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- A 20-year-old, nulliparous woman at 12 weeks’ gestation attends her antenatal booking appointment. Which one of the following questionnaires was recommended to assess the mental health and well-being of the woman?
- A 28-year-old para 1 woman with history of bipolar disorder and previous postpartum psychosis attends her antenatal clinic appointment at 14 weeks’ gestation.What is her risk of developing postpartum psychosis?
- A 20-year-old, para 1 woman was brought in to the hospital 2 weeks after delivery as she has been tearful, irritable, with lack of interest in herself and her baby. She has not been eating or sleeping well, feels life is not worth living and has expressed thoughts of self-harming. What is the most appropriate immediate course of action?
- A para 1 woman was brought in by her family with postnatal depression 3 weeks after delivery. She had a caesarean section after a failed instrumental delivery and prolonged labour. She has been breastfeeding and wishes to continue to breastfeed. Which one of the antidepressant medication is safer during breastfeeding?
- A primigravida aged 30 attends the antenatal clinic for booking. She is known to have Bipolar Disorder and was taking lithium, which was stopped preconceptually due to concerns over fetal toxicity. Her mother is known to have bipolar disorder. What is her risk of developing postpartum psychosis?
- A woman in the second postpartum week presents with confusion, bewilderment, delusions and hallucinations. She feels hopeless and care of the baby has been affected. What is the most likely diagnosis?
- Mental disorders during pregnancy and the postnatal period can have serious consequences on the health of the mother and her baby. It is vital that these women be managed by the appropriate health-care professionals. Which health-care professional(s) should care for pregnant women with a history of postpartum psychosis?
- Postpartum psychosis is a psychiatric emergency usually needing admission. What is the incidence of postpartum psychosis in the general population?
- At a woman’s first contact with primary care or her booking visit and during the early postnatal period efforts should be made to ask about the woman’s mental health and well-being using the 2 item GAD2 Scale: What is the GAD-2 scale used for?
- A woman in the first postpartum week presents with mood swings ranging from elation to sadness, irritability, anxiety and decreased concentration. Care of the baby is not impaired and the woman does not feel suicidal. What is the most likely diagnosis?