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Flashcards in psychiatry and childbirth Deck (39)
1

benzos in pregnancy?

cleft palate, withdrawls

2

risk of baby being bipolar if mother is?

1/7

3

sodium valproate effects on child?

NTD, craniofacial defects, CV abnormality, IUGR, reduced IQ, cleft palate, genitourinary

4

carbamazepine cam

facial dysmorphism, cardiac anomalies, fingernail hypoplasia, NTD

5

lamotrigine?

cleft, steven johnson syndrome to baby if breastfed

6

carbamazepine - can cause vitamin K deficiency, what could this ca use?

haemorrhagic disease of the newborn

7

Lithium ?

cardiac abnormalities, risk maternal toxicity, abstains anomaly

8

lithium also causes?

neonatal hypogycaemia, hypotonia and hypothyroidism

9

lithium is contraindicated in ?

breeastfeeding

10

can you breastfeed on carbamazepine?

yes

11

in pregnancy, lithium should be stopped gradually

.

12

schizophrenia - which antipsychotics are totally safe in pregnancy?

typicals. haloperidol, chlorpromazine are safe

13

which antipsychotic contraindicated in breastfeeding due to its liability of inducing life threatening events on the infant

cozapine

14

which other drug should not be used in breast feeding

olanzipine

15

anti cholinergics?

not to be used in pregnancy

16

eatin disorders tend to improve in pregnancy

y

17

depression in pregnancy - mild/moderate?

psycholoigical treatment

18

moderate/severe?

pharmalogical

19

side effects of venlafaxine?

insomnia, hypertension, arrythmia

20

in pregnancy, venlafaxine causes?

hypertension

21

paroxetine causes - cardiac abnormalities

w

22

which two classes of ad are found in high concentrations in breast milk?

TCAs and SSRIs

23

ALL antidepressants carry risk of withdrawal or toxicity in neonates

.

24

TCAs, breast feeding, pregnancy?

ok in breastfeeding, ok in pregnancy

25

high levels of which two SSRIs in breast milk?

citalopram, fluoxetine

26

POst natal depression. onset usually?

2-6 weeks post natal

27

if mild/moderate?

counselling/self help

28

if moderate/severe

psychotherapy/antidepressants

29

day 3-10, tearful, irritable, anxiety, poor sleep, confusion

baby blues. reassure and support

30

puerperal psychosis, when does it usually present?

within 2 weeks of delivery

31

mania, delusions, ahllucinations, irrational ideas, sleep disturbance?

ps

32

risk factors?

bipolar, 1st degree relative with history

33

what is the management of this?

EMERGENCY - needs admission. antidepressants, antipsychotics, mood stabilisers and ECT

34

what is ECT?

shock therapy used to induce seizures to provide relief from mental distress

35

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

36

risk of miscarriage in alcoholism - cervix dilation

y

37

facial derformities, lower IQ, neurodevelopment delay, epilepsy, hearing, heart and kidney defects

y

38

cocaine, amphetamines and ecstasy. what could these cause?

death by stroke and arrhythmia. they are teratogenic, PET, abruption, IUGR, PTL, miscarriage

39

OPIATES cause maternal deaths, neonatal withdrawal, IUGR, SIDS and still birth

nicotine causes miscarriages, still births, IUGR and SIDS