Perinatal depression and anxiety Quiz: Ace Your Exams

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A 27-year-old G3P1112 woman presents for a 6-week postpartum visit. The patient had an uncomplicated repeat cesarean delivery following a pregnancy complicated by gestational diabetes managed with diet and exercise. There is a history of preterm delivery at 34 weeks due to preterm rupture of membranes with cord prolapse that required an emergent cesarean delivery. Since delivery, the patient reports excessive anxiety and worry, along with irritability, restlessness, fatigue, and difficulty concentrating. Similar symptoms occurred after the first delivery but resolved after six months without intervention. The patient reports no other history of anxiety or depression. Vital signs are within normal limits, and a chaperoned examination is unremarkable. Which of the following is the most likely diagnosis?

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Bipolar disorder

Postpartum psychosis

Perinatal depression

Mild perinatal depression (postpartum blues)

Perinatal anxiety