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This book examines the role of psychopharmacological treatment in a range of disorders that may be encountered during pregnancy, including major depressive disorders, anxiety disorders, bipolar affective disorder, schizophrenia, eating disorders and substance abuse. The natural history of each condition pre and post-partum is analyzed and the evidence for the efficacy of drug treatments, evaluated. Special attention is paid to the potential dangers of different treatment options for both mother and fetus, covering risks of malformation, pregnancy and obstetric risks, neonatal risks and possible long-term consequences. The risks of not treating a particular condition are also analyzed. On the basis of the available evidence, management guidelines are provided that additionally take into account non-pharmacological options. Closing chapters consider the value of complementary and alternative medicine and ECT and explore future research directions.
List of contents
Introduction to Perinatal Psychiatry.- The Process of Obtaining Informed Consent: Including Medico-legal implications.- Methodology: How to Interpret the Literature and Level of Evidence.- Physiological Changes in Pregnancy, the Biology of Exposure and Psychopharmacology.- Outcomes for Mother and Child as a Result of Untreated Mental Illness.- Major Depressive Disorders: Anti-depressants.- Anxiety Disorders: Anxiolytics and Hypnotics.- Bipolar Affective Disorder: Mood Stabilisers.- Schizophrenia: Anti-Psychotics.- Other Disorders: Eating Disorders, Borderline Personality Disorder.- Substance Abuse Disorders.- Complementary and alternative Medicines.- ECT.- Conclusion.
Summary
This book examines the role of psychopharmacological treatment in a range of disorders that may be encountered during pregnancy, including major depressive disorders, anxiety disorders, bipolar affective disorder, schizophrenia, eating disorders and substance abuse. The natural history of each condition pre and post-partum is analyzed and the evidence for the efficacy of drug treatments, evaluated. Special attention is paid to the potential dangers of different treatment options for both mother and fetus, covering risks of malformation, pregnancy and obstetric risks, neonatal risks and possible long-term consequences. The risks of not treating a particular condition are also analyzed. On the basis of the available evidence, management guidelines are provided that additionally take into account non-pharmacological options. Closing chapters consider the value of complementary and alternative medicine and ECT and explore future research directions.
Additional text
“Psychopharmacology and Pregnancy: Treatment
Efficacy, Risks, and Guidelines provides guidance on the psychopharmacologic
treatment of both pregnant women and women considering pregnancy, and it
addresses several important topics to keep in mind when treating this special
population, including consent procedures, ongoing critical review of the
literature, and available alternative treatments. It would be a valuable
reference to any clinician who may potentially treat peripartum women.” (Annette
M. Matthews, Journal of Clinical Psychiatry, Vol. 76 (6), June, 2015)
“This book surveys the occurrence of mental illness in pregnancy and explains recommendations for treating pregnant patients with these disorders. … Any clinician who cares for pregnant women would benefit from using this book, but it is particularly relevant for those working atthe interface of mental health and obstetrics. … It serves as an excellent tool for all those who are caring for pregnant women with mental illness.” (Sheila Lahijani, Doody’s Book Reviews, November, 2014)
Report
"Psychopharmacology and Pregnancy: Treatment Efficacy, Risks, and Guidelines provides guidance on the psychopharmacologic treatment of both pregnant women and women considering pregnancy, and it addresses several important topics to keep in mind when treating this special population, including consent procedures, ongoing critical review of the literature, and available alternative treatments. It would be a valuable reference to any clinician who may potentially treat peripartum women." (Annette M. Matthews, Journal of Clinical Psychiatry, Vol. 76 (6), June, 2015)
"This book surveys the occurrence of mental illness in pregnancy and explains recommendations for treating pregnant patients with these disorders. ... Any clinician who cares for pregnant women would benefit from using this book, but it is particularly relevant for those working atthe interface of mental health and obstetrics. ... It serves as an excellent tool for all those who are caring for pregnant women with mental illness." (Sheila Lahijani, Doody's Book Reviews, November, 2014)
