Perinatal Mood and Anxiety Disorders. Cort A. Pedersen, M.D. UNC Department of Psychiatry. Prevalence of Perinatal Depressive and Anxiety Disorders .
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Cort A. Pedersen, M.D.
UNC Department of Psychiatry
Intense fear of harm/harming baby.
Palpitations, hyperventilation, sweating,etc
Difficulty caring for, leaving baby.
Intrusive thoughts/images of grievous harm to baby.
Mother sometimes imagines herself inflicting harm.
Increased risk of recurrence or intensification postpartum.
Many women with OCD (perhaps around 40%) have initial onset of symptoms during pregnancy or the postpartum period.
Hospitalize immediately (psychiatric emergency!)
Constant, close observation
Supervise visits with baby
Mood stabilizers (lithium, valproic acid)
Antidepressants (if primarily depressed)
Start mood stabilizers immediately postpartum or even late in pregnancy. Estrogen?
Social support/help network in place.
Patient/family education about symptoms.
Plan of action if symptoms develop.