Postpartum Depression Lecture Quiz
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Questions and Answers

What proportion of women experience some type of mood disturbance during the postpartum period?

  • 70%
  • 85% (correct)
  • 90%
  • 95%

    • What percentage of women develop more significant symptoms of depression or anxiety during the postpartum period?

  • 5-10%
  • 20-25%
  • 15-20%
  • 10-15% (correct)

    • Why is it necessary for physicians to recognize emotional difficulties in pregnancy and the postpartum period?

  • To prevent physical health problems
  • To avoid legal implications
  • To maintain professional credibility
  • To ensure maternal well-being (correct)

    • What is the primary focus of antenatal assessment in relation to psychiatric morbidity?

    <p>Identifying risk factors for psychiatric morbidity</p> Signup and view all the answers

    When are depressive symptoms as common as in the postpartum period?

    <p>During the antepartum period</p> Signup and view all the answers

    What is the significance of recognizing psychiatric problems during pregnancy and postpartum?

    <p>It is essential for preventing maternal mortality and morbidity</p> Signup and view all the answers

    What is the most significant factor in the duration of postpartum depression (PPD)?

    <p>Delay in receiving treatment</p> Signup and view all the answers

    Which of the following symptoms is commonly associated with postpartum depression?

    <p>Generalized anxiety and panic attacks</p> Signup and view all the answers

    What is the recommended first-line medication for more severe postpartum depression?

    <p>Antidepressants (SSRI's)</p> Signup and view all the answers

    What is the purpose of the Edinburgh Postnatal Depression Scale mentioned in the lecture?

    <p>To identify women who have PPD</p> Signup and view all the answers

    According to the lecture, which hormonal changes are proposed to play a role in the emergence of postpartum affective illness?

    <p>Decrease in estrogen and progesterone concentrations after delivery</p> Signup and view all the answers

    What is a common feature of postpartum obsessive-compulsive disorder as mentioned in the lecture?

    <p>Disturbing and intrusive thoughts of harming the infant</p> Signup and view all the answers

    Which factor is identified as increasing the likelihood of postpartum depression according to the lecture?

    <p>Recent stressful life events during pregnancy or near delivery</p> Signup and view all the answers

    What may be used to detect women who have PPD based on a specific score or affirmative answer?

    <p>'EPDS' questionnaire</p> Signup and view all the answers

    What type of therapy is recommended for mild to moderate postpartum depression?

    <p>'Psychotherapy''Bright light therapy'exercise,omega 3 fatty acid</p> Signup and view all the answers

    What population of women may be more vulnerable to PPD according to the lecture?

    <p>Women with histories of major depression or bipolar disorder.</p> Signup and view all the answers

    What is a significant consequence of failing to receive treatment for PPD according to the lecture?

    <p>Lingering effects on physical and psychological functioning.</p> Signup and view all the answers

    How does PPD usually develop, as mentioned in the lecture?

    <p>It develops slowly over the first three months, often beginning within the first 4 weeks.</p> Signup and view all the answers

    What is the synthetic version of a steroid called allopregnanolone?

    <p>Brexanolone [Zulresso]</p> Signup and view all the answers

    What is the most severe form of postpartum psychiatric illness?

    <p>Postpartum psychosis</p> Signup and view all the answers

    How is Zulresso administered?

    <p>Continuous IV infusion</p> Signup and view all the answers

    What are the most common adverse reactions reported by patients treated with Zulresso?

    <p>Sleepiness, dry mouth, loss of consciousness, flushing</p> Signup and view all the answers

    What is the typical onset of postpartum psychosis?

    <p>Within 2 weeks after delivery</p> Signup and view all the answers

    What is the treatment of choice for postpartum psychosis?

    <p>B and C</p> Signup and view all the answers

    What is the concern regarding selective serotonin reuptake inhibitors (SSRIs) in pregnancy?

    <p>Risk of cardiovascular defects in the fetus</p> Signup and view all the answers

    What is recommended for women on antidepressant medication at conception?

    <p>Trial off treatment prior to delivery</p> Signup and view all the answers

    What do women with histories of bipolar disorder benefit from as a prophylactic treatment near or at the time of delivery?

    <p>(Lithium) Lithium salts</p> Signup and view all the answers

    What is the risk associated with lithium in pregnancy?

    <p>Increased risk of cardiovascular defects in the fetus</p> Signup and view all the answers

    What may be beneficial for patients with depressive disorders of marked or moderate severity?

    <p>(ECT) Electroconvulsive therapy</p> Signup and view all the answers

    What may sleep problems in mothers suffering from postpartum depression lead to?

    <p>Impaired maternal health and safety practices</p> Signup and view all the answers

    What is the main differentiating factor between hyperemesis gravidarum and early morning sickness?

    <p>Requirement for hospital admission</p> Signup and view all the answers

    What is the recommended treatment for hyperemesis gravidarum?

    <p>Intravenous rehydration and small light snacks</p> Signup and view all the answers

    What is pseudocyesis?

    <p>A condition where a woman believes she is pregnant when she is not</p> Signup and view all the answers

    What are the common symptoms of cauvade syndrome?

    <p>Nausea and morning sickness</p> Signup and view all the answers

    What is a characteristic of cryptopregnancy?

    <p>There is no genuine pregnancy</p> Signup and view all the answers

    Why may a diagnosis of depression be missed in pregnancy?

    <p>Because symptoms are often mistaken for normal pregnancy changes</p> Signup and view all the answers

    What is the recommended treatment for depression during pregnancy?

    <p>Psychotherapy and antidepressants (except in the first trimester)</p> Signup and view all the answers

    What are the categories into which postpartum psychiatric illness is typically divided?

    <p>(1) Postpartum blues (2) Postpartum depression (3) Postpartum psychosis</p> Signup and view all the answers

    What percentage of women experience postpartum blues after delivery?

    <p>~50-85%</p> Signup and view all the answers

    What are common symptoms of postpartum blues?

    <p>Mood lability, tearfulness, anxiety or irritability</p> Signup and view all the answers

    What type of medication may be required for women who have a past history of psychotic illness during pregnancy?

    <p>Antipsychotic medications</p> Signup and view all the answers

    What are some possible treatments for hyperemesis gravidarum?

    <p>Intravenous rehydration, corticosteroids, and total parenteral nutrition</p> Signup and view all the answers

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