Question

A 4-week postnatal woman presents to her GP with low mood, tearfulness and difficulty enjoying her baby, but no psychotic features. EPDS score is 18. What is the most appropriate management?

Accepted Answer

Offer psychological therapy and consider SSRI compatible with breastfeeding

Answer

Reassure that this is normal baby blues

Answer

Arrange urgent psychiatric admission for all postnatal depression

Answer

Advise immediate cessation of breastfeeding and start lithium

Answer

Start long-term benzodiazepine therapy

Practice question

A 4-week postnatal woman presents to her GP with low mood, tearfulness and difficulty enjoying her baby, but no psychotic features. EPDS score is 18. What is the most appropriate management?