A 26-year-old woman, gravida 1 para 1, comes to the office for a 6-week postpartum checkup following an induction of labor and vaginal delivery at 38 weeks gestation for preeclampsia with severe features. Her pregnancy was otherwise uncomplicated, and the patient has no chronic medical conditions. She is currently breastfeeding and supplementing with pumped breast milk. The patient has not resumed her menses and is taking a progestin-only pill for contraception. The patient says, "The baby is healthy, which is great, but I haven't been sleeping much and have been very tired. My mom is coming to stay with us, so I'm hoping to get some rest soon." Temperature is 36.7 C (98 F), blood pressure is 130/80 mm Hg, and pulse is 68/min. BMI is 24 kg/m². Breast and pelvic examinations are normal. Which of the following should be performed at this visit?

Question

Quizplus · Accepted Answer

The Edinburgh postnatal depression scale should be performed as the patient is experiencing fatigue and sleep disturbances, which can be symptoms of postpartum depression. Screening for postpartum depression is important during postpartum visits.

A 26-Year-Old Woman, Gravida 1 Para 1, Comes to the Office