Perinatal Mental Health exam
_ in _ guys are tormented by perinatal despair - ANS-1 in 10 guys
_ in _ ladies are laid low with perinatal depression - ANS-1 in 7 women
2d era antipsychotics - ANS-No multiplied risk of delivery defects or being pregnant
complications
Increased GD and weight gain (Zyprexa & Seroquel)
Seroquel crossed placenta much less than zyprexa and risperdal
three exceptional emotions ladies feel at some stage in D-MER - ANS-Despondency: hopeless,
unhappiness, bad feelings (slight-mod-extreme)
Anxiety; moderate to severe. Dread, restless
Agitation: anger, agitation, paranoia. Almost usually is intense.
Three greatest fears in panic disorder - ANS-Going crazy, demise, dropping manage
3 goal regions addressed in IPT - ANS-1) grief: what have I lost? Facilitate mourning process,
grieve lack of old function and help adapt to new role, rejection of latest position. Conflicting
feelings
2) role transition: where am I now? ID changes, new attachments/social supports, transition to
parenting, new coping talents
three) function disputes: what do I need?
Modify communication styles, reevaluate expectations in relationships. Effectively speak w
others. Also includes couples counseling
4 subcategories of PTSD - ANS-Symptoms that observe final more than 1 month after event
1. Intrusion
2. Avoidance
three. Negativity in cognitions and temper
4. Arousal
nine steps to wellness by way of Jane Honikman - ANS-Education
Sleep
Nutrition
Exercise/time to self
Non choose intellectual sharing
Emotional support
Practical support
Referrals and other assets
Plan of action: smash down desires into small steps! One issue you'll do for self this week
,Acupuncture - ANS-Use as adjunct, no longer by myself.
Mood/depression benefits. Can help pain, nausea, sleep. Do now not use to save you labor or c
phase
Reduction in slight depression if used perinatally
After nicu how parenting can be: - ANS-Adjustment to lifestyles at domestic with infant, no guide
group of workers. Hyper vigilance, endured domestic isolation. Fragile little one at domestic w
follow up care. No video display units at domestic
Antidepressants and gestational HTN and pre-eclampsia - ANS-Small growth risk of pregnancy
prompted HTN and pre eclampsia.
Risk level is about the equal whether or now not an man or woman discontinues or endured
antidepressants use at some stage in being pregnant
Depression is associated w different hazard elements which include weight problems bad
weight-reduction plan smoking substance use and absence of exercise
Antidepressants possibly don't boom threat of ___. They may increase chance of ______. They
possibly do increase threat of _______ - ANS-Likely don't boom hazard of start defects,
miscarriage, stillbirth, cognitive or behaviorism problems, autism
They may boom chance premature labor, postpartum hemorrhage, gestational HTN, and pre
eclampsia
They probable do increase danger of neonatal facet outcomes and continual pulmonary
hypertension
Antidepressants: do they boom risk of perinatal loss. - ANS-No extended hazard of stillbirth or
neonatal death.
Miscarriage threat became best when they had been stopped prior to thought or in first
trimester. Underlying contamination became the problem now not the meds!
Anxiety: desires with CBT - ANS-Reduce bodily hyper vigilance: respiratory/relaxation
techniques
Take away perceived hazard: focus on goal proof, distinguish among real vs false alarm
Recognize tension as an alarm: see it for what it's miles, learn to tolerate it
Are OB/GYNs knowledgeable on ladies with disabilities? - ANS-No, most effective 19%
surveyed sense they've knowledge to take care of those with disabilities.
And girls with disabilities perceive their HCP with terrible attitudes approximately motherhood
and childbearing
Are there advantages of placental encapsulation? - ANS-It was proposed to help energy,
improve lactstion, decrease PPD, boom iron
,Evidence indicates no differences! Can additionally reason past due onset toddler organization
b strep contamination if mom consumes dehydrated placenta!
Are there long term neurobehavioral aspect results of antidepressants? - ANS-Dose and length
during being pregnant did not anything predict any cognitive and behavioral final results in
youngsters 3-6 years exposed to SSRIs, TCAs & Effexor
Not related to accelerated risk.
Some studies discover a few association however there are other confounding variables
As a clinician re: breastfeeding - ANS-Providing guide, information, and encouragement to
breastfeed is half the clinicians obligation. Women have the right to pick no longer to without
guilt.
ASD and antidepressant publicity in pregnancy - ANS-Studies with many cofounding variables
have shown accelerated danger of ASD with SSRi use.
More cautious research have proven no affiliation
Risk of autism in offspring is extra in women with psych issues who don't use SSRIs than in girls
who do
Attachment and figure infant treatment options
What is attachment ? - ANS-How a toddler is emotionally and bodily attached to a caregiver.
John Bowlby and mary ainsworth- he witnessed orphan toddlers with out constant caregiver that
have become listless/Unengaged.
Consistent caregiver allows modify a toddlers response to anxiety
If caregiver is depressed they will not be able to meet babies emotional needs ends in poorer
infant improvement
Barriers to screening for PMADs-provider worries - ANS-Time ingesting, expensive
Unsure about treatment if effective display
Unaware of validated tools
Fear of liability if display nice and no longer treated
Barries with adoption - ANS-Complication relationships-delivery mother and adoptive mother.
LGBTQ humans discern thru adoption. They face good sized limitations to adoption. Further
studies needed to eval mental health effect of this on them.
Biological weathering - ANS-Chronic publicity to racism can dysregulate HPA axis and lead to
bodily results which include CVD and weight problems. Rewire the mind and predispose to
tension and psychosis
Bipolar 1 DSM criteria - ANS-At least one lifetime episode of mania
, -improved temper symptoms: euphoria, decreased sleep need, racing thoughts, multiplied
productiveness, elevated power
-hypo mania episodes: 4 days in duration, advanced functioning
-mania episodes: intense signs, impaired function, 7 days in duration, calls for hospitalization or
psychotic symptoms (hallucination, paranoia, disorganized thoughts)
Bipolar is excessive risk for... - ANS-Psychosis! It occurs in 20-30% of these with bipolar. Many
of these with bipolar enjoy relapse during pregnancy and postpartum
Bipolar screening device - ANS-50% of treatment resistant despair had bipolar 1! Also if fine
EPDS screen, may want to have bipolar 1
Mood Disorder Questionnaire
If you use MDQ plus EPDS you could differentiate between depression and bipolar one higher.
Breastfeeding & melancholy - ANS-Breastfeeding & depression have a bidirectional dating.
BF-ing may additionally help maternal intellectual health. Less in all likelihood to be depressed.
Depression/anxiety additionally leads to decrease BF quotes and in advance cessation.
Moms on meds for melancholy breastfed longer than those with untreated melancholy. Prenatal
tension or melancholy lower back after preventing BF for a few women.
Breastfeeding tips - ANS-AAP recommends to breastfeed for the primary 6 months postpartum,
solely, besides for nutrition D supplementation. Human milk is enough to help most efficient
increase and development for the first six months accompanied by creation of solids.
Human milk have to be continued till the first 12 months of life.
Breastfeeding Side results of benzos - ANS-Sedation!
Breastfeeding support - ANS-For black moms: black moms breastfeeding affiliation. Facebook
companies
Non-binary gender: la leche league transgender and non binary mother and father. FB
businesses queer liquid gold.
Briefly
List and describe the three kinds of strain responses - ANS-1) high quality: normal part of
improvement. Brief growth in HR. Ex/ vaccine, new caregiver
2) tolerable: activates the body's alert structures. If time limited then the mind/organs get better.
From extra extreme longer lasting problems such as loss of cherished one, herbal catastrophe
3) toxic: extended activation of strain response, disrupt brains architecture. Prolonged, frequent
stress. Physical, emotional abuse and neglect
Briefly call the 4 varieties of psychotherapy remedy fashions - ANS-1. Cognitive behavioral
therapy (individual/group)
2. Interpersonal psychotherapy (man or woman/group)
three. Mother-toddler attachment
_ in _ guys are tormented by perinatal despair - ANS-1 in 10 guys
_ in _ ladies are laid low with perinatal depression - ANS-1 in 7 women
2d era antipsychotics - ANS-No multiplied risk of delivery defects or being pregnant
complications
Increased GD and weight gain (Zyprexa & Seroquel)
Seroquel crossed placenta much less than zyprexa and risperdal
three exceptional emotions ladies feel at some stage in D-MER - ANS-Despondency: hopeless,
unhappiness, bad feelings (slight-mod-extreme)
Anxiety; moderate to severe. Dread, restless
Agitation: anger, agitation, paranoia. Almost usually is intense.
Three greatest fears in panic disorder - ANS-Going crazy, demise, dropping manage
3 goal regions addressed in IPT - ANS-1) grief: what have I lost? Facilitate mourning process,
grieve lack of old function and help adapt to new role, rejection of latest position. Conflicting
feelings
2) role transition: where am I now? ID changes, new attachments/social supports, transition to
parenting, new coping talents
three) function disputes: what do I need?
Modify communication styles, reevaluate expectations in relationships. Effectively speak w
others. Also includes couples counseling
4 subcategories of PTSD - ANS-Symptoms that observe final more than 1 month after event
1. Intrusion
2. Avoidance
three. Negativity in cognitions and temper
4. Arousal
nine steps to wellness by way of Jane Honikman - ANS-Education
Sleep
Nutrition
Exercise/time to self
Non choose intellectual sharing
Emotional support
Practical support
Referrals and other assets
Plan of action: smash down desires into small steps! One issue you'll do for self this week
,Acupuncture - ANS-Use as adjunct, no longer by myself.
Mood/depression benefits. Can help pain, nausea, sleep. Do now not use to save you labor or c
phase
Reduction in slight depression if used perinatally
After nicu how parenting can be: - ANS-Adjustment to lifestyles at domestic with infant, no guide
group of workers. Hyper vigilance, endured domestic isolation. Fragile little one at domestic w
follow up care. No video display units at domestic
Antidepressants and gestational HTN and pre-eclampsia - ANS-Small growth risk of pregnancy
prompted HTN and pre eclampsia.
Risk level is about the equal whether or now not an man or woman discontinues or endured
antidepressants use at some stage in being pregnant
Depression is associated w different hazard elements which include weight problems bad
weight-reduction plan smoking substance use and absence of exercise
Antidepressants possibly don't boom threat of ___. They may increase chance of ______. They
possibly do increase threat of _______ - ANS-Likely don't boom hazard of start defects,
miscarriage, stillbirth, cognitive or behaviorism problems, autism
They may boom chance premature labor, postpartum hemorrhage, gestational HTN, and pre
eclampsia
They probable do increase danger of neonatal facet outcomes and continual pulmonary
hypertension
Antidepressants: do they boom risk of perinatal loss. - ANS-No extended hazard of stillbirth or
neonatal death.
Miscarriage threat became best when they had been stopped prior to thought or in first
trimester. Underlying contamination became the problem now not the meds!
Anxiety: desires with CBT - ANS-Reduce bodily hyper vigilance: respiratory/relaxation
techniques
Take away perceived hazard: focus on goal proof, distinguish among real vs false alarm
Recognize tension as an alarm: see it for what it's miles, learn to tolerate it
Are OB/GYNs knowledgeable on ladies with disabilities? - ANS-No, most effective 19%
surveyed sense they've knowledge to take care of those with disabilities.
And girls with disabilities perceive their HCP with terrible attitudes approximately motherhood
and childbearing
Are there advantages of placental encapsulation? - ANS-It was proposed to help energy,
improve lactstion, decrease PPD, boom iron
,Evidence indicates no differences! Can additionally reason past due onset toddler organization
b strep contamination if mom consumes dehydrated placenta!
Are there long term neurobehavioral aspect results of antidepressants? - ANS-Dose and length
during being pregnant did not anything predict any cognitive and behavioral final results in
youngsters 3-6 years exposed to SSRIs, TCAs & Effexor
Not related to accelerated risk.
Some studies discover a few association however there are other confounding variables
As a clinician re: breastfeeding - ANS-Providing guide, information, and encouragement to
breastfeed is half the clinicians obligation. Women have the right to pick no longer to without
guilt.
ASD and antidepressant publicity in pregnancy - ANS-Studies with many cofounding variables
have shown accelerated danger of ASD with SSRi use.
More cautious research have proven no affiliation
Risk of autism in offspring is extra in women with psych issues who don't use SSRIs than in girls
who do
Attachment and figure infant treatment options
What is attachment ? - ANS-How a toddler is emotionally and bodily attached to a caregiver.
John Bowlby and mary ainsworth- he witnessed orphan toddlers with out constant caregiver that
have become listless/Unengaged.
Consistent caregiver allows modify a toddlers response to anxiety
If caregiver is depressed they will not be able to meet babies emotional needs ends in poorer
infant improvement
Barriers to screening for PMADs-provider worries - ANS-Time ingesting, expensive
Unsure about treatment if effective display
Unaware of validated tools
Fear of liability if display nice and no longer treated
Barries with adoption - ANS-Complication relationships-delivery mother and adoptive mother.
LGBTQ humans discern thru adoption. They face good sized limitations to adoption. Further
studies needed to eval mental health effect of this on them.
Biological weathering - ANS-Chronic publicity to racism can dysregulate HPA axis and lead to
bodily results which include CVD and weight problems. Rewire the mind and predispose to
tension and psychosis
Bipolar 1 DSM criteria - ANS-At least one lifetime episode of mania
, -improved temper symptoms: euphoria, decreased sleep need, racing thoughts, multiplied
productiveness, elevated power
-hypo mania episodes: 4 days in duration, advanced functioning
-mania episodes: intense signs, impaired function, 7 days in duration, calls for hospitalization or
psychotic symptoms (hallucination, paranoia, disorganized thoughts)
Bipolar is excessive risk for... - ANS-Psychosis! It occurs in 20-30% of these with bipolar. Many
of these with bipolar enjoy relapse during pregnancy and postpartum
Bipolar screening device - ANS-50% of treatment resistant despair had bipolar 1! Also if fine
EPDS screen, may want to have bipolar 1
Mood Disorder Questionnaire
If you use MDQ plus EPDS you could differentiate between depression and bipolar one higher.
Breastfeeding & melancholy - ANS-Breastfeeding & depression have a bidirectional dating.
BF-ing may additionally help maternal intellectual health. Less in all likelihood to be depressed.
Depression/anxiety additionally leads to decrease BF quotes and in advance cessation.
Moms on meds for melancholy breastfed longer than those with untreated melancholy. Prenatal
tension or melancholy lower back after preventing BF for a few women.
Breastfeeding tips - ANS-AAP recommends to breastfeed for the primary 6 months postpartum,
solely, besides for nutrition D supplementation. Human milk is enough to help most efficient
increase and development for the first six months accompanied by creation of solids.
Human milk have to be continued till the first 12 months of life.
Breastfeeding Side results of benzos - ANS-Sedation!
Breastfeeding support - ANS-For black moms: black moms breastfeeding affiliation. Facebook
companies
Non-binary gender: la leche league transgender and non binary mother and father. FB
businesses queer liquid gold.
Briefly
List and describe the three kinds of strain responses - ANS-1) high quality: normal part of
improvement. Brief growth in HR. Ex/ vaccine, new caregiver
2) tolerable: activates the body's alert structures. If time limited then the mind/organs get better.
From extra extreme longer lasting problems such as loss of cherished one, herbal catastrophe
3) toxic: extended activation of strain response, disrupt brains architecture. Prolonged, frequent
stress. Physical, emotional abuse and neglect
Briefly call the 4 varieties of psychotherapy remedy fashions - ANS-1. Cognitive behavioral
therapy (individual/group)
2. Interpersonal psychotherapy (man or woman/group)
three. Mother-toddler attachment
