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孕期及哺乳期的精神药理学

Psychopharmacology in Pregnancy and Breastfeeding.

作者信息

Payne Jennifer L

机构信息

Johns Hopkins School of Medicine, 550 North Broadway, Suite 305, Baltimore, MD 21205, USA.

出版信息

Psychiatr Clin North Am. 2017 Jun;40(2):217-238. doi: 10.1016/j.psc.2017.01.001. Epub 2017 Mar 6.

Abstract

The use of psychotropic drugs during pregnancy and breastfeeding remains a controversial topic. There are several reasons for the controversy, ranging from the misperception that pregnancy is protective against mental illness, to the notion that women should be "pure" during pregnancy and avoid all extraneous substance use, and finally, to the stigma and misunderstanding of psychiatric illness and underestimation of how serious it can be. Fortunately, the currently available data are reassuring for most psychiatric medications-properly controlled studies indicate little to no risk for most (but not all) psychiatric medications.

摘要

孕期和哺乳期使用精神药物仍然是一个有争议的话题。争议存在的原因有几个,从认为怀孕可预防精神疾病的误解,到认为女性在孕期应“纯净”并避免使用所有外来物质的观念,最后是对精神疾病的污名化和误解,以及对其严重程度的低估。幸运的是,目前可得的数据对大多数精神科药物来说是令人安心的——适当控制的研究表明,大多数(但不是所有)精神科药物几乎没有风险。

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