Psychiatric Disorders in Pregnancy

by Veronica Gillispie, MD, FACOG

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    Now we'll talk about psychiatric disorders in pregnancy. So there are three psychiatric disorders that we see in pregnancy. Postpartum Blues, Postpartum Depression and Postpartum Psychosis. Let's take the time to explore each of these. So postpartum blues. It occurs in about 50 to 80% of pregnancies so it's very common. The symptoms are guilt, crying, feeling overwhelmed. And the onset is usually anywhere between birth to 2 weeks after delivery. The treatment spontaneous. It resolves on it's own. So you just reassure mom if she has these symptoms. Next is postpartum depression. Now there are risk factors for postpartum depression. You need to be aware of these so that when you see our patients during pregnancy, you also make them aware that if the symptoms start to happen associated with postpartum depression, they should seek your care. So if the patient has a history of postpartum depression or depression in general, they are at increased risk for developing postpartum depression. If they have poor social support. If the baby has health or there's another baby that they're taking care of or another child that they are taking care of that has health problems, they are at increased risk for developing postpartum depression. If they have difficulty with breastfeeding. If we remember from the breastfeeding lecture, breastfeeding is one of the things that protects us against postpartum depression. So if there's difficulty with breastfeeding this can be a risk factor. And also for families or moms that have financial difficulties. They are increased risk for developing postpartum depression as well. So with postpartum depression it occurs in approximately 15 to 25% of pregnancies. Now the rate may actually be a bit higher. Because sometimes when we are not great at diagnosing it. Speaking of diagnosis, there is a way to...

    About the Lecture

    The lecture Psychiatric Disorders in Pregnancy by Veronica Gillispie, MD, FACOG is from the course Postpartum Care. It contains the following chapters:

    • Psychiatric Disorders in Pregnancy
    • Summery of Psychiatric Disorders in Pregnancy

    Included Quiz Questions

    1. Start psychotherapy
    2. Send to emergency room for immediate hospitalization
    3. Refer case to child protective services
    4. Start antipsychotic medication
    5. Attempt to contact father of the baby for extra support
    1. Postpartum blues
    2. Postpartum depression
    3. Postpartum anxiety
    4. Postpartum psychosis
    5. Normal state
    1. 50-80%
    2. 15-25%
    3. 10-20%
    4. 1-5%
    5. Nearly all women experience postpartum blues
    1. Having a baby with health problems
    2. Breastfeeding
    3. Financial prosperity
    4. Family history of depression
    5. Advanced maternal age
    1. Visual and auditory hallucinations
    2. Suicidal ideation
    3. Feelings of guilt
    4. Feelings of hopelessness and inability to cope
    5. Feelings of complete detachment from her baby
    1. Monitor for self-resolution
    2. SSRI
    3. Psychotherapy
    4. Combined SSRI and psychotherapy treatment
    5. Emergency room evaluation for hospitalization

    Author of lecture Psychiatric Disorders in Pregnancy

     Veronica Gillispie, MD, FACOG

    Veronica Gillispie, MD, FACOG

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