perinatal psych Flashcards Preview

Psych > perinatal psych > Flashcards

Flashcards in perinatal psych Deck (22):
1

if mental illness is left untreated during pregnancy what are the risks to the mother

increased risk suicide, substance misuse, poor compliance, poor lifestyle and self care

2

if mental illness is left untreated during pregnancy what are the risks to the infant

LBW, pre term, poor attachment

3

when would you get withdrawal syndrome in baby

if drugs are used in 3rd trimester

4

when are malformations most likely (which trimester) due to drugs

1st

5

bipolar medication

maintain on medication if severe and high risk relapse. avoid valproate- neural tube defects. can use lithium but teratogenic- cardiac malformations

6

schizophrenia in pregnancy medication

take antispychotics at every stage. olanzapine

7

depression treatment pregnancy

delay until 2nd and 3rd trimester. amitryptilline, nortryptilline, fluoxetine

8

what are the baby blues

brief period low mood, tearful, emotional lability. 2-3 days after, and lasts 2-3 days. 75% new mums

9

what is post natal depression

significant depressive episode within 6 months of delivery. 10-15% new mums

10

what is postpartum psychosis

rapidly evolving abrupt onset. confusion and disorientation with psychotic features. high risk suicide and infanticide. 2-4 weeks after birth

11

management post partum depression

psychotherapy

12

management post partum psychoses

antipsychotics. ECT can be used

13

antidepressants

use TCAs, sertraline if SSRI.

14

what antidepressants are present in breast milk at low levels

imipramine, nortryptyline, amitriptyline.

15

mood stabilisers

don't use in breastfeeding

16

what is the risk of using antidepressants

withdrawal or toxicity in neonates

17

what are preferred to mood stabilisers in prescribing in pregnancy

antipsychotics- haloperidol, chlorpromazine

18

what can benzos cause in the neonate

cleft palate, fetal malformations, floppy baby syndrome

19

what does lithium increase your risk of

Epsteins anomaly (downward displacement of triscupid valve into right ventricle)

20

which mood stabilisers cause neural tube defects

valproate and carbamazepine

21

guiding prescribing in pregnancy

avoid all in first trimester

22

what do you need to do with benzos, TCAs, SSRIs in the weeks prior to delivery

gradually withdraw