TY  - JOUR
PY  - 2020//
TI  - Perinatal psychiatry
JO  - Medicine (Abingdon)
A1  - Casanova Dias, M.
A1  - Jones, I.
SP  - 774
EP  - 778
VL  - 48
IS  - 12
N2  - Perinatal psychiatric disorders are common and can result in significant suffering for women and their families: suicide is a leading cause of maternal death. The most severe form of postpartum mood disorder - postpartum psychosis - follows approximately 1 in 1000 deliveries. Women who have a history of bipolar disorder or have suffered a previous severe postpartum episode have a many hundred-fold 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 after 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 are needed to inform the difficult choices regarding medication that women with severe mental illness have to make in regard to pregnancy. © 2020<p /> <p>Language: en</p>
LA  - en
SN  - 1357-3039
UR  - http://dx.doi.org/10.1016/j.mpmed.2020.09.016
ID  - ref1
ER  -