Behavioral Science
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16 Deja Review: <strong>Behavioral</strong> <strong>Science</strong><br />
What can a physician do to assist<br />
a patient with postpartum blues?<br />
What is the percentage of women who<br />
suffer from postpartum depression?<br />
What are the diagnostic criteria for<br />
postpartum major depression?<br />
What complications for the mother/<br />
child relationship may result from<br />
postpartum depression?<br />
When do the symptoms of postpartum<br />
major depression occur?<br />
What can a physician do to assist a<br />
patient with postpartum major<br />
depression?<br />
Support and reassurance<br />
Advise to get help with child care<br />
Watch for development of postpartum<br />
depression<br />
5% to 25% (making it important to<br />
screen for!)<br />
The same as a major depressive episode,<br />
but occurring after delivery.<br />
Note: The Diagnostic and Statistical<br />
Manual of Mental Disorders, fourth edition<br />
(DSM-IV-TR) does not have a separate<br />
diagnosis for postpartum depression—<br />
only a “postpartum onset” modifier of<br />
major depression.<br />
Failure to form bond with the baby<br />
Thoughts of failure as a mother<br />
Feeling unable to take care of baby<br />
Interference with child development<br />
Suicide of mother or homicide of infant<br />
Within 4 weeks after delivery (DSM-IV-TR<br />
criteria for “postpartum onset”), though<br />
some say up to 12 months after<br />
Psychosocial therapy<br />
Antidepressant medication<br />
May require hospitalization if severe<br />
What percentage of women suffer from 0.1% to 0.2%<br />
postpartum psychosis?<br />
What are characteristics of postpartum<br />
psychosis?<br />
When do the symptoms of postpartum<br />
psychosis occur?<br />
What can a physician do to assist a<br />
patient with postpartum psychosis?<br />
Which postpartum emotional reaction<br />
is considered normal?<br />
Delusions<br />
Hallucinations<br />
Mother may harm infant<br />
2 to 3 weeks after delivery<br />
Antipsychotic medication<br />
Hospitalization<br />
Note: This is a psychiatric emergency!<br />
Postpartum blues
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