Nguyen Thinh, Frayne Jacqueline, Watson Stuart, Galbally Megan
The University of Western Australia Faculty of Medicine Dentistry and Health Sciences, Perth, WA, Australia; and Peel and Rockingham/Kwinana Health Service, Rockingham, WA, Australia.
The University of Western Australia, School of Medicine, Division of General Practice, Perth, WA, Australia; and King Edward Memorial Hospital for Women Perth, Subiaco, WA, Australia.
Australas Psychiatry. 2024 Apr;32(2):138-142. doi: 10.1177/10398562231222831. Epub 2023 Dec 27.
Our study focussed on the obstetric and psychosocial outcomes of pregnant women with Borderline Personality Disorder (BPD) who received care via a specialist antenatal clinic in Western Australia.
This study is a retrospective examination of outcomes for 80 women with a confirmed diagnosis of BPD, with findings compared with published population outcome data for the state.
Pregnant women with BPD appeared to be at a risk of complications including pre-eclampsia and special care nursery admission for their newborns when compared to population data. Furthermore, the studied women had elevated rates of psychiatric admissions during pregnancy, child protection involvement, and domestic violence. Polypharmacy exposure was frequent, with the likely impact on obstetric and neonatal outcomes requiring further study.
The findings reinforced the notion that pregnant women with BPD experience complex multifaceted vulnerabilities and require enhanced multidisciplinary care. Our study further calls for the development of clinical practice guidelines for managing BPD in the perinatal period.
我们的研究聚焦于患有边缘型人格障碍（BPD）的孕妇，她们在西澳大利亚通过一家专科产前诊所接受护理，研究其产科和社会心理结局。
本研究对80名确诊为BPD的女性的结局进行回顾性检查，并将结果与该州已公布的总体结局数据进行比较。
与总体数据相比，患有BPD的孕妇似乎有发生并发症的风险，包括先兆子痫和新生儿入住特殊护理病房。此外，研究中的女性在孕期精神科住院、儿童保护介入和家庭暴力方面的发生率较高。联合用药情况频繁，其对产科和新生儿结局的可能影响需要进一步研究。
研究结果强化了这样一种观念，即患有BPD的孕妇面临复杂多方面的脆弱性，需要加强多学科护理。我们的研究进一步呼吁制定围产期管理BPD的临床实践指南。
