Managing different levels of postpartum depression – USMLE Step 2 CK

by / Wednesday, 09 June 2010 / Published in Psychiatry
  Post-partum blues “Baby blues” Postpartum Depression Postpartum Psychosis
Onset After any birth MC after 2nd birth Usually after 1st birth
Mother’s emotions toward the baby Mother still cares about the baby Thoughts about harming the baby are common Thoughts about harming baby are common
Symptoms Mild Depression Severe Depression Depressive symptoms + psychotic symptoms
Treatment No treatment necessary Antidepressants If patient not breastfeeding give Mood stabilizers OR antipsychotics + antidepressant

If patient is breastfeeding do ECT

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