Perinatal mental health 2 Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period
Perinatal mental health 2 Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period
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DOI：
10.1016/s0140-6736(14)61278-2
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发表时间：
2014-11-15
期刊：
影响因子：
168.9
通讯作者：
Howard, Louise M.
中科院分区：
文献类型：
--
作者：
Jones, Ian;Chandra, Prabha S.;Howard, Louise M.
围产期与严重精神障碍的风险增加有关。我们总结了与分娩有关的严重精神疾病的流行病学、危险因素和治疗的证据，重点是双相情感障碍、情感性精神病和精神分裂症。我们讨论的妇女与持续的慢性疾病和那些与产后精神病的新发作的发病。尽管围产期事件的重要性，自杀是产妇死亡的主要原因，但很少有研究可用于指导妊娠期和产后严重精神障碍妇女的管理。然而，讨论了管理的一般原则，包括需要对每个妇女进行单独的风险效益分析。
The perinatal period is associated with an increased risk of severe mental disorders. We summarise the evidence regarding the epidemiology, risk factors, and treatment of severe mental illness in relation to childbirth, focusing on bipolar disorder, affective psychosis, and schizophrenia. We discuss women with ongoing chronic conditions and those with the onset of new episodes of post-partum psychosis. Despite the importance of perinatal episodes, with suicide a leading cause of maternal death, few studies are available to guide the management of women with severe mental disorders in pregnancy and the post-partum period. However, general principles of management are discussed, including the need for an individual risk-benefit analysis for each woman.