Flashcards in Psychiatric Disorders in Pregnancy Deck (25):
List some risk factors for mental illness in pregnant women
Lack of support
Pre-existing mental illness
When should a pregnant patient be referred to psychiatry?
History of bipolar/schizophrenia
History of puerperal psychosis
If on psychiatric medication
What is the principle of psychiatric medication treatment in pregnancy?
Low dose monotherapy, taken at increased frequency if need be
When should a foetal anomaly scan be carried out in someone pregnant and on psychiatric medication?
Breastfeeding should be encouraged whenever possible in psychiatric pregnant patients. True/False?
Unless drug toxicity/contraindication
Why should benzodiazepines be avoided in pregnancy?
Cause cleft and neonatal withdrawal
What is the risk of a baby developing bipolar disorder if a mother has it and is not on treatment?
What foetal defects can sodium valproate cause?
Neural tube defects
Which mood stabiliser/anticonvulsant is considered safest to use in pregnancy?
What effects does carbamazepine have on a foetus?
Vitamin K deficiency
Haemorrhagic disease of newborn
It is normally ok to breastfeed if you are on an anticonvulsant. True/False?
What foetal defect can lithium cause?
Is lithium contraindicated in breastfeeding?
Which antipsychotics - typical or atypical - are generally safe to use in pregnancy?
Which antipsychotic is contraindicated in pregnancy because of its liability to induce life-threatening events in an infant?
Can anticholinergic drugs be used in pregnancy?
Which antidepressant can cause cardiac abnormalities in an infant?
All antidepressants can cause withdrawal and toxicity in neonates. True/False?
Usually self-limiting though
When does postnatal depression typically onset?
2-6 weeks postnatally
List clinical features of postnatal depression
Lack of enjoyment
Concerns re baby
How does postnatal depression differ from "baby blues"?
Baby blues is more brief and self-limiting
List clinical features of puerperal psychosis
Puerperal psychosis is an emergency. True/False?
Needs urgent admission to mother-baby unit
List features of foetal alcoholic syndrome
Cardiac + renal defects