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Post partum psychiatry


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Post partum psychiatry

  1. 1. Post-partum Psychiatry AL-Saleh, Yassin ,M. college of medicine, KSU.
  2. 2. Objectives To Identify the different types of post-partum psychiatry . To give an epidemiological data. To determine the risk factors associated with different types. To review the clinical feature of each type. To learn how to manage each disorder.
  3. 3. Introduction The importance of post-partum period. Post-partum psychiatry : 1- Post-partum depression. 2- Post-partum psychosis. 3- Post-partum OCD. 4- Postpartum anxiety/panic disorder.
  4. 4. Post-partum depression.- 1 ((definition Postpartum depression is a major depressive episode with an onset in the first four weeks following childbirth. Postpartum depression Vs postpartum blues (baby blue). Baby blue last for two weeks after delivery. Why it is called baby blue?
  5. 5. Post-partum depression.- 1 ((epidemiology 10-15% of new mothers develop postpartum depression. Only 10% seek for help. CAUSES: Unknown. (biological factor, genetic , hormonal, life stresses)
  6. 6. Post-partum depression.- 1 ( (Risk factors Personal history of depression Family history of depression Unplanned pregnancy Poor support from partner Single parent Depression during pregnancy Complications during pregnancy Pre-term birth Poor social support
  7. 7. Post-partum depression.- 1 ((symptoms Lack of interest or pleasure in activities. Lack of appetite or pleasure in eating . Sleep disruption . Fatigue or lack of motivation. Feelings of guilt or worthlessness . Poor concentration . Persistent anxiety ↑. Thoughts of death or suicide ↓.
  8. 8. Post-partum depression.- 1 ((differential diagnosis puerperal psychosis. postpartum hypothyroidism. anaemia.
  9. 9. 1- Post-partum depression. (management) Multifactorial. Reassurance. Psychoeducation. Psychotherapy. pharmacologic treatment. Acupuncture, herb, dietary supplements, massage and relaxation techniques.
  10. 10. Post-partum deperession.- 1 ((management Level of depression Treatment Mild to moderate psychotherapy, cognitive therapy Moderate to severe Mild to severe Serotonin re-uptake inhibitors (Fluoxetine, Sertraline, Paroxetine) Tricyclic antidepressants (Imipramine, Nortriptyline, and others) New generation antidepressants (Venlafaxine, Buproprion, and others) Combined psychotherapy and antidepressant medications Severe depression Electroconvulsive therapy
  11. 11. Postpartum psychosis- 2 about 0. 1-0.2% of new mothers. condition is defined as an atypical psychosis which may begin within the first six months of delivery.  Presenting symptoms include severe insomnia, agitation and restlessness, hallucinations, paranoia and delusions focused on the baby. Homicidal and suicidal thought are not uncommon. Consider as a medical emergency.
  12. 12. 3-Postpartum obsessive compulsive disorder Condition characterized by many of the typical symptoms of OCD, however the obsessions and the compulsion are more focused on the baby and the patient's new role and responsibilities of being a mother.
  13. 13. Postpartum anxiety/panic-4 disorder condition which characterized by symptoms of intense anxiety or panic and may involve many somatic symptoms such: cardiac palpitations, tachycardia, tachypnea, dyspnea, hot or cold flashes, chest pain, abdominal pain, dizziness, tremor and feelings of doom and helplessness.
  14. 14. Conclusion Women should be followed during post partum period, especially if they have a history of depression or depressive symptoms during pregnancy. Treatment should be multifactorial, including consideration of psychosocial as well as pharmacologic options.
  15. 15. Any Question ?
  16. 16. Thank you