What mothers are at especially high risk of mental health disorders? Right
Ans - Those who discontinue or reduce their doses of antidepressants
Incidence of Baby Blues, Depression, and Psychosis Right Ans - Baby Blues-
80%
Depression- 15-20%
Psychosis- .1-.3%
Baby Blues- General Right Ans - Crying at silly things
Teary
Due to hormones
Situational life change
*Clinically Normal*
Psychosis Right Ans - During or after the birth
Even a little bit later
What is the best thing for Postpartum Mental Health Disorders? Right Ans -
Talking about them!
Primary Prevention Right Ans - Preventive education related to depression
prior to, during, and after pregnancy
Present ourselves in a way that women want to tell us things
Now everyone is screened for it
Primary Prevention- Assessment Right Ans - Listen to women
Advise
Observe for behavioral changes
Screen using objective told
Invite/involve partner and family
Objectives of Primary Prevention Right Ans - Improve women's wellness
Increase intendedness of pregnancy
Educate women/partners about risks
Decrease amenable risk factors
, Why is the depression discussion sometimes avoided? Right Ans - Don't
want to scare women
Stigma or shame related to depression
Psychology of Pregnancy Right Ans - Developmental crisis- upheaval
followed by positive resolution
Intensification of unresolved family of origin issues
Increase in self esteem and self absorption
Protector of the fetus
*All of this gets stirred up, but not necessarily pathological*
Developmental Crisis Right Ans - Biologically and emotionally
Upheaval and Change Right Ans - Most do okay
Origin Issues Right Ans - "Will I be just like my Mom?"
OR
"I will never be like my Mom!"
Normal Self Absorption Right Ans - Eat right, exercise, rest
VS
Heavy jobs, career, and child care demands
Protector of the fetus Right Ans - Family becomes involved
Culture and family dependence may be positive or negative
Normal or Abnormal
Anxiety in pregnancy Right Ans - Normal
Normal or Abnormal
Poor Sleep in pregnancy Right Ans - Normal
Normal or Abnormal
Struggling with a loss of independence Right Ans - Normal
Normal or Abnormal
Anxiety getting in the way of every day activities Right Ans - Abnormal
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