Bipolar Disorder in Pregnancy and Breast-Feeding: A Practical Guide for the General Psychiatrist

被引：0

作者：

Mittal, Leena ^{[1
]}

Wichman, Christina L. ^{[2
,3
]}

Byatt, Nancy ^{[4
]}

机构：

[1] Harvard Univ, Sch Med, Psychiat, Boston, MA 02115 USA

[2] Med Coll Wisconsin, Psychiat & Behav Med, Milwaukee, WI USA

[3] Med Coll Wisconsin, Obstet & Gynecol, Milwaukee, WI USA

[4] Univ Massachusetts, Sch Med, Psychiat & Obstet & Gynecol, Amherst, MA 01003 USA

来源：

PSYCHIATRIC ANNALS | 2015年 / 45卷 / 08期

关键词：

IN-UTERO; RISK; WOMEN; LAMOTRIGINE; EXPOSURE; DRUGS; RECURRENCE; VALPROATE; OUTCOMES; INFANTS;

D O I：

10.3928/00485713-20150803-06

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

For a woman with bipolar disorder, decompensation during the course of pregnancy can have significant consequences for both her and the baby. Women with bipolar disorder are also at greater risk for unplanned pregnancy. Therefore, it is essential that psychiatric providers proactively discuss pregnancy plans and treatment options during pregnancy and lactation with all women of reproductive age. Mood stabilizing medications and nonpharmacologic treatment options are equally important components of treatment for bipolar disorder. A comprehensive treatment plan should include a thoughtful discussion about the risks of untreated illness, balanced alongside with the risks and benefits of treatment.

引用

页码：411 / 416

页数：6

共 30 条

[1] ECT in Pregnancy: A Review of the Literature From 1941 to 2007 [J].

Anderson, Eric L. ;

Reti, Irving M. .

PSYCHOSOMATIC MEDICINE, 2009, 71 (02) :235-242

[2]

APA, 2013, DIAGN STAT MAN MENT

[3] Risks of adverse pregnancy and birth outcomes in women treated or not treated with mood stabilisers for bipolar disorder: population based cohort study [J].

Boden, Robert ;

Lundgren, Maria ;

Brandt, Lena ;

Reutfors, Johan ;

Andersen, Morten ;

Kieler, Helle .

BRITISH MEDICAL JOURNAL, 2012, 345

[4] Prenatal Valproate Exposure and Risk of Autism Spectrum Disorders and Childhood Autism [J].

Christensen, Jakob ;

Gronborg, Therese Koops ;

Sorensen, Merete Juul ;

Schendel, Diana ;

Parner, Erik Thorlund ;

Pedersen, Lars Henning ;

Vestergaard, Mogens .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2013, 309 (16) :1696-1703

[5] A REEVALUATION OF RISK OF IN-UTERO EXPOSURE TO LITHIUM [J].

COHEN, LS ;

FRIEDMAN, JM ;

JEFFERSON, JW ;

JOHNSON, EM ;

WEINER, ML .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 271 (02) :146-150

[6]

Cohen LS, 2014, ANN M AM SOC CLIN PS

[7] Family planning needs and STD risk behaviours of female psychiatric out-patients [J].

Coverdale, JH ;

Turbott, SH ;

Roberts, H .

BRITISH JOURNAL OF PSYCHIATRY, 1997, 171 :69-72

[8] Neurodevelopment of children exposed in utero to lamotrigine, sodium valproate and carbamazepine [J].

Cummings, Cliona ;

Stewart, Moira ;

Stevenson, Mike ;

Morrow, Jim ;

Nelson, Joanne .

ARCHIVES OF DISEASE IN CHILDHOOD, 2011, 96 (07) :643-647

[9] Pharmacotherapy for Mood Disorders in Pregnancy A Review of Pharmacokinetic Changes and Clinical Recommendations for Therapeutic Drug Monitoring [J].

Deligiannidis, Kristina M. ;

Byatt, Nancy ;

Freeman, Marlene P. .

JOURNAL OF CLINICAL PSYCHOPHARMACOLOGY, 2014, 34 (02) :244-255

[10] Does lamotrigine use in pregnancy increase orofacial cleft risk relative to other malformations? [J].

Dolk, H. ;

Jentink, J. ;

Loane, M. ;

Morris, J. ;

de Jong-van den Berg, L. T. W. .

NEUROLOGY, 2008, 71 (10) :714-722

← 1 2 3 →