@article{ref1,
title="Perinatal psychiatry",
journal="Medicine (Abingdon)",
year="2008",
author="Jones, Ian",
volume="36",
number="9",
pages="459-462",
abstract="Perinatal psychiatric disorders are common and can result in significant suffering for women and their families, indeed suicide is a leading cause of maternal death. The severest form of postpartum mood disorder, puerperal psychosis, follows approximately 1 in 1000 deliveries. Women with a history of bipolar disorder or who have suffered a previous severe postpartum episode are at a many hundredfold increased risk, and their identification in the antenatal period is a key aspect of management. Decisions regarding the use of psychotropic medication in pregnancy must be made following a full risk:benefit analysis. Risks of taking many medications remain unknown but include teratogenic effects, withdrawal or toxic symptoms in the newborn and long-term developmental effects. However, these must be balanced against the risks of untreated mental illness and the risk of recurrence from stopping or switching well-established and efficacious medications. More data is clearly needed to inform the difficult choices regarding medication that women with severe mental illness are forced to make in regard to pregnancy.<p />",
language="",
issn="1357-3039",
doi="10.1016/j.mpmed.2008.07.002",
url="http://dx.doi.org/10.1016/j.mpmed.2008.07.002"
}