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Perinatal Mental Health: Questions & Proper Solutions
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Perinatal Mental Health: Questions & Proper Solutions
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Perinatal Mental Health: Questions & Proper SolutionsIncidence of non-pregnant depression Right Ans - 8-10%
16-20% lifetime risk
incidence of pregnant depression Right Ans - 9-13%
3-5% major depression
incidence of postpartum depression Right Ans - 9-30% North American
women
Percentage of women who experience Baby Blues Right Ans - 80%
Nursing Care: Primary prevention Right Ans - preventative education
related to depression prior to, during and after pregnancy.
Assessment depression Right Ans - liten to women, advise, observe for
behavioral changes, screen using objective tools, invite/involve partner and
family.
objectives of primary prevention depression Right Ans - improve women's
wellness
increase intendedness of pregnancy
educate women/partners about risks
decrease amenable risk factors
Psychology of Pregnancy Right Ans - - developmental crisis- upheaval
followed by positive resolution
- intensification of unresolved family or origin issues
- increase in self esteem and self absorption
- protector of the fetus
developmental crisis Right Ans - biologically and emotionally upheaval and
change- most do okay
etiology of depression in pregnancy Right Ans - etiology unclear (may be
related to hormonal shifts, neuroendocrine changes, psychosocial adjustments
, corpus luteal Right Ans - responsible for all hormones to support
pregnancy- are systemic until placenta is formed so all hormones are
circulating and is hard on body.
Continuation of pre-pregnant disease or new-onset with pregnancy Right
Ans - can present a confusing picture
- anxiety is "normal"
- poor sleep is "normal"
- weight changes can be blamed on pregnancy
risk factors for depression in pregnancy Right Ans - African American and
hispanic
psychosocial risk factors for depression in pregnancy Right Ans - single
status, marital instability poor social support, adverse life events, unplanned
pregnancy, ambivalence towards pregnancy, low SES, personal/fam hx,
discontinuing antidepressants.
Effects of untreated depression on pregnancy Right Ans - pain/suffering
"robbed of joy"
family discord
poor appetite-nutation
self medication
impaired judgment- prenatal care
anxiety
insomnia
other effects of untreated depression Right Ans - psychosis, suicide,
impaired maternal-infant bonding, postpartum depression
screening for depression in pregnancy Right Ans - optimal time - since
women have early, frequent contact with healthcare providers.
what to ask during screen Right Ans - - how have you been feeling?
- what's been your general mood?
- how are you feeling about becoming a mom?
- how are you...eating? sleeping?
- are you able to enjoy your usual activities?
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