Postnatal/postpartum care: The Daily PANCE Blueprint

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Postnatal/postpartum care: The Daily PANCE Blueprint

A 30-year-old recently pregnant female (1 week post-partum) presents to your clinic with feelings of general hopelessness and sadness. She says she can’t concentrate, doesn’t have enough energy, and isn’t hungry at all. Which of the following is the best initial pharmacotherapy for this patient?

A. Sertraline
B. Amitriptyline
C. Benadryl
D. Olanzapine
E. Lithium

Answer and topic summary

The answer is A. Sertraline

Peripartum depression is essentially a type of major depressive disorder that happens during pregnancy or within 1 month after delivery. All females could be screened for peripartum depression at least once during the peripartum period. Treatment includes psychotherapy and SSRIs. Paroxetine should be avoided during pregnancy. Also, while most other SSRIs are safe, infants and mothers need to be watched for signs of toxicity.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Reproductive System ⇒ Uncomplicated Pregnancy ⇒ Postnatal/postpartum care

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