Anxiety and Depression
Women are at increased risk of exacerbating panic disorders during what period of pregnancy?
Postpartum Period
Name a screening tool used to assess Postpartum depression.
Edinburgh Postnatal Depression Scale, Beck depression Inventory, Postpartum Depression Screening Scale
This class of medications is also used in what complication of pregnancy often seen early in pregnancy.
Hyperemesis Gravidarum
This medication has been shown to be associated with neural tube defects
Valproate
True of False? Most psychiatric medications are transferred through the breast milk at high concentrations.
False. Found in very low levels in the breast milk
___ has been shown to be an effective way to manage mild to moderate depression and an alternative to medications.
CBT or psychotherapy
Which is preferred? A single mediation at a higher dose OR multiple medications for treatment of psychiatric illness?
Single medication at higher dose
Which generation of anti-psychotics was more associated with neonatal withdrawal symptoms?
First generation
This medication is relatively safe to use in pregnancy and has also been shown to be effective in mood disorders as well.
Lamotrigine
AAP discourages the use of this medication during lactation.
Lithium
Name one transient neonatal complication that has been associated with late pregnancy use of SSRI
mild respiratory distress, transient tachypnea, weak cry, poor tone
SSRIs have the potential to cause __ birth weight and ___ Apgars.
Low Birth weight and reduced Apgars
Chronic administration of antipsychotics during the third trimester may cause symptoms of _____ in neonates.
Neonatal Toxicity and Withdrawal Syndrome
This medication is common used in pregnant women to control AED.
Keppra
This SSRI has been shown in lower amounts in the breast milk compared to other SSRIs.
Sertraline
This medication should be avoided in pregnancy and women planning on becoming pregnant 2/2 risk of congenital cardiac defects.
Paroxetine
This type of therapy has been shown effective and safe to use in the treatment for major depression in pregnancy
Electroconvulsive therapy (ECT)
T/F antipsychotics are at increased risk pre-term birth.
True
AED lead to increased risk of _ in utero.
Fetal Growth Restrictions
Should you change a medication based on levels of medications secreted in the breast milk.
No
Which category of medications are associated with floppy baby syndrome is used shortly before delivery?
Benzodiazepines
What percentage of women report symptoms of depression during pregnancy?
70%
This medication has been show to cause facial dysmorphism and well as fingernail hypoplasia in the fetus.
Carbamazepine
This medication is often considered the first line choice for breast feeding.
Paroxetine