Flashcards in Pre and post natal Deck (56)
What percent of pregnant women will meet criteria for a MDE during pregnancy?
What percent of women have some symptoms of a MDE postpartum?
What percent of women have some type of mood disturbance postpartum?
True or false: antenatal or postpartum depression increases the likelihood of a later MDE
More or less education is a risk factor for postpartum depression?
Increased or decreased physical symptoms with pregnancy is a risk factor for postpartum depression?
True or false: a distant h/o depression is a risk factor for postpartum depression
What are the "baby blues"?
Mood disorder that presents within the first few days after delivery, and usually resolves within 2 weeks
What is the incidence of baby blues?
50-85% of women
What are the s/sx of baby blues? (4)
What is the duration of baby blues?
Peak on 4th-5th day, and last from a few hours, to a few days
True or false: the baby blues in and of themselves are not a disorder
When is evaluation for baby blues needed?
If longer than 2 weeks
When does postpartum depression begin?
Usually emerges 2-3 months postpartum, but must occur within 4 weeks of delivery
True or false: postpartum depression is clinically indistinguishable from depression at other times
What is the depression scale for postpartum depression?
Edinburgh postnatal depression scale
What is the correlation between serum levels of hormones with postpartum depression?
There is none
True or false: postpartum anxiety is equally common as postpartum depression
What are the anxiety disorders that can appear postpartum? (4)
-GAD (adequacy of parenting)
-OCD (thoughts of harming baby)
Who in particular is worried about parenting skills?
Those who had bad childhood experiences with their parents
Why are panic attacks more common during pregnancy? (2)
-Hotter than usual during pregnancy--may predispose to panic attacks
-Baby kicks and hyperfocus on body
What is the common presentation of OCD in new mothers?
Involves thoughts of harming the baby
True or false: excessive thoughts of harming a baby in the postpartum period is common
What is postpartum psychosis?
Typically a mixed or manic episode as part of a bipolar illness
When do s/sx of postpartum psychosis usually begin?
2-3 days or within 2 weeks
What percent of women who develop postpartum psychosis have no psych history?
What are the three major initial symptoms of postpartum psychosis?
What are the later s/sx of symptoms of postpartum psychosis? (4)
-Rapidly confusing or shifting depressed or elated mood
-Delusions or hallucinations
What is the major concern with postpartum psychosis?
Risks for suicide and infanticide are high