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Chapter 29 - Mood Disorders in Pregnancy and Postpartum Depression
from Section 5 - Psychiatric Disorders in Pregnancy
- By Victoria E. Canelos, Amira El-Messidi, Charlotte S. Hogan
Edited by Amira El-Messidi, McGill University, Montréal, Alan D. Cameron, University of Glasgow
Book:

OSCEs in Obstetrics and Maternal-Fetal Medicine

Published online:

23 February 2023

Print publication:

16 February 2023, pp 387-396
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Summary

A 21-year-old G1P1 with an uncomplicated pregnancy and vaginal delivery presents to your obstetrical assessment unit one week postpartum with concerns regarding the care of her newborn. She informs the nurse of difficulty with breastfeeding, which triggers a sense of worthlessness. The patient also complains of sleeplessness, even when the baby is asleep, and thereby is constantly exhausted. She shares with the nurse that she is ‘worried all the time about everything’ and finds herself crying randomly throughout the day for no apparent reason. The patient complains of intense ‘mood swings,’ which have led to frequent argumentation with her partner.