Perinatal depression and anxiety Quiz: Ace Your Exams
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A 35-year-old woman presents to the obstetrical office with concerns about feeling down. The patient delivered a healthy term infant via vaginal delivery 8 weeks ago; the delivery was complicated by a postpartum hemorrhage that did not require a blood transfusion. The pregnancy was also complicated by mild anemia and advanced maternal age. Today, the patient reports feeling depressed, experiencing fatigue, difficulty concentrating, insomnia, and weight gain over the past 2 weeks. The patient has not had anxiety or excessive worry and reports no suicidal or homicidal ideation. The patient also notes that her supportive partner returned to work 4 weeks ago, and she does not have anyone else to help in the area. Past medical history is significant for a pregnancy loss at 16 weeks and hypothyroidism with normal thyroid function tests last week. Physical examination is noncontributory. Which of the following is the greatest risk factor for the patient’s current condition?
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