Aftab Awais, Shah Asim A
Department of Psychiatry, Case Western Reserve University, University Hospitals Cleveland Medical Center, 10524 Eucolid Avenue, 8th Floor, Cleveland, OH 44106, USA.
Menninger Department of Psychiatry, Baylor College of Medicine, 1977 Butler Boulevard, Houston, TX 77030, USA; Menninger Department of Family and Community Medicine, Baylor College of Medicine, 3701 Kirby Drive, Suite 600, Houston, TX 77098, USA; Mood Disorder Research Program at BT, Community Behavioral Health Program, Psychotherapy Services, Neuropsychiatric Center, Ben Taub Hospital, HHS, Room 2.125, 1502 Taub Loop, Houston, TX 77030, USA.
Psychiatr Clin North Am. 2017 Sep;40(3):435-448. doi: 10.1016/j.psc.2017.05.017.
This article describes psychiatric emergencies in pregnant women. The perinatal period is a time of psychiatric vulnerability. Up to 1 in 6 pregnant women experience major depressive disorder, and 1 in 4 pregnant women with bipolar disorder experience mood exacerbation. We discuss the management of severe mental illness in pregnancy, risk to mother and child of untreated psychiatric illness in pregnancy, risk of relapse of psychiatric disorders in pregnancy with medication discontinuation, psychopharmacologic considerations of teratogenicity and other fetal adverse effects, acute agitation in the pregnant patient, suicidality in pregnancy, and emergency considerations related to substance use disorders.
本文描述了孕妇的精神科急症。围产期是精神方面易出现问题的时期。多达六分之一的孕妇患有重度抑郁症，四分之一患有双相情感障碍的孕妇会出现情绪恶化。我们讨论了孕期严重精神疾病的管理、孕期未治疗的精神疾病对母婴的风险、孕期停药导致精神障碍复发的风险、致畸性及其他胎儿不良反应的精神药理学考量、孕妇的急性激越、孕期自杀行为以及与物质使用障碍相关的急诊注意事项。
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