Behavioral Emergencies Special Considerations in the Pregnant Patient

被引：16

作者：

Aftab, Awais ^{[1
]}

Shah, Asim A. ^{[2
,3
,4
]}

机构：

[1] Case Western Reserve Univ, Univ Hosp Cleveland Med Ctr, Dept Psychiat, 10524 Eucolid Ave,8th Floor, Cleveland, OH 44106 USA

[2] Baylor Coll Med, Menninger Dept Psychiat, 1977 Butler Blvd, Houston, TX 77030 USA

[3] Baylor Coll Med, Menninger Dept Family & Community Med, 3701 Kirby Dr,Suite 600, Houston, TX 77098 USA

[4] Ben Taub Hosp, Mood Disorder Res Program BT, Community Behav Hlth Program, Psychotherapy Serv,Neuropsychiat Ctr,HHS, Room 2-125,1502 Taub Loop, Houston, TX 77030 USA

来源：

PSYCHIATRIC CLINICS OF NORTH AMERICA | 2017年 / 40卷 / 03期

关键词：

Psychiatric emergencies; Pregnancy; Psychotropics; Teratogenicity; Depression; Bipolar disorder; Psychosis; Suicide; PERSISTENT PULMONARY-HYPERTENSION; OPIOID USE DISORDER; IN-UTERO EXPOSURE; BIPOLAR DISORDER; CONGENITAL-MALFORMATIONS; 2ND-GENERATION ANTIPSYCHOTICS; PHARMACOLOGICAL MANAGEMENT; ANTIDEPRESSANT EXPOSURE; PERINATAL DEPRESSION; MAJOR MALFORMATIONS;

D O I：

10.1016/j.psc.2017.05.017

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

This article describes psychiatric emergencies in pregnant women. The perinatal period is a time of psychiatric vulnerability. Up to 1 in 6 pregnant women experience major depressive disorder, and 1 in 4 pregnant women with bipolar disorder experience mood exacerbation. We discuss the management of severe mental illness in pregnancy, risk to mother and child of untreated psychiatric illness in pregnancy, risk of relapse of psychiatric disorders in pregnancy with medication discontinuation, psychopharmacologic considerations of teratogenicity and other fetal adverse effects, acute agitation in the pregnant patient, suicidality in pregnancy, and emergency considerations related to substance use disorders.

引用

页码：435 / 448

页数：14

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