Q:

A 16-year-old G1P1 mother complaining of reduced milk production and breasts engorgement

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A 16-year-old G1P1 mother complaining of reduced milk production and breasts engorgement. She stated that she feels unhappy and scared most of the times. Her husband is a soldier and she is living with his family. Of the following,the MOST appropriate action is to


  1. refer her to obstetrician
  2. explain the appropriate way of milk expression
  3. advice milk stimulant medications
  4. apply Edinburgh postnatal scale
  5. stop breast feeding

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(D). Pediatricians must be alert to detect postpartum depression. Edinburgh Postnatal Depressmn Scale is the standard to apply; if the score achieved, the mother should be referred to psychiatrist

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