The childbirth educator revises the curriculum to include postpartum depression preventive measures. Topics will include:
1. Encouraging planning in the prenatal period for the postnatal period.
2. Reviewing historical cases of postpartum psychosis with parents.
3. The importance of counseling for all postpartum mothers.
4. Prophylactic administration of Paxil.
1
Rationale 1: Offering realistic information and anticipatory guidance, and debunking myths about the perfect mother or perfect newborn, might help prevent postpartum depression.
Rationale 2: Reviewing historical cases of postpartum psychosis will serve only to scare parents.
Rationale 3: Postpartum depression affects 4.5% to 28% of all postpartum women in North America. It is not feasible or necessary to counsel all postpartum mothers.
Rationale 4: Prophylactic administration of Paxil is not recommended. Treatment needs to be individualized.
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