Nurnberg H G
Department of Psychiatry, Queens Hospital Center, Jamaica, NY 11432.
Gen Hosp Psychiatry. 1989 Sep;11(5):328-38. doi: 10.1016/0163-8343(89)90120-5.
Treatment and management of the psychotic pregnant patient is insufficiently covered by most standard texts and the current literature. To date, there are no controlled studies on the efficacy of different therapeutic modalities during pregnancy. Medications that have proved effective in the treatment of the various psychoses are not without added risk for the pregnant patient. However, there is no effective medical treatment without attendant risk. Although the psychotic pregnant patient presents a therapeutic dilemma, these patients can be effectively treated by a program that allows for flexibility and innovation within the framework of sound conservative medical practice. Professional territorial difficulties can be avoided by a unified effort.
大多数标准教科书和当前文献对患有精神病的孕妇的治疗和管理涉及不足。迄今为止，尚无关于孕期不同治疗方式疗效的对照研究。已证明对各种精神病有效的药物对孕妇并非没有额外风险。然而，不存在无伴随风险的有效医学治疗方法。尽管患有精神病的孕妇带来了治疗难题，但通过一个在合理保守医疗实践框架内允许灵活性和创新性的方案，可以对这些患者进行有效治疗。通过共同努力可以避免专业领域的困难。
