Postnatal Depression

The Zero to Finals Medical Revision Podcast

Thomas Watchman

Life Sciences, Education, Medical Finals, Medicine, Surgery, Health & Fitness, Paediatrics, Medical Student, Medical Education, Medical Exams, Medical School, Medical Revision, Science, Learn Medicine, Finals Revision, Obstetrics And Gynaecology

4.8 • 678 Ratings

🗓️ 20 February 2023

⏱️ 6 minutes

🔗️ Recording | iTunes | RSS

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Summary

This episode covers postnatal depression. Written notes can be found at https://zerotofinals.com/obgyn/postnatalcare/postnataldepression/ or in the postnatal care section of the Zero to Finals obstetrics and gynaecology book. The audio in the episode was expertly edited by Harry Watchman.

Transcript

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0:00.0	Hello and welcome to the Zero to Finals podcast.
0:07.0	My name is Tom and in this episode I'm going to be talking to you about postnatal depression.
0:12.4	And you can find written notes on this topic at zero to finals.com slash postnatal depression
0:18.5	or in the postnatal care section of the zero to finals
0:22.7	obstetrics and gynecology book. So let's get straight into it. Postnatal depression is
0:29.3	characterized by low mood in the postnatal period. There's a spectrum of potential postnatal
0:36.3	mental health issues.
0:43.4	Baby Blues is seen in the majority of women in the first week or so after birth.
0:51.2	Postnatal depression is seen in about one in ten women with a peak around three months after birth and puerperal psychosis is seen in about one in a thousand women
0:57.5	starting a few weeks after birth. Let's start by talking about baby blues. Baby blues affects more
1:06.7	than 50% of women in the first week or so after birth, particularly first-time mothers.
1:13.6	It presents with symptoms such as mood swings, low mood, anxiety, irritability and tearfulness.
1:22.6	Baby Blues may be the result of a combination of significant hormonal changes, recovery from birth,
1:31.4	fatigue and sleep deprivation, the responsibility of caring for the neonate, establishing
1:37.9	feeding, and all the other changes and events that occur around this time.
1:44.1	The symptoms of baby blues are usually mild, only lasting a few. the other changes and events that occur around this time.
1:50.5	The symptoms of baby blues are usually mild, only lasting a few days and resolving within a few weeks after delivery. No treatment other than supporting the woman is usually required.
1:58.2	Next is talk in more detail about postnatal depression.
2:02.7	Postnatal depression is similar to depression that occurs outside of pregnancy with the classic
2:08.3	triad of low mood, anhyrdonia which is a lack of pleasure in activities and low energy. Typically women are affected around three months after birth.
2:21.6	Symptoms should last at least two weeks before postnatal depression is diagnosed.
2:27.2	Treatment is similar to depression at other times. Mild cases may be managed with additional
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