post natal depression

Question 1

baby blues

Answer 1

> 50% woman in first week or so after birth

Question 2

baby blues - symptoms

Answer 2

mood swings
low mood 
anxiety 
irratible 
tearfullness

Question 3

baby blues - due to combo of

Answer 3

hormonal changes
recovery from birth 
fatigue 
sleep deprivation 
new responsibility 
establishing feeding

Question 4

baby blues - management

Answer 4

symptoms usually mild and resolve within 2wks

no treatment required

Question 5

postnatal depression.- features

Answer 5

low mood
anhedonia
low energy

symptoms should be present 2+ weeks

Question 6

postnatal depression.- Mx mild cases

Answer 6

additional support
self help
GP followup

Question 7

postnatal depression.- Mx moderate cases

Answer 7

SSRI

CBT

Question 8

postnatal depression.- Mx severe cases

Answer 8

psychiatric input

Mother and baby unit

Question 9

Edinburgh Postnatal Depression Scale

Answer 9

score 10+ suggests PN depression

Question 10

Puerperal Psychosis

Answer 10

delusions 
hallucinations
depression 
mania 
confusion 
thought disorder

Question 11

Puerperal Psychosis Mx

Answer 11

admission to mother and baby unit 
SSRI 
antidepressant
antipsychotic
mood stabilisers
ECT