Postnatal depression

Question 1

Postnatal depression - epi

Answer 1

10%

Question 2

Postnatal depression - RF

Answer 2

1. Depressive symptoms predating pregnancy
2. Family history of depression
3. History of premenstrual mood change/OCP use associated with mood change
4. Inadequate support at home/stress around childcare
5. Recent traumatic major life events

Question 3

Postnatal depression - dx

Answer 3

1. Tearfulness
2. Irritability
3. Anxiety
4. Poor sleep
5. Little interest/pleasure in doing things

Question 4

Postnatal depression - mx (3)

Answer 4

1. Mild-to-moderate = self-help strategies and non-directive counselling (listening)
2. Moderate to severe depression = tx with antidepressant (e.g. sertraline) + psychotherapy (CBT)
3. Referral to GP for follow-up (bc increased lifetime risk of further depression)