Maternal Mental Health

Mathanki Vivekananda discusses postnatal depression and other mental health conditions.

Topics

Intro
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The perinatal period - a definition
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The postnatal period - a definition
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Postnatal period, a time of high risk of mental health deterioration
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Postnatal depression - a definition
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"Baby Blues" - a definition
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How common is postnatal depression?
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Postnatal depression risk factors
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Presentation of postnatal depression
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Screening for postnatal depression
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Edinburgh PND Scale
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Managing postnatal depression
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Mild, Moderate, or severe?
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Starting antidepressants for moderate depression
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Antidepressants and breastfeeding
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Second line agents
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Duration of treatment
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Stopping antidepressants
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"I don't want to be on medication. I'll be fine"
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Postnatal depression red flags
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Postpartum psychosis
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Maternal suicide
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Anxiety and OCD
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Take-home messages
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Take home messages

Screen for maternal mental health during the first 12 months of postnatal period.
Follow up with Edinburgh PDS if needed.
Investigate clinician resources and community support services.

Resources

Edinburgh Postnatal Depression Scale (EPDS) British Journal of Psychiatry
PADA Perinatal Anxiety and Depression Aotearoa
Get help depression.org.nz
Diagnosing and managing perinatal depression in primary care bpac nz (2019)

Presenter

Mathanki Vivekananda

General Practitioner

Mathanki graduated from Auckland Medical school in 2013 and has worked in Rotorua, Kenya, and Wellington where she completed further training in psychiatry. She now works as a GP in Tauranga. Mathanki has a strong passion for mental health and is thrilled to be a board member for PADA (Perinatal Anxiety and Depression Aotearoa).