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妊娠期和产后早期精神障碍。

Mental disorder in pregnancy and the early postpartum.

机构信息

NHS Scotland National Services Division, Perinatal Mental Health Network Scotland, Edinburgh, UK.

出版信息

Anaesthesia. 2021 Apr;76 Suppl 4:76-83. doi: 10.1111/anae.15424.

DOI:10.1111/anae.15424
PMID:33682099
Abstract

Perinatal mental illness is common, affecting up to 20% of women, but remains under-recognised and under-diagnosed. It may have adverse effects on pregnancy and neonatal outcomes, and mental disorder remains one of the leading causes of maternal death in the UK. Women with mental ill health face difficult decisions in balancing risks and benefits of treatment. Stigma related to mental disorder may lead to non-engagement with maternity care. Some disorders bring specific challenges for anaesthetists working in maternity settings and it is vital that anaesthetists have knowledge of these disorders so they may offer care which is sensitive and appropriate.

摘要

围产期精神疾病很常见,影响多达 20%的女性,但仍未得到充分认识和诊断。它可能对妊娠和新生儿结局产生不良影响,精神障碍仍然是英国产妇死亡的主要原因之一。心理健康状况不佳的女性在权衡治疗的风险和益处时面临艰难的决策。与精神障碍相关的耻辱感可能导致她们不参与产妇护理。一些疾病给在产科环境中工作的麻醉师带来了特殊的挑战,麻醉师必须了解这些疾病,以便提供敏感和适当的护理。

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