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Perinatal Psychiatry 

Perinatal Psychiatry
Chapter:
Perinatal Psychiatry
Author(s):

Priya Gopalan

and Jody Glance

DOI:
10.1093/med/9780199329311.003.0017
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date: 23 October 2020

The perinatal period is often a time of relapse in psychiatric conditions for patients with pre-existing disorders. The psychiatric consultant is called upon to make thoughtful treatment considerations for these women, which requires a thorough knowledge of the clinical approach to diagnosis and management in pregnancy. This chapter provides an overview of the general clinical approach to treatment of psychiatric disorders in pregnancy, including the perinatal risk-benefit model, domains of reproductive toxicity, and fetal effects of untreated psychiatric conditions. Practical guidelines for treatment are provided. The challenges of perinatal addiction pose further challenges to the provider, including reproductive effects of drugs of abuse and complications associated with intoxication/withdrawal states. Special topics such as hyperemesis gravidarum, capacity evaluations in pregnancy, and perinatal loss are also discussed.

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