PERINATAL MENTAL HEALTH EXAM
STUDY GUIDE WITH CORRECT
ANSWERS | A+ GRADE STUDY
RESOURCE
What is a PMAD? Correct Answer A perinatal mood and
anxiety disorder (not just PPD!)
Define the perinatal period. Correct Answer Time from
conception through 1st year after giving birth.
Define the prenatal or antenatal time Correct Answer
During pregnancy
Define the postpartum or postnatal time Correct Answer
1st year after giving birth
What does PMAD mean? Correct Answer Perinatal mood
(depression, bipolar, psychosis) anxiety (ocd, panic, had,
ptsd) disorders (impact daily functioning).
Can occur at anytime in life but increased risk in perinatal
period and symptoms have unique presentation.
How many infants annually are born to depressed
mothers? Correct Answer 400,000...making perinatal
depression the most under diagnosed obstetric
complication in America
,PMADs can affect... Correct Answer Anyone!
They do not discriminate. Can affect anyone.
Socioeconomic status is NOT protective
_ in _ women are affected by perinatal depression Correct
Answer 1 in 7 women
Percentage of pregnancy induced HTN vs pre-eclampsia
vs gestational diabetes vs PMADs? Correct Answer 6-8%
PIH, 6-8% pre-eclampsia, 6% gestational diabetes, 21%
PMADs
_ in _ men are affected by perinatal depression Correct
Answer 1 in 10 men
Risks of untreated PMADs Correct Answer Relationship
problems, poor adherence to medical care, exacerbation
of chronic medical issues, loss of financial resources,
disability, child neglect/abuse, developmental delays,
tobacco/alcohol, drug use, Suicide, homicide
How many pregnancies are unplanned? Correct Answer
50%
Not all pregnancies are planned, wanted. Not all
pregnancies end with a health baby or fulfillment.
Etiology of PPD? Correct Answer Genetic predisposition,
biological sensitivity to hormonal changes,
social/environmental (Hx of trauma or poor social support),
,psychological (relationship with own mom, self
image/perfectionism)
Cultural considerations of ppd Correct Answer -in some
cultures mothers may not feel safe to express needs or
seek help.
-may report symptoms differently based on culture
What did the landmark study on PPD show? Correct
Answer 22% of women had depression during first year
postpartum: 26% started before pregnancy, 33% during
pregnancy, 40% during postpartum
Of the 22% of postpartum mothers Correct Answer 68%
had unipolar depression
66% had MDD or combo with GAD
22% bipolar depression
19% had thoughts of harming selves
Prenatal depression relapse rate with meds and without
meds Correct Answer 26% who continued meds relapsed
during pregnancy while 68% who stopped meds relapsed
Higher relapse rate if you DC meds
Percent of fathers with PPD? Correct Answer 10%
, Depression in men: timing, symptoms Correct Answer
Peaks at 3-6 months postpartum
May not be sad "masked" and irritable, aggressive, hostile,
acting out, checked out, distractions
Do men seek help for their depression? Correct Answer
Not often. Only 3% sought help.
Men are likely to under report symptoms
Single mothers vs single fathers Correct Answer Single
mothers: higher risk of maltreatment. Twice as likely than
mothers with partners to have depression.
Single fathers: have 3 times mortality rate than single
mothers or partnered parents.
Trans gestational parents Correct Answer Needs research
to determine prevalence. Baseline depression and anxiety
higher than adult average already.
Other people at risk Correct Answer Non-gestational
parents also at risk for PMADs.
Pregnancy VS Depression Correct Answer Pregnancy-
tearful, labor. No change in self esteem. Sleep disrupted
due to bladder. No SI. Tire but rest restores, appropriate
worry, joy, increase appetite
STUDY GUIDE WITH CORRECT
ANSWERS | A+ GRADE STUDY
RESOURCE
What is a PMAD? Correct Answer A perinatal mood and
anxiety disorder (not just PPD!)
Define the perinatal period. Correct Answer Time from
conception through 1st year after giving birth.
Define the prenatal or antenatal time Correct Answer
During pregnancy
Define the postpartum or postnatal time Correct Answer
1st year after giving birth
What does PMAD mean? Correct Answer Perinatal mood
(depression, bipolar, psychosis) anxiety (ocd, panic, had,
ptsd) disorders (impact daily functioning).
Can occur at anytime in life but increased risk in perinatal
period and symptoms have unique presentation.
How many infants annually are born to depressed
mothers? Correct Answer 400,000...making perinatal
depression the most under diagnosed obstetric
complication in America
,PMADs can affect... Correct Answer Anyone!
They do not discriminate. Can affect anyone.
Socioeconomic status is NOT protective
_ in _ women are affected by perinatal depression Correct
Answer 1 in 7 women
Percentage of pregnancy induced HTN vs pre-eclampsia
vs gestational diabetes vs PMADs? Correct Answer 6-8%
PIH, 6-8% pre-eclampsia, 6% gestational diabetes, 21%
PMADs
_ in _ men are affected by perinatal depression Correct
Answer 1 in 10 men
Risks of untreated PMADs Correct Answer Relationship
problems, poor adherence to medical care, exacerbation
of chronic medical issues, loss of financial resources,
disability, child neglect/abuse, developmental delays,
tobacco/alcohol, drug use, Suicide, homicide
How many pregnancies are unplanned? Correct Answer
50%
Not all pregnancies are planned, wanted. Not all
pregnancies end with a health baby or fulfillment.
Etiology of PPD? Correct Answer Genetic predisposition,
biological sensitivity to hormonal changes,
social/environmental (Hx of trauma or poor social support),
,psychological (relationship with own mom, self
image/perfectionism)
Cultural considerations of ppd Correct Answer -in some
cultures mothers may not feel safe to express needs or
seek help.
-may report symptoms differently based on culture
What did the landmark study on PPD show? Correct
Answer 22% of women had depression during first year
postpartum: 26% started before pregnancy, 33% during
pregnancy, 40% during postpartum
Of the 22% of postpartum mothers Correct Answer 68%
had unipolar depression
66% had MDD or combo with GAD
22% bipolar depression
19% had thoughts of harming selves
Prenatal depression relapse rate with meds and without
meds Correct Answer 26% who continued meds relapsed
during pregnancy while 68% who stopped meds relapsed
Higher relapse rate if you DC meds
Percent of fathers with PPD? Correct Answer 10%
, Depression in men: timing, symptoms Correct Answer
Peaks at 3-6 months postpartum
May not be sad "masked" and irritable, aggressive, hostile,
acting out, checked out, distractions
Do men seek help for their depression? Correct Answer
Not often. Only 3% sought help.
Men are likely to under report symptoms
Single mothers vs single fathers Correct Answer Single
mothers: higher risk of maltreatment. Twice as likely than
mothers with partners to have depression.
Single fathers: have 3 times mortality rate than single
mothers or partnered parents.
Trans gestational parents Correct Answer Needs research
to determine prevalence. Baseline depression and anxiety
higher than adult average already.
Other people at risk Correct Answer Non-gestational
parents also at risk for PMADs.
Pregnancy VS Depression Correct Answer Pregnancy-
tearful, labor. No change in self esteem. Sleep disrupted
due to bladder. No SI. Tire but rest restores, appropriate
worry, joy, increase appetite
