Perinatal Psychiatry Flashcards Preview

Y3 Reproductive > Perinatal Psychiatry > Flashcards

Flashcards in Perinatal Psychiatry Deck (42)
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1

How are psychiatric problems screen for in pregnancy?

Booking visit questions

2

What percentage of mothers experience the baby blues?

50%

3

How long postnatal do the baby blues occur?

3 - 10 days

4

How long postnatal does postnatal depression occur?

2-6 weeks

5

How long postnatal does puerperal psychosis occur?

Less than 2 weeks

6

How does the baby blues present?

Irritable, teary, anxious, lack of sleep

7

What is the management of the baby blues?

Reassure, self-limiting

8

What percentage of mothers experience postnatal depression?

10%

9

How does postnatal depression present?

Anhedonia, concerned for baby, anxious, lack of sleep, weight loss, irritable etc.

10

What is the management of mild postnatal depression?

Self help / counselling

11

What is the management of moderate - severe postnatal depression?

CBT, antidepressant, consider admission

12

-Rapidly changing mental state
-Suicidal ideation
-Significant estrangement from infant
-Guilt or hopelessness
-Believe inadequate mother
-Psychosis
Are all indications for what?

Admission to a mother and baby unit

13

Preterm births increase the likeliness of postnatal depression. T or F

True

14

What are the risks to the child of untreated postnatal depression?

Emotional / conduct / cognitive problems e.g. ADHD

15

How might puerperal psychosis initially present?

Sleep problem, confusion, irrational

16

What is the management of puerperal psychosis?

Admit to mother-baby unit, antidepressant, antipsychotic

17

Puerperal psychosis has a high recurrence. T or F

True

18

Puerperal psychosis has a 5% risk of what?

Suicide

19

Facial deformity, low IQ, neurological / developmental delay, epilepsy, hearing problems, hear and kidney defects are all associated with what?

Fetal alcohol syndrome

20

Smoking in pregnancy increases the risk of sudden infant death, stillbirths, IUGR, miscarriage and what cause of PV bleeding?

Placental abruption

21

Opiate use in pregnancy might cause in the neonate?

Withdrawal

22

What is the risk of taking paroxetine in pregnancy?

In 1st trimester can cause heart defects

23

What antidepressants should be avoided in pregnancy?

Citalopram and doxepin

24

Antidepressants in pregnancy are associate with [low/high birth weight]

Low birth weight

25

Name 4 antidepressants that are generally safe in pregnancy?

Imipramine, amitriptyline, sertraline, fluoxetine

26

Are benzos safe in the first trimester? If no, why not?

Fetal malformation e.g. cleft palate

27

Are benzos safe in the third trimester? If no, why not?

Floppy baby syndrome
(hypothermia, resp depression, hypotonia) and neonate withdrawal

28

Are benzos safe in breastfeeding?

Avoid

29

Are mood stabilisers safe in pregnancy?

All fine except lithium

30

Are mood stabilisers safe when breastfeeding?

All fine except lithium