DRUGS
this is recommended for treatment of depression in peripartum
What is Sertraline
approx. 50% of mothers with this condition will experience another severe psychiatric condition, often bipolar disorders
what is post partum psychosis
This condition lasts 10-14 days, with fluctuating tearfulness, anxiety fatigue
what is baby blues
this SSRI is now pregnancy class D
what is paroxetine
A history of this condition is the strongest predictor of perinatal depression.
What is a prior depressive episode?
This mood stabilizer is strongly related to neural tube defects
what is VPA
this condition has a 71% relapse rate off medications
what is bipolar disorder
characterized by extreme confusion, loss of touch with reality, paranoia, delusions, disorganized thought process, and hallucinations
What is Post Partum Psychosis
This mood stabilizer is pregnancy class c
What is Lamotrigine
This tool is commonly used to screen for depression in pregnancy and postpartum.
What is the Edinburgh Postnatal Depression Scale (EPDS)?
When using this medication, ensure a fetal echo for Ebstein
what is Lithium
The risk of developing this condition is the highest in the first 3 months post partum
What is new onset Perinatal Panic Disorder
Most common peripartum mental illness
what is Depression
this antipsychotic is pregnancy class B
What is Clozapine
Postpartum psychosis is considered a psychiatric emergency due to increased risk of this rare but serious outcome.
What is infanticide or suicide?
with these 3 drugs, weekly monitoring for agranulocytosis is recommended in infant up to 6 months after birth
What are- Clozapine, ziprasidone, lurasidone
One in 5 pregnant Jamaican women at at risk for this condition as per O. Bernard 2018
WHAT is Depression (with peripartum onset)
Characterized by unwanted intrusive thoughts and preserved insight
what is OCD
this antipsychotic is lactation category L2
What is olanzapine
During which trimester is up titration of medications typically needed due to physiological changes
what is the second trimester
ACOG recommends consideration of this new drug in the postpartum period for moderate-to-severe perinatal depression with onset in the third trimester or within 4 weeks postpartum.
What is brexanolone
Occurs in 0.2-7% of pregnant women
What is social anxiety
a mental illness which may present with, palpitations, paresthesia, shortness of breath, chest pain, nausea and other symptoms
what is a panic attack
this benzodiazepine is L3, but becomes L4 with chronic use
What is Valium
Rapid postpartum estrogen drop, ama, primiparity, immune activation are physiological risk factors for this condition
What is post partum psychosis