A 29-year-old woman is seen at home on day nine after the birth of her first child. Her husband says she has n…

Question

A 29-year-old woman is seen at home on day nine after the birth of her first child. Her husband says she has not slept for three nights, is talking rapidly about needing to undo what was done at the hospital, and has twice said the baby is not really hers. She is feeding and changing the baby but leaves the room abruptly and is difficult to follow in conversation. She has no personal history of mental illness; her mother had bipolar disorder. She will accept whatever is advised. Which one of the…

Accepted Answer

Admission to a mother and baby psychiatric unit

Answer

Commence sertraline and review in one week

Answer

Daily home visits by the perinatal mental health team

Answer

Referral to the maternal and child health nurse

Answer

Review by her general practitioner in two days

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