Sections
Psychopharmacology During Pregnancy and Lactation: Introduction | A Model for Treatment Guidelines During Pregnancy
and Lactation: Minimizing Offspring Exposure | Prevalence of Psychiatric Disorders During Pregnancy
and the Postpartum Period | Effect of Maternal Psychiatric Disorders | Treatment Issues During Pregnancy and Lactation | Pharmacokinetics and Pharmacodynamics of Pregnancy
and Lactation: Implications for Dose Management | Antidepressants | Mood-Stabilizing Medications | Antipsychotics | Anxiolytics | Future Directions and General Recommendations | Conclusion | References
Excerpt
The management of mental illness during pregnancy and
lactation represents a unique and complex clinical situation involving
a minimum of two concomitant medical conditions (i.e., pregnancy
and a psychiatric disorder) and also demanding consideration of
the welfare of at least two patients (i.e., mother and child), not
to mention the potential impact of maternal illness on the family
at large. The American College of Obstetricians and Gynecologists
Practice Bulletin on the use of psychotropic medications during
pregnancy and lactation acknowledges the potential adverse impact
of untreated or inadequately treated maternal mental illness (American College of Obstetricians and Gynecologists 2007).