RxExam Sample Question on Red flag signs of Postnatal depression.

Pharmacists should be able to recognise red flag signs of Postnatal depression (PND) and refer these patients immediately. Which of the following is/are Red flag signs or symptoms for postnatal depression?
 
I. Recent significant change in mental state or emergence of new psychiatric symptoms
II. New thoughts or acts of violent self-harm.
III. New and persistent expressions of incompetency as a mother, such as being over-critical for not recognising what the baby needs.
 
a. I only
b. I and II only
c. II and III only
d. All

Answer: (d).  All. Pharmacists should be able to recognise red flag signs and symptoms of PND and refer these patients immediately.
Red flag signs for postnatal depression:
 

1. Recent significant change in mental state or emergence of new psychiatric symptoms;
2. New thoughts or acts of violent self-harm;
3. New and persistent expressions of incompetency as a mother, such as:

• Estrangement from the infant;
• Being over-critical for not recognising what the baby needs;
• Saying that she/he is not doing things correctly;
• Saying that she/he is not a good mother for her child;
• Saying that the baby may be better cared for by someone else;
• Saying that she/he is not providing good care for her baby or that other parents seem to be more able to look after their babies.