精神疾病与妊娠：文献综述
Psychiatric illness and pregnancy: A literature review.
作者信息
Abdelhafez MohsenM A, Ahmed KarimA M, Ahmed NashwaA M, Ismail MohdHamdy, Mohd Daud Mohd Nazri Bin, Ping Nicholas Pang Tze, Eldiasty AyaM, Amri Mohd Fariz Bin, Jeffree Mohammad Saffree, Kadir Fairrul, Pg Baharuddin Dg Marshitah, Bolong Mohammed Firdaus Bin, Hayati Firdaus, BtAzizan Nornazirah, Sumpat Doreen, Syed Abdul Rahim Syed Sharizman, Abdel Malek Ehab Helmy
机构信息
Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Malaysia.
Department of Dermatology, Helios Saint Johannes Klinikum, Duisburg, Germany.
出版信息
Heliyon. 2023 Oct 20;9(11):e20958. doi: 10.1016/j.heliyon.2023.e20958. eCollection 2023 Nov.
BACKGROUND
Women of reproductive age frequently suffer from psychiatric disorders. The risk of developing anxiety, bipolar, and depressive disorders is especially significant during the perinatal period.
OBJECTIVES
This article aims to identify and discuss the different psychiatric conditions that might affect pregnant women and update the mother's carers about the recent and updated bidirectional relationship between psychiatric disease and adverse pregnancy outcomes, As well as the most updates in diagnostic and management strategies.
METHODS
A thorough analysis of the literature was conducted using database searches in EMBASE, Science Direct, Google Scholar, Scopus, and PubMed to obtain the objectives and aim of the study.
RESULTS
The presence of maternal mental illness during pregnancy has been linked to preterm delivery, newborn hypoglycemia, poor neurodevelopmental outcomes, and disturbed attachment. Placental anomalies, small-for-gestational-age foetuses, foetal discomfort, and stillbirth are among more undesirable perinatal outcomes.
CONCLUSIONS
Pregnancy-related psychiatric disorders are frequent. The outcomes for pregnant women, infants, and women's health are all improved by proper diagnosis and treatment of psychiatric problems.
背景
育龄女性经常患有精神疾病。在围产期，患焦虑症、双相情感障碍和抑郁症的风险尤为显著。
目的
本文旨在识别和讨论可能影响孕妇的不同精神疾病状况，并向母亲的护理人员介绍精神疾病与不良妊娠结局之间最新的双向关系，以及诊断和管理策略的最新进展。
方法
通过在EMBASE、Science Direct、谷歌学术、Scopus和PubMed中进行数据库检索，对文献进行了全面分析，以实现本研究的目标。
结果
孕期母亲精神疾病的存在与早产、新生儿低血糖、不良神经发育结局和依恋障碍有关。胎盘异常、小于胎龄儿、胎儿不适和死产是更不良的围产期结局。
结论
与妊娠相关的精神疾病很常见。对精神问题进行正确诊断和治疗可改善孕妇、婴儿的结局以及女性健康。
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