(OB) Perinatal Mood and Anxiety Disorders (PMADs)
Questions with Verified Answers
Perinatal Mood and Anxiety Disorders (PMADs) Ans✔✔ -*Depression*
*Anxiety or Panic Disorder*
*Obsessive Compulsive Disorder*
*Post-Traumatic Stress Disorder*
*Psychosis*
*Bipolar*
These disorders can affect people at any time in their lives however
there is a marked *increase* in prevalence of these disorders during the
pregnancy and postpartum period.
Perinatal Mood and Anxiety Disorders Ans✔✔ -PMADs
Why to care about Perinatal Mood and Anxiety Disorders (PMADs)
Ans✔✔ -#1 medical complication related to childbearing
Illness is detectable and treatable
Opportunity to help women with prior undiagnosed mental illness or
those at risk for continued mental illness.
Societal Consequences of PMADs (Perinatal Mood and Anxiety
Disorders) Ans✔✔ -Relationship problems/divorce
Disability/unemployment
,Child neglect and abuse
Developmental delays/behavior problems
Infanticide/Homicide/Suicide
Suicide Ans✔✔ -one of the three leading causes of maternal death
Depression and Anxiety Disorders Ans✔✔ -can occur any time in
pregnancy or in the first year postpartum
Perinatal Mood and Anxiety Disorders (PMADs) Ans✔✔ -new term
replacing the narrow diagnosis of PPD (Postpartum Depression)
Epidemiology of Perinatal Mood and Anxiety Disorders Ans✔✔ -~ 80%
of new mothers experience the "baby blues" lasting for the first two
weeks after baby arrives.
At least 1 in 7 mothers experience serious depression and/or anxiety in
the pregnancy or postpartum period. Numbers spike to 1 in 5 during
months 5-7 postpartum
1-2 women in 1,000 will experience postpartum psychosis
1 in 10 fathers will experience depression in the postpartum period
Myths about Postpartum Depression Ans✔✔ -it is only in the postpartum
period and that it is only depression.
It means that I don't love my baby/want to kill my baby.
It's all about crying.
, Andrea Yates drowned her 5 children (people often focus on this
example too strongly)
Anxiety and depression don't happen during pregnancy
Physical/mental illness.
New label - "Postpartum" (some people wrongly just call it that)
Myths of Motherhood Ans✔✔ -Getting pregnant is Easy/Hard
50% of pregnancies are UNPLANNED
Becoming a mother
Being pregnant is the most wonderful, happy time
Labor and Delivery
Breastfeeding is easy
The baby will sleep all the time (misleading phrase "sleeping like a
baby")
Superwoman/wife/mother
Happy all the time
Can fix a broken relationship with spouse
Selective Memory - relatives/friends tell of their "perfect" experience
Misleading Media Images
Myths of Pregnancy Ans✔✔ -All pregnancies are wanted
Pregnancy = live baby
Pregnancy = love in a relationship
Pregnancy = healthy baby
Questions with Verified Answers
Perinatal Mood and Anxiety Disorders (PMADs) Ans✔✔ -*Depression*
*Anxiety or Panic Disorder*
*Obsessive Compulsive Disorder*
*Post-Traumatic Stress Disorder*
*Psychosis*
*Bipolar*
These disorders can affect people at any time in their lives however
there is a marked *increase* in prevalence of these disorders during the
pregnancy and postpartum period.
Perinatal Mood and Anxiety Disorders Ans✔✔ -PMADs
Why to care about Perinatal Mood and Anxiety Disorders (PMADs)
Ans✔✔ -#1 medical complication related to childbearing
Illness is detectable and treatable
Opportunity to help women with prior undiagnosed mental illness or
those at risk for continued mental illness.
Societal Consequences of PMADs (Perinatal Mood and Anxiety
Disorders) Ans✔✔ -Relationship problems/divorce
Disability/unemployment
,Child neglect and abuse
Developmental delays/behavior problems
Infanticide/Homicide/Suicide
Suicide Ans✔✔ -one of the three leading causes of maternal death
Depression and Anxiety Disorders Ans✔✔ -can occur any time in
pregnancy or in the first year postpartum
Perinatal Mood and Anxiety Disorders (PMADs) Ans✔✔ -new term
replacing the narrow diagnosis of PPD (Postpartum Depression)
Epidemiology of Perinatal Mood and Anxiety Disorders Ans✔✔ -~ 80%
of new mothers experience the "baby blues" lasting for the first two
weeks after baby arrives.
At least 1 in 7 mothers experience serious depression and/or anxiety in
the pregnancy or postpartum period. Numbers spike to 1 in 5 during
months 5-7 postpartum
1-2 women in 1,000 will experience postpartum psychosis
1 in 10 fathers will experience depression in the postpartum period
Myths about Postpartum Depression Ans✔✔ -it is only in the postpartum
period and that it is only depression.
It means that I don't love my baby/want to kill my baby.
It's all about crying.
, Andrea Yates drowned her 5 children (people often focus on this
example too strongly)
Anxiety and depression don't happen during pregnancy
Physical/mental illness.
New label - "Postpartum" (some people wrongly just call it that)
Myths of Motherhood Ans✔✔ -Getting pregnant is Easy/Hard
50% of pregnancies are UNPLANNED
Becoming a mother
Being pregnant is the most wonderful, happy time
Labor and Delivery
Breastfeeding is easy
The baby will sleep all the time (misleading phrase "sleeping like a
baby")
Superwoman/wife/mother
Happy all the time
Can fix a broken relationship with spouse
Selective Memory - relatives/friends tell of their "perfect" experience
Misleading Media Images
Myths of Pregnancy Ans✔✔ -All pregnancies are wanted
Pregnancy = live baby
Pregnancy = love in a relationship
Pregnancy = healthy baby
