,What percentage of pregnancies are unplanned? - Answer: 50%
PMDD - Answer: Premenstrual dysphoric disorder
Sensitive to hormonal changes
Risk factor for PMAD
What disorders classify as a PMAD? - Answer: Depression
Anxiety and Panic disorder
OCD
PTSD
Perinatal Bipolar
Psychosis
Perinatal depression - Answer: Most under diagnosed obstetric complication in America
Increased costs of medical care
Inappropriate medical care
Child abuse and neglect
Discontinuation of breastfeeding
Family dysfunction
Adversely affects early brain development
40% of cases are detected and diagnosed
60% receive treatment
Prevalence for Prenatal anxiety - Answer: 15.8%
Prevalence for postpartum anxiety - Answer: 8% - 20%
, PMADs in Fathers - Answer: 1 in 10 men will get anxiety/depression
Fathers with higher ACE scores reported more pregnancy-related anxiety than did fathers with lower
scores at all time points
Reported more depressive feelings during pregnancy
9.2% had depression prenatally
Maternal depression increased the risk of paternal depression
- Initial high after birth may give way to depression
- Masked male depression (substance use, irritable, aggressive)
- Distancing
- Distractions and habits
Medication - Answer: 50-75% relapse (depression and anxiety) after discontinuing medication while
pregnant
Over 40% resume medication during pregnancy
The benefit out weights the risk when on medication during pregnancy
Normal Pregnancy symptoms - Answer: Mood is labile, teary
Self esteem is normal
Sleep: bladder or heartburn may awaken. Can fall asleep
No suicidal ideology
Energy: may tire, rest restores
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