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.
