双相情感障碍女性对计划生育和怀孕的想法与考量：一项定性研究

Thoughts and Considerations of Women With Bipolar Disorder About Family Planning and Pregnancy: A Qualitative Study.

作者信息

Stevens Anja Wilhelmina Margaretha Maria, Daggenvoorde Thea Henrica, van der Klis Samuel Martinus Dianshah, Kupka Ralph Werner, Goossens Peter Jan Joseph

机构信息

1 Anja Wilhelmina Margaretha Maria Stevens, MD, Dimence Group Mental Health Care, Deventer, Netherlands; VU University Medical Center, Amsterdam, Netherlands.

2 Thea Henrica Daggenvoorde, MScN, RN, Dimence Group Mental Health Care, Deventer, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands.

出版信息

J Am Psychiatr Nurses Assoc. 2018 Mar/Apr;24(2):118-126. doi: 10.1177/1078390317711251. Epub 2017 Jun 1.

DOI:10.1177/1078390317711251

PMID:28569088

Abstract

BACKGROUND

Women with bipolar disorder have an increased risk of relapse during pregnancy and the postpartum period, and they often express broad concerns about family planning.

OBJECTIVE

To explore the thoughts and considerations of women of childbearing age with bipolar disorder, about family planning and pregnancy.

DESIGN

A qualitative study was conducted: 15 women with bipolar I disorder were individually interviewed. Content analysis was applied.

RESULTS

Women worried about heritability of bipolar disorder, medication issues, and risk of relapse during pregnancy. They mentioned their fear to be incompetent as a mother during future mood episodes. Support of partner, family/friends, and professionals was mentioned as essential.

CONCLUSIONS

Family planning is an essential topic in the treatment of every woman with bipolar disorder of childbearing age. These women expect early consultation with professionals for support, and specific information about heritability of the illness and use of medication during and after pregnancy.

摘要