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Flashcards in Pre and post natal Deck (56)
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1

What percent of pregnant women will meet criteria for a MDE during pregnancy?

14-23%

2

What percent of women have some symptoms of a MDE postpartum?

50%

3

What percent of women have some type of mood disturbance postpartum?

85%

4

True or false: antenatal or postpartum depression increases the likelihood of a later MDE

True

5

More or less education is a risk factor for postpartum depression?

Less

6

Increased or decreased physical symptoms with pregnancy is a risk factor for postpartum depression?

Increased

7

True or false: a distant h/o depression is a risk factor for postpartum depression

True

8

What are the "baby blues"?

Mood disorder that presents within the first few days after delivery, and usually resolves within 2 weeks

9

What is the incidence of baby blues?

50-85% of women

10

What are the s/sx of baby blues? (4)

-Mood lability
-Tearfulness
-Anxiety
-Irritability

11

What is the duration of baby blues?

Peak on 4th-5th day, and last from a few hours, to a few days

12

True or false: the baby blues in and of themselves are not a disorder

True

13

When is evaluation for baby blues needed?

If longer than 2 weeks

14

When does postpartum depression begin?

Usually emerges 2-3 months postpartum, but must occur within 4 weeks of delivery

15

True or false: postpartum depression is clinically indistinguishable from depression at other times

True

16

What is the depression scale for postpartum depression?

Edinburgh postnatal depression scale

17

What is the correlation between serum levels of hormones with postpartum depression?

There is none

18

True or false: postpartum anxiety is equally common as postpartum depression

True

19

What are the anxiety disorders that can appear postpartum? (4)

-GAD (adequacy of parenting)
-Panic attacks
-Hypochondriasis
-OCD (thoughts of harming baby)

20

Who in particular is worried about parenting skills?

Those who had bad childhood experiences with their parents

21

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

22

What is the common presentation of OCD in new mothers?

Involves thoughts of harming the baby

23

True or false: excessive thoughts of harming a baby in the postpartum period is common

True

24

What is postpartum psychosis?

Typically a mixed or manic episode as part of a bipolar illness

25

When do s/sx of postpartum psychosis usually begin?

2-3 days or within 2 weeks

26

What percent of women who develop postpartum psychosis have no psych history?

50%

27

What are the three major initial symptoms of postpartum psychosis?

-Restlessness
-Irritability
-Insomnia

28

What are the later s/sx of symptoms of postpartum psychosis? (4)

-Rapidly confusing or shifting depressed or elated mood
-Confusion
-Erratic behavior
-Delusions or hallucinations

29

What is the major concern with postpartum psychosis?

Risks for suicide and infanticide are high

30

What four things must be judged to assess for postpartum psychosis?

-Judgement
-Reality testing
-Anger control
-Intent