Psychiatric Disorders in Pregnancy Flashcards Preview

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Flashcards in Psychiatric Disorders in Pregnancy Deck (25):
1

List some risk factors for mental illness in pregnant women

Young female
Single mother
Domestic issues
Lack of support
Substance misuse
Unplanned pregnancy
Pre-existing mental illness

2

When should a pregnant patient be referred to psychiatry?

Psychosis
Severe anxiety/depression/suicidal/self-harm
History of bipolar/schizophrenia
History of puerperal psychosis
If on psychiatric medication

3

What is the principle of psychiatric medication treatment in pregnancy?

Low dose monotherapy, taken at increased frequency if need be

4

When should a foetal anomaly scan be carried out in someone pregnant and on psychiatric medication?

16 weeks

5

Breastfeeding should be encouraged whenever possible in psychiatric pregnant patients. True/False?

True
Unless drug toxicity/contraindication

6

Why should benzodiazepines be avoided in pregnancy?

Cause cleft and neonatal withdrawal

7

What is the risk of a baby developing bipolar disorder if a mother has it and is not on treatment?

50%

8

What foetal defects can sodium valproate cause?

Neural tube defects
Craniofacial defects
IUGR
Reduced IQ
Cleft

9

Which mood stabiliser/anticonvulsant is considered safest to use in pregnancy?

Lamotrigine

10

What effects does carbamazepine have on a foetus?

Vitamin K deficiency
Haemorrhagic disease of newborn

11

It is normally ok to breastfeed if you are on an anticonvulsant. True/False?

True

12

What foetal defect can lithium cause?

Ebstein's anomaly

13

Is lithium contraindicated in breastfeeding?

Yes

14

Which antipsychotics - typical or atypical - are generally safe to use in pregnancy?

Typicals

15

Which antipsychotic is contraindicated in pregnancy because of its liability to induce life-threatening events in an infant?

Clozapine

16

Can anticholinergic drugs be used in pregnancy?

No

17

Which antidepressant can cause cardiac abnormalities in an infant?

Paroxetine

18

All antidepressants can cause withdrawal and toxicity in neonates. True/False?

True
Usually self-limiting though

19

When does postnatal depression typically onset?

2-6 weeks postnatally

20

List clinical features of postnatal depression

Anxiety, tearfulness
Lack of enjoyment
Poor sleep
Concerns re baby

21

How does postnatal depression differ from "baby blues"?

Baby blues is more brief and self-limiting

22

List clinical features of puerperal psychosis

Sleep disturbance
Confusion
Delusions, hallucinations
Irrational ideas
Mania

23

Puerperal psychosis is an emergency. True/False?

True
Needs urgent admission to mother-baby unit

24

List features of foetal alcoholic syndrome

Facial deformity
Lower IQ
Neurodevelopmental delay
Epilepsy
Hearing defect
Cardiac + renal defects

25

What should be considered management-wise if substance abuse is occurring in pregnancy?

Methadone programmes
Social work/child protection
Labour planning
Postnatal plan