The clinical content of preconception care: women with psychiatric conditions

被引:34
作者
Frieder, Ariela [1 ]
Dunlop, Anne L. [2 ]
Culpepper, Larry [3 ]
Bernstein, Peter S. [4 ]
机构
[1] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Psychiat, Bronx, NY USA
[2] Emory Univ, Sch Med, Dept Family & Prevent Med, Atlanta, GA USA
[3] Boston Univ, Sch Med, Dept Family Med, Boston, MA 02118 USA
[4] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Obstet & Gynecol & Womens Hlth, Bronx, NY 10467 USA
关键词
anxiety; bipolar; depression; preconception; schizophrenia;
D O I
10.1016/j.ajog.2008.09.001
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
For a substantial proportion of women, pregnancy can be complicated by the occurrence or reoccurrence of a psychiatric condition. Psychiatric disorders during pregnancy are associated with poor obstetric outcomes, higher risk of postpartum psychiatric illness, increased rates of substance abuse, lower participation in prenatal care, and adverse infant and family outcomes. As part of preconception care, providers should be vigilant and screen for psychiatric disorders among women of reproductive age, as the detection and appropriate management of these conditions can reduce the occurrence of adverse pregnancy and family outcomes. This manuscript reviews the treatment options and the risks and benefits of discontinuing, changing, or continuing psychotropic medications for women of reproductive age with common psychiatric disorders ( depression and anxiety disorders, bipolar disorder, and schizophrenia) and offers recommendations for preconception care.
引用
收藏
页码:S328 / S332
页数:5
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