1. Peripartum occurs up to 4 weeks prior to delivery. (approx 50%)

2. Baby Blues is period after delivery (Postpartum depression rates 50-80%)

3. Moderate PP symptoms: fatigue, irritability, loss of appetite, sleep disturbances, loss of libido, concerns about ability to care for infant.

4. PP Depression w/psychotic features symptoms: depressed mood, agitation, indecisive and abnormal attitude toward bodily functions.

5. Those with psychotic features have an increased risk for subsequent recurrence.

6. Etiology is not clear but mainly related to hormonal changes, tryptophan metabolism or cell alterations. Prior hx of depression increases risk for depression during pregnancy before/after delivery.

7. Monitor and teach patient along with family on symptoms to be concerned with.

Spell: Pysch2