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Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period

F

firemonkee57

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Joined
Mar 23, 2009
Messages
8,235
Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period

Summary
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.
This is the second in a Series of three papers about perinatal mental health.


Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period : The Lancet
 
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suzy

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Jun 26, 2009
Messages
1,064
Er yeah it is well known.

My pdoc told me I was high risk as my episode was severe and my Mum had post natal psychosis (but not diagnosed bipolar, she just had it after but not in the second two pregnancies.

I think your article is a bit scary when it says it can lead to death!! I'm in a good area so would get a specialised nurse and can be admitted to the mother and baby unit IF it does happen. But I think there has been research as I was told they would mimimise the risk. Not planning on kids yet though lol

It is a bit scary but also it complatly depends on where you live, as I was asking questions about the future they gave me an apt with a consultant from the perinatal team/other dept...who went through it, had read my history and even posted me report (I was scared from the% risk he gave me!!) BUT it is possible, I may have a kid and not have PNP BUT it is better to be informed and it all about managing and preventing to reduce this risk....

As I say it is a postcode lottery
 
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