Postnatal Depression. Dr Barbara Bavda ž International Conference on Women’s Health October 8th/10th 2009 Nablus, Palestine. Childbearing. One of the most complex events in human experience Physical changes of childbirth Psychological changes of childbirth
Dr Barbara Bavdaž
International Conference on Women’s Health
October 8th/10th 2009
Under Three Headings:
* I. Brockington
*IanBrokington, Univ. of Birmingham, UK
-Use questionnaires e.g. EPDS ( “the whole gamut of post-partum psychiatric disorders” ) !
-Explore wider context e.g. mother’s life history, personality circumstances !
-Follow course of the pregnancy including parturition, puerperium !
-Assess quality and strength of relationships !
-Identify vulnerability and availability of support !
- SSRIs (avoid paroxetine/first trimester/linked to cardiac malformations!)
- fluoxetine has the lowest known risk
psychiatrists, psychologists, nurses and nursery nurses, social workers (Ts)
communication of dubious or poor prognosis (after echography)
emotional distress during pregnancy (panic attacks, phobias, mood disorders)
traumatised by parturition
post-natal emotional distress (difficulties in relating with newborn baby)
-Dr. Andrea Clarici - MD - Senior Lecturer at the University of Trieste Faculty of Medicine(IRCCS Paediatric Hospital Burlo Garofolo, Trieste).-Dr. Sandra Pellizzoni - Psychologist - Postgraduate student at theIRCCS Paediatric Hospital Burlo Garofolo Trieste
Services network? Accessibility?
-available to everyone
‘A world that is unequal as regards health provisions, is unstable and unsafe.’
WHO Secretary General