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Flashcards in Perinatal Psychiatry Deck (22):
1

Which anticonvulsant drug is safest in pregnancy?

Lamotrigine

2

Which mood stabiliser is most likely to cause ebstenien anomoly in a baby? What is ebsteins anomaly?

Lithium
Ebstein's anomaly is a congenital heart defect in which the septal and posterior leaflets of the tricuspid valve are displaced towards the apex of the right ventricle of the heart.

3

When is lithium contraindicated?

Breastfeeding

4

Which antipsychotic is contraindicated in breastfeeding?

Clozapine

5

Which is the best SSRI to use in a breastfeeding mother?

Sertraline

6

What % of women will suffer from post natal depression?

10%

7

How long after childbirth does post natal depression usually occur?

2 - 6 weeks

8

Which anxiolytic drugs should be avoided in pregnancy due to risk of cleft palate and neonatal withdrawal?

Benzodiazepines

9

What is the chance of a baby being affected by bipolar if its mum has bipolar?

1 in 7

10

Are antipsychotics considered to be safe or unsafe in pregnancy?

Safe

11

Which antipsychotic may cause extrapyramindal reactions in breast fed babies?

Olanzapine

12

Why should venlafaxine be avoided in pregnancy?

Risk of hypertension

13

Which SSRI puts the fetus most as risk of cardiac abnormalities?

Paroxtetine

14

How many women will get the baby blues?

50%

15

When does the baby blues usually start?

Day 3 - 10

16

When does puerperal psychosis usually present?

Within 2 weeks

17

What conditions predisposes you to puerperal psychosis?

Bipolar

18

How many women get puerperal psychosis?

0.1%

19

What is the suicide risk in puerperal psychosis?

5%

20

What is the infanticide risk in puerperal psychosis?

4%

21

What % of women will puerperal psychosis go on to develop bipolar?

25%

22

Where should women with puerperal psychosis be treated?

Mother and baby unit