Khalifeh Hind, Brauer Ruth, Toulmin Hilary, Howard Louise M
Section of Women's Mental Health, King's College London, PO31 De Crespigny Park, London SE5 8AF, United Kingdom.
Wellcome Trust Research Training Fellow, Centre for the Developing Brain/Division of Imaging Sciences and Biomedical Engineering, King's College London-King's Health Partners, St Thomas' Hospital, London SE1 7EH, United Kingdom.
Early Hum Dev. 2015 Nov;91(11):649-53. doi: 10.1016/j.earlhumdev.2015.08.010. Epub 2015 Sep 18.
Perinatal mental disorders are common and can impact adversely both on maternal functioning and on foetal and neonatal outcomes. For the more severe disorders, such as schizophrenia, bipolar disorder and severe depression, medication may be needed during pregnancy and breastfeeding, and there is a growing but complex evidence based on the effects of psychotropic medication on the foetus and neonate. In addition, the neonatologist needs to be aware of the co-morbid problems that women with mental disorders are more likely to have as these may also impact on the neonate. Close liaison with family physicians and primary care where there are concerns about mental health is important to ensure maternal mental health is optimal for the mother and her infant.
围产期精神障碍很常见，会对母亲的功能以及胎儿和新生儿的结局产生不利影响。对于更严重的疾病，如精神分裂症、双相情感障碍和重度抑郁症，孕期和哺乳期可能需要用药，关于精神药物对胎儿和新生儿影响的证据越来越多，但也很复杂。此外，新生儿科医生需要了解患有精神障碍的女性更可能出现的共病问题，因为这些问题也可能影响新生儿。当对心理健康存在担忧时，与家庭医生和初级保健机构密切联系对于确保母亲的心理健康对其自身和婴儿而言处于最佳状态非常重要。
