Question

A 28-year-old woman presents 4 months after birth with persistent low mood, poor sleep, loss of interest, feelings of guilt and difficulty bonding with her baby. She denies active suicidal ideation. According to Australian perinatal mental health guidance, what is the most appropriate next step?

Accepted Answer

Arrange prompt psychological support and consider starting an SSRI compatible with breastfeeding

Answer

Reassure her that this is normal baby blues and will resolve without intervention

Answer

Avoid all pharmacological treatment while breastfeeding and review in 6 months

Answer

Advise she stop breastfeeding so antidepressants can be used

Answer

Refer only to a parenting class without mental health input

Practice question

A 28-year-old woman presents 4 months after birth with persistent low mood, poor sleep, loss of interest, feelings of guilt and difficulty bonding with her baby. She denies active suicidal ideation. According to Australian perinatal mental health guidance, what is the most appropriate next step?