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Management of mental disorders during pregnancy and the post-partum period 

Management of mental disorders during pregnancy and the post-partum period
Chapter:
Management of mental disorders during pregnancy and the post-partum period
Author(s):

Zuzana Lattova

, Olga Kazakova

, and Anita Riecher-Rössler

DOI:
10.1093/med/9780198723646.003.0031
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date: 23 January 2022

Psychiatric disorders during pregnancy and the post-partum period have significant societal consequences. Mother’s depression or psychosis may lead to disruption of mother–child bonding and increase the risk for mother and baby health (premature birth, lower birth weight, delayed intrauterine growth, suicidal behaviour, and complications in a baby exposed to medications through breastfeeding). Non-pharmacological treatment methods (psychoeducation, psychotherapy) are preferred in pregnancy and during breastfeeding. Pharmacotherapy in this period may carry a risk of spontaneous abortion, malformations, pregnancy complications, poor neonatal adaptation, and long-term neurobehavioural effects. On the other hand, it may be more harmful to the mother and her baby if she is not treated appropriately with carefully selected medication. Prophylaxis in at-risk individuals is crucial and more easily achieved in those who see a psychiatrist regularly and have developed a prevention plan and tactics in case of relapse.

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