Perinatal Psychiatry Flashcards
what is the most common psychiatric condition to manifest after birth
baby blues
when does baby blues arise and how long does it usually last
around day 3 post partum and lasts around a week
what are the features of baby blues
mother tearful, irritable, anxious and confused
sleep problems common
how are baby blues managed
reassurance only
what condition presents after pregnancy with sleep disturbance, confusion, irrational idea
puerperal psychosis
what are the later symptoms of puerperal psychosis
mania
delusions
hallucinations
when does puerperal psychosis usually arise
2 weeks postnatally
how is puerperal psychosis managed
anti-depressants
anti-psychotics
mood stabilisers
ECT if severe
how common is postnatal depression
affects 10% of women and can last up to a year
what are the features of postnatal depression
tearful irritability anxiety lack of enjoyment poor sleep weight loss
how is postnatal depression managed
mild-moderate with self-help and counselling
moderate-severe with psychotherapy and anti-depressants
benzodiazepines in pregnancy increases the risk of what
cleft lip
neonatal withdrawal
valproate in pregnancy increases the risk of what
neural tube defects
CVS defect
IUGR
if someone is on lithium and becomes pregnant how should their medication be managed
gradually reduce dose
is lithium safe in breast-feeding
no - switch to SSRI to TCA
