Flashcards in psychiatry and childbirth Deck (39)
benzos in pregnancy?
cleft palate, withdrawls
risk of baby being bipolar if mother is?
sodium valproate effects on child?
NTD, craniofacial defects, CV abnormality, IUGR, reduced IQ, cleft palate, genitourinary
facial dysmorphism, cardiac anomalies, fingernail hypoplasia, NTD
cleft, steven johnson syndrome to baby if breastfed
carbamazepine - can cause vitamin K deficiency, what could this ca use?
haemorrhagic disease of the newborn
cardiac abnormalities, risk maternal toxicity, abstains anomaly
lithium also causes?
neonatal hypogycaemia, hypotonia and hypothyroidism
lithium is contraindicated in ?
can you breastfeed on carbamazepine?
in pregnancy, lithium should be stopped gradually
schizophrenia - which antipsychotics are totally safe in pregnancy?
typicals. haloperidol, chlorpromazine are safe
which antipsychotic contraindicated in breastfeeding due to its liability of inducing life threatening events on the infant
which other drug should not be used in breast feeding
not to be used in pregnancy
eatin disorders tend to improve in pregnancy
depression in pregnancy - mild/moderate?
side effects of venlafaxine?
insomnia, hypertension, arrythmia
in pregnancy, venlafaxine causes?
paroxetine causes - cardiac abnormalities
which two classes of ad are found in high concentrations in breast milk?
TCAs and SSRIs
ALL antidepressants carry risk of withdrawal or toxicity in neonates
TCAs, breast feeding, pregnancy?
ok in breastfeeding, ok in pregnancy
high levels of which two SSRIs in breast milk?
POst natal depression. onset usually?
2-6 weeks post natal
day 3-10, tearful, irritable, anxiety, poor sleep, confusion
baby blues. reassure and support
puerperal psychosis, when does it usually present?
within 2 weeks of delivery
mania, delusions, ahllucinations, irrational ideas, sleep disturbance?
bipolar, 1st degree relative with history
what is the management of this?
EMERGENCY - needs admission. antidepressants, antipsychotics, mood stabilisers and ECT
what is ECT?
shock therapy used to induce seizures to provide relief from mental distress
80% have a 10 year recurrence rate
alcohol in pregnancy, abstinence best but no harm in 2 units per week, no evidence that it is detrimental
risk of miscarriage in alcoholism - cervix dilation
facial derformities, lower IQ, neurodevelopment delay, epilepsy, hearing, heart and kidney defects
cocaine, amphetamines and ecstasy. what could these cause?
death by stroke and arrhythmia. they are teratogenic, PET, abruption, IUGR, PTL, miscarriage