Case Examples L.F. is a 24-year-old woman with no signifi cant risk factors for PPD, who is two weeks postpartum. The EPDS she took just two days after delivering her baby in the hospital
was not signifi cantly elevated with a score of 6/30. At 4 days postpartum, she fi nds herself tearful. In response to this, her husband comforts her and reassures her. She has two more brief episodes of sadness and tearfulness, both of which are met with support from her husband and other family members. At two weeks, she has had no repeat episodes, looks bright, has confi dence in herself as a new mother and enjoys her supportive family. When she relays this experience to her daughter’s pediatrician, he administers the EPDS, which is not clinically signifi cant with a score of 2/30. At her 6 week follow-up with her obstetrician, he diagnoses her with an episode of postpartum blues. This case illustrates a woman who has no known risk factors for PPD, a negative screen in the immediate postpartum period, and mild depressive symptoms of short duration that resolve by two weeks postpartum. Her obstetrician appropriately diagnoses her with an episode of postpartum blues.
M.L. is a 29-year-old woman with no pre-existing risk factors for PPD who is one week postpartum. She obtained a positive screen of 10/30 when the EPDS was administered in the hospital 2 days postpartum. In the well-baby visit she reports being very worried about the health of her baby boy. She described not being supported by her spouse, who seems to be absent most of the time. He often is critical of her abilities as a new mom. Her son’s family doctor attempts to reassure her, but she continues to exhibit a pre-occupation with worry when her son is in good health. The doctor asks her how she has been feeling, and she says “fi ne.” She denies having depression. He then gives her an EPDS to complete as a follow-up to her previous positive score. He fi nds that her score again is signifi cantly elevated at 12/30, with the endorsement of items related to not fi nding enjoyment, self-blame, anxiety, panic, and sleep disturbance. Recognizing how the mother’s health can affect the baby’s health and well-being, the doctor then educates her regarding PPD, provides her with a list of
Case Examples L.F. is a 24-year-old woman with no signifi cant risk factors for PPD, who is two weeks postpartum. The EPDS she took just two days after delivering her baby in the hospitalwas not signifi cantly elevated with a score of 6/30. At 4 days postpartum, she fi nds herself tearful. In response to this, her husband comforts her and reassures her. She has two more brief episodes of sadness and tearfulness, both of which are met with support from her husband and other family members. At two weeks, she has had no repeat episodes, looks bright, has confi dence in herself as a new mother and enjoys her supportive family. When she relays this experience to her daughter’s pediatrician, he administers the EPDS, which is not clinically signifi cant with a score of 2/30. At her 6 week follow-up with her obstetrician, he diagnoses her with an episode of postpartum blues. This case illustrates a woman who has no known risk factors for PPD, a negative screen in the immediate postpartum period, and mild depressive symptoms of short duration that resolve by two weeks postpartum. Her obstetrician appropriately diagnoses her with an episode of postpartum blues.M.L. is a 29-year-old woman with no pre-existing risk factors for PPD who is one week postpartum. She obtained a positive screen of 10/30 when the EPDS was administered in the hospital 2 days postpartum. In the well-baby visit she reports being very worried about the health of her baby boy. She described not being supported by her spouse, who seems to be absent most of the time. He often is critical of her abilities as a new mom. Her son’s family doctor attempts to reassure her, but she continues to exhibit a pre-occupation with worry when her son is in good health. The doctor asks her how she has been feeling, and she says “fi ne.” She denies having depression. He then gives her an EPDS to complete as a follow-up to her previous positive score. He fi nds that her score again is signifi cantly elevated at 12/30, with the endorsement of items related to not fi nding enjoyment, self-blame, anxiety, panic, and sleep disturbance. Recognizing how the mother’s health can affect the baby’s health and well-being, the doctor then educates her regarding PPD, provides her with a list of
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