Usher K, Foster K, McNamara P
School of Nursing Sciences, James Cook University, Townsville, Qld, Australia.
J Psychiatr Ment Health Nurs. 2005 Dec;12(6):713-8. doi: 10.1111/j.1365-2850.2005.00903.x.
Antipsychotic drugs and pregnant or breastfeeding women: the issues for mental health nurses Mental illness can affect up to 10% of pregnant women, and women with a pre-existing psychiatric condition are more likely to experience a relapse of symptoms during pregnancy. Antipsychotic drugs are an important part of the treatment of psychotic illnesses; however, their safety with pregnant or breastfeeding women has not been fully established. Given that these drugs will be ordered for pregnant or breastfeeding women diagnosed with a psychosis or with a pre-existing psychiatric condition, it is imperative that mental health nurses and others administering the drugs, or caring for those taking the drugs, be aware of their consequences. A review of the available evidence, albeit at times contradictory, is presented along with a discussion of the implications for mental health nurses. Recommendations for consideration when administering or counselling women regarding the use of antipsychotic drugs in pregnancy or when breastfeeding, are also included.
心理健康护士面临的问题
精神疾病可能影响多达10%的孕妇，且患有既往精神疾病的女性在孕期更有可能出现症状复发。抗精神病药物是治疗精神疾病的重要组成部分；然而，其对孕妇或哺乳期妇女的安全性尚未完全明确。鉴于会为被诊断患有精神病或有既往精神疾病的孕妇或哺乳期妇女开具这些药物，心理健康护士及其他给药人员或照顾服药者的人员必须了解其后果。本文对现有证据进行了综述，尽管这些证据有时相互矛盾，并讨论了对心理健康护士的影响。还包括在给孕妇或哺乳期妇女使用抗精神病药物进行给药或咨询时应考虑的建议。
