is contraindicated during breastfeeding?

clozapine

11

what are 2 ix you would do for a new mother who you suspect may either have PND or postpartum psychosis?

FBE- anaemia
TFTs

12

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?