Lanczik M, Knoche M, Fritze J
Department of Psychiatry, University of Birmingham, Queen Elizabeth Hospital, West Midlands, England.
Nervenarzt. 1998 Jan;69(1):10-4. doi: 10.1007/s001150050233.
Whilst the incidence of psychiatric disorders decreases during pregnancy, the risk during the postpartum period increases significantly, often leading to the necessity of psychopharmacological intervention during the puerperium, and subsequently during lactation and breast-feeding. The necessity for lithium prophylaxis in manic-depressive women after childbirth has been identified, and it is recommended that weaning rather than omission of psychopharmacological treatment is preferable during the puerperium.
虽然孕期精神障碍的发病率会下降,但产后风险会显著增加,这常常导致产褥期需要进行精神药物干预,随后在哺乳期和母乳喂养期间也需要干预。已确定产后躁郁症女性有进行锂盐预防性治疗的必要,建议在产褥期采用断奶而非停止精神药物治疗的方式更为可取。