Term
| incidence of "baby blues" |
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Definition
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Term
| normal onset of "baby blues" and how long it lasts |
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Definition
usually starts on day 3 postpartum
lasting for a few days |
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Term
| incidence of Postpartum Depression |
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Definition
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Term
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Definition
| at least 2 weeks, usually longer |
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Term
| typical onset of Postpartum Psychosis |
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Definition
| typically begins 2-4 weeks postpartum |
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Term
| incidence of Postpartum Psychosis |
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Definition
| rare, 1-2 in every 1,000 new mothers |
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Term
| low-income ethinc minority PPD incidence |
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Definition
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Term
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Definition
| inability to experience pleasure in normally pleasurable things |
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Term
| 5 categories of causes of PPD |
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Definition
1. Physiological Causes
2. Negative Birth Experience
3. Infant Characteristics
4. Psychological Characteristics
5. Social Factors |
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Term
| Physiological Causes of Depression |
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Definition
Fatigue and sleep dificulties
physical pain
immune system activation, elevations of pro-inflammatory cytokines |
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Term
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Definition
| a way people explain events in their lives. Pessimists attribute negative events to some intrinsic flaw in themselves and see negative situations as unchangeable and affecting every aspect of their life. |
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Term
| how breastfeeding and depression relate |
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Definition
1. depressed mothers are more likely to quit bfing
2. Mothers who were not breastfed themselves are significantly more likely to be depressed themselves (2 studies)
3.Breastfeeding is mildly protective of the maternal mood- may prevent PPD
4. breastfeeding difficulties can increase the risk of PPD |
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Term
| 7 "red flag" symptoms that require immediate attention |
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Definition
1. Mother hasn't slept in 2-3 days
2. she is rapidly losing weight
3. cannot get out of bed
4. ignores basic grooming
5. seems hopeless
6. says strange things ("kids better w'out her")
7. abusing substances |
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Term
| vitamins and minerals often low in depressed women |
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Definition
vitamins B6 and B12
folic acid
choline
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Term
| 4 alternatives or supplements to medication |
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Definition
vitamin and mineral supplements
exercise (proven as effective as sertraline)
Therapy (counseling)
herbal medications
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Term
| 2 therapy forms proven efficacious for treatment of even severe depression |
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Definition
1. cognitive-behavioral therapy
2. interpersonal therapy |
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Term
| long chain fatty acid found to help with depression |
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Definition
docosahexaenoic acid (DHA)-prevention
eicosapentaenoic acid (EPA)- treatment |
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Term
| Herbal medications for depression and their safety while bfing |
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Definition
St. John's Wort- safe
Kava- contraindicated |
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Term
Antidepressants and their safety with breastfeeding
Sertraline |
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Definition
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Term
Antidepressants and their safety with breastfeeding
paroxetine |
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Definition
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Term
Antidepressants and their safety with breastfeeding
fluoxetine |
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Definition
Prozac
L2
not considered as safe as Zoloft (sertraline) |
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Term
Antidepressants and their safety with breastfeeding
citalopram |
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Definition
trade name: Celexa
L2
not as safe as s Lexapro (escitalopram) |
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Term
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Definition
monoamine oxidase inhibitors
always contraindicated for bf mothers |
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Term
| class of antidepressants generally safe while bf |
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Definition
SSRI
Selective Serotonin Reuptake Inhibitors |
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Term
| 5 possible post partum mental health issues besides PPD |
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Definition
1.PTSD (posttraumatic stress disorder)-delivery can be a possible traumatic event or can be from past
2.Bipolar disorder- can manifest for 1st time during postpartum period
3.Eating disorders
4.OCD (obsesive compulsive disorder)- postpartum might be seen as obsessing over baby's safety
5. maternal stress
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Term
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Definition
adverse childhood experiences
abuse, especially sexual ACE can lead a mother to PTSD or PPD and trouble with breastfeeding |
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