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Flashcards in Post-Partum Depression Deck (20)
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1
Q
Postpartum Psychiatric Disorders
A
-Postpartum Depression
-Postpartum Anxiety
-Postpartum Psychosis
2
Q
Morning sickness is from
A
increased estrogen, progesterone and hCG
3
Q
Reflux during pregnancy is from
A
increased gastric emptying time and decreased sphincter tone
4
Q
Constipation during pregnancy is from
A
decreased motility, increased water absorption
5
Q
Reasons for pregnancy back pain
A
-Increased lumbar lordosis
-Myofascial strains
-Paraspinal muscle strain/muscle spasm
-Lumbar-sacral junction compression
6
Q
Hormone levels after birth
A
-Estrogen and progesterone levels drop
-Prolactin and oxytocin stimulate lactation
7
Q
Lochia
A
-Post partum bleeding
-Vaginal discharge containing blood, mucus and uterine tissue
-usually happens for 4-6 weeks
8
Q
Postpartum recovery
A
-caring for tears/episiotomy wounds
-lochia
-postpartum depression
-constipation and hemorrhoids
-breast problems
-diastas recti (post partum belly pooch- wait for dr to give okay to exercise)
-uterine problems (kegels)
9
Q
Postpartum Blues
A
-aka baby blues
-a transient condition
-Mild depressive symptoms such as dysphoria (sadness,
tearfulness, irritability and anxiety
-insomnia
-decreased concentration
-Develop in 50-75% of women within 2-3 days of delivery
10
Q
During Postpartum Blues, symptoms usually peak ______ and resolve _______
A
peak over the next few days (within 2-3 days of deliver) and resolve within 2 weeks
11
Q
Major Depressive Disorder with Permpartum Onset
A
This specifier can be applied to the current or, if full criteria are not currently met for a major depressive episode, most recent episode of major depression if onset of mood symptoms occurs during pregnancy or in the 4 weeks following delivery.
12
Q
Do hormones play a role in peripartum depression?
A
-hormone levels and changes in levels DO NOT correlate with mood symptoms
-Progesterone and estrogen levels drop postpartum. Cortisol, thyroid and other large hormonal shifts also occur.
-Women who get peripartum depression are more sensitive to hormone fluctuations
13
Q
Postpartum anxiety disorders include
A
Panic Disorder (intense fear of harm/harming any, palpitations, hyperventilation, sweating, difficulty caring for baby, leaving baby)

OCD (intrusive thoughts, images of grievous harm to baby, mother sometimes images herself inflicting harm)
14
Q
Perinatal depression/anxiety treatment
A
-decrease stress
-support groups
-psychotherapy (interpersonal, cognitive behavioral, supportive)
-SSRIs
15
Q
Postpartum Psychosis
A
-one of rarest psych disorders
-PSYCHIATRIC EMERGENCY
-rapid onset of severe maternal symptoms
-potential for a catastrophic outcome, such as infanticide or suicide
16
Q
Etiology of Postpartum Psychosis
A
-multifactorial
-significant drop in estrogen/progesterone (estrogen affects the monoaminergic system especially serotonin and dopamine)
-hx if bipolar/psychosis
-families with bipolar in which at least 1 woman had a manic or psychotic episode within 6 weeks of having a baby
-sleep disruption
-lack of partner support
17
Q
Clinical presentation of Postpartum Psychosis
A
-acute onset within the first 2 weeks after delivery in 65% of cases
-elated, dysphoric, or labile mood
-insomnia, agitation and bizarre behavior
-Psychotic symptoms include mood-incongruent delusions with frequent content related to the infant (eg, the infant being harmed), thought broadcasting, ideas of reference, delusions of control, or command hallucinations.
18
Q
4% of women with postpartum psychosis commit _______ and 5% commit _________
A
4%- infanticide
5%- suicide
19
Q
Any mother who presents with a postpartum mood or psychotic disorder should be asked about __________
A
thoughts of harming herself or the infant

-The lack of reality testing and disorganized behavior can lead to unsafe and neglecting behaviors even in the absence of clear infanticidal ideation
20
Q
Treatment for Postpartum Psychosis
A
1. Mood stabilizers: lithium, valproic acid, divalproex sodium, carbamazepine and lamotrigine

2. Atypical Antipsychotics: olanzapine, risperidone, quetiapine, aripiprazole, ziprasidone, lurasidone, or asenapine

3. Antidepressants: help manage depression. Usually along with a mood stabilizer or antipsychotic. Antidepressant along can sometimes trigger a manic episode.