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中低收入国家围产期和产褥期的精神科急症。

Psychiatric emergencies during pregnancy and puerperium in low - And middle-income countries.

机构信息

University of KwaZulu Natal, School of Clinical Medicine, Discipline of Psychiatry, South Africa.

University of KwaZulu Natal, School of Clinical Medicine, Discipline of Psychiatry, South Africa.

出版信息

Best Pract Res Clin Obstet Gynaecol. 2024 Jun;94:102478. doi: 10.1016/j.bpobgyn.2024.102478. Epub 2024 Feb 21.

Abstract

Pregnancy and puerperium are critical points in women's health, and various psychiatric emergencies may worsen or manifest (for the first time) during this period. In the presence of a psychiatric emergency, the pregnancy and puerperium outcomes may be compromised. In addition to the mother being at risk, the health of the fetus and the newborn may also be compromised if the psychiatric emergency is not managed appropriately. Early detection and collaborative approaches between mental health practitioners and obstetricians are of utmost importance in women who are at risk and those living with psychiatric illnesses during pregnancy and puerperium. Practitioners should also ensure that women with impaired capacity due to psychiatric disease are treated in a non-judgmental and respectful manner, even if their autonomies have been overridden.

摘要

妊娠和产褥期是女性健康的关键时期,在此期间,各种精神科急症可能会恶化或首次出现。在精神科急症存在的情况下,妊娠和产褥期结局可能会受到影响。如果精神科急症得不到适当处理,不仅母亲面临风险,胎儿和新生儿的健康也可能受到影响。对于有风险的妇女和在妊娠及产褥期患有精神疾病的妇女,精神卫生从业人员与妇产科医生之间进行早期检测和协作非常重要。从业人员还应确保以非评判和尊重的方式治疗因精神疾病而丧失能力的妇女,即使她们的自主权已经被剥夺。

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