Sign | Management of perinatal mood disorders

10th April 2012 by Louise Hudman

This is a useful resource if you have a woman who falls pregnant on medication used for depression. Things that I think are useful to remember are:

Screening perinatal mood disorders

There is no good screening test for problems. Mood should be asked about at booking then at the 6 week and 3 month checks. Postnatally, the Edinburgh Postnatal Depression Scale can be used as can the Whooley Questions (1. During the past month, have you often been bothered by feeling down, depressed, or hopeless? 2. During the past month, have you often been bothered by little interest or pleasure in doing things? A third question should be considered if the woman answers “yes” to either of the initial questions: 3. Is this something you feel you need or want help with?)

High Risk. Women who have a history of bipolar disease, schizophrenia or postnatal psychosis are at high risk. A family history of bipolar of postnatal psychosis also increases risk a bit. Ask for these factors at booking. High risk patients should be under the care of a psychiatrist antenatally and have a care plan in place.

Medications in pregnancy

Join

Join to view the rest of this content, as well as access all the benefits of joining NASGP.

Join

Login

Already a member? Login to view this content.

Login

"I was delighted to have been invited to join GP locum chambers. I enjoy great peer support from my colleagues via our monthly meetings, which has been helpful to me discussing some specific things that arise with GP locum working.

I have found LocumDeck really straightforward to use and immensely helpful; in particular invoicing and the pension forms A and B has cut down my admin time dramatically, which I’m pleased about. The support from NASGP's membership support manager, is excellent, friendly and knowledgeable.

NASGP membership brings with it a host of benefits, including a range of excellent materials to draw on for support and learning. I would recommend NASGP chambers to anyone working or thinking of working as a GP locum."

Dr Chloe Evans

Dr Chloe Evans

See the full list of features within our NASGP membership plans

Membership