Flashcards in Perinatal Psychiatry Deck (42)
How are psychiatric problems screen for in pregnancy?
Booking visit questions
What percentage of mothers experience the baby blues?
How long postnatal do the baby blues occur?
3 - 10 days
How long postnatal does postnatal depression occur?
How long postnatal does puerperal psychosis occur?
Less than 2 weeks
How does the baby blues present?
Irritable, teary, anxious, lack of sleep
What is the management of the baby blues?
What percentage of mothers experience postnatal depression?
How does postnatal depression present?
Anhedonia, concerned for baby, anxious, lack of sleep, weight loss, irritable etc.
What is the management of mild postnatal depression?
Self help / counselling
What is the management of moderate - severe postnatal depression?
CBT, antidepressant, consider admission
-Rapidly changing mental state
-Significant estrangement from infant
-Guilt or hopelessness
-Believe inadequate mother
Are all indications for what?
Admission to a mother and baby unit
Preterm births increase the likeliness of postnatal depression. T or F
What are the risks to the child of untreated postnatal depression?
Emotional / conduct / cognitive problems e.g. ADHD
How might puerperal psychosis initially present?
Sleep problem, confusion, irrational
What is the management of puerperal psychosis?
Admit to mother-baby unit, antidepressant, antipsychotic
Puerperal psychosis has a high recurrence. T or F
Puerperal psychosis has a 5% risk of what?
Facial deformity, low IQ, neurological / developmental delay, epilepsy, hearing problems, hear and kidney defects are all associated with what?
Fetal alcohol syndrome
Smoking in pregnancy increases the risk of sudden infant death, stillbirths, IUGR, miscarriage and what cause of PV bleeding?
Opiate use in pregnancy might cause in the neonate?
What is the risk of taking paroxetine in pregnancy?
In 1st trimester can cause heart defects
What antidepressants should be avoided in pregnancy?
Citalopram and doxepin
Antidepressants in pregnancy are associate with [low/high birth weight]
Low birth weight
Name 4 antidepressants that are generally safe in pregnancy?
Imipramine, amitriptyline, sertraline, fluoxetine
Are benzos safe in the first trimester? If no, why not?
Fetal malformation e.g. cleft palate
Are benzos safe in the third trimester? If no, why not?
Floppy baby syndrome
(hypothermia, resp depression, hypotonia) and neonate withdrawal
Are benzos safe in breastfeeding?
Are mood stabilisers safe in pregnancy?
All fine except lithium