Baby blues — DRCOG MCQ

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ModeratePostnatalBaby bluesDRCOG

A 45-year-old woman four days after birth is tearful and emotionally labile but bonding well and has no risk features. What is the most likely diagnosis?

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Correct answer: A — Baby blues

Baby blues is the best answer because the vignette is testing Baby blues and the recommended approach is consistent with NICE NG194. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Pre-eclampsia; Placental abruption; Pelvic inflammatory disease; Ovarian cancer would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE NG194