Psychiatric Disorders in Pregnancy and the Postpartum: Principles and Treatment
http://www.100md.com
《新英格兰医药杂志》
Not infrequently, headlines erupt with news of a celebrity who has postpartum illness or the death of a newborn and mother as a result of maternal manic depressive illness. Exemplars of the misunderstanding of psychiatric disorders in pregnant and postpartum women are the public figures who chastise women with depression when they seek treatment and a legal system that threatens to end the life of a mother who committed infanticide while having florid delusions.
Not unlike other specialties in medicine, that of caring for pregnant and postpartum women with psychiatric illness can be complex. The recent published literature on the topic leaves clinicians and patients with many questions and in need of advice from experienced clinicians in order to make informed decisions.
Psychiatric Disorders in Pregnancy and the Postpartum provides clinicians with up-to-date information on the management of psychiatric illness in pregnant women. Experts offer practical and empirically based advice for treating women who are pregnant or who have recently delivered and who have depression, schizophrenia, bipolar disorder, or anxiety disorders. Information is offered in a manner that is accessible to obstetricians, nurses, midwives, family practitioners, and psychiatrists. Recent data are presented on the risks and benefits of antidepressant use in pregnancy and on the effects of psychotropic drugs on breast-feeding babies.
When discussing the treatment of depression during pregnancy, the contributors provide both historical context on the neonatal effects of the older, tricyclic antidepressants and new information on serotonin-reuptake inhibitors. Both classes of antidepressants have been associated with transient, mild neonatal discontinuation syndrome, but exposed older children do as well as, if not better than, those whose mothers were not treated. Given the high prevalence of mood and anxiety disorders in women, the economic effects of these illnesses, and the ramifications for patients' spouses, parents, and offspring, guidance and information of the kind provided in this book are sorely needed.
Kimberly A. Yonkers, M.D.
Yale University School of Medicine
New Haven, CT 06510((Current Clinical Practic)
Not unlike other specialties in medicine, that of caring for pregnant and postpartum women with psychiatric illness can be complex. The recent published literature on the topic leaves clinicians and patients with many questions and in need of advice from experienced clinicians in order to make informed decisions.
Psychiatric Disorders in Pregnancy and the Postpartum provides clinicians with up-to-date information on the management of psychiatric illness in pregnant women. Experts offer practical and empirically based advice for treating women who are pregnant or who have recently delivered and who have depression, schizophrenia, bipolar disorder, or anxiety disorders. Information is offered in a manner that is accessible to obstetricians, nurses, midwives, family practitioners, and psychiatrists. Recent data are presented on the risks and benefits of antidepressant use in pregnancy and on the effects of psychotropic drugs on breast-feeding babies.
When discussing the treatment of depression during pregnancy, the contributors provide both historical context on the neonatal effects of the older, tricyclic antidepressants and new information on serotonin-reuptake inhibitors. Both classes of antidepressants have been associated with transient, mild neonatal discontinuation syndrome, but exposed older children do as well as, if not better than, those whose mothers were not treated. Given the high prevalence of mood and anxiety disorders in women, the economic effects of these illnesses, and the ramifications for patients' spouses, parents, and offspring, guidance and information of the kind provided in this book are sorely needed.
Kimberly A. Yonkers, M.D.
Yale University School of Medicine
New Haven, CT 06510((Current Clinical Practic)