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Bipolar disorder and pregnancy

Galbally, M.ORCID: 0000-0003-3909-1918, Power, J. and Snellen, M. (2016) Bipolar disorder and pregnancy. Australian and New Zealand Journal of Psychiatry, 50 (S1). p. 190.

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Abstract Appendix

Background: Bipolar Disorder and Postpartum Psychosis are serious conditions in pregnancy with implications from both illness and treatments for poorer pregnancy; neonatal and longer term developmental outcomes. Relapse rates without treatment are high and choice of treatment important to both keep women well and ensure minimal impact on offspring.

Objectives: This paper will present both literature on the natural course for Bipolar Disorder and for Postpartum Psychosis in pregnancy and the early postpartum, treatment options and risks/benefits and management recommendations. Finally, data collected within a tertiary maternity hospital that has a specialized antenatal clinic for women with Schizophrenia and Bipolar Disorder will be presented.

Methods: A review of literature and current guidelines across several services will be undertaken. Retrospective data drawn from a specialized antenatal clinic will be analyzed for pregnancy and neonatal complications.

Findings: Bipolar Disorder and Postpartum Psychosis are both specifically associated with perinatal risks. However, the treatment recommendations for these two conditions differ across pregnancy and the postpartum.

Conclusions: The further development of research and clinical guidance for management of Bipolar Disorder and Postpartum Psychosis is an important area of mental health to ensure better pregnancy and offspring outcomes.

Item Type: Journal Article
Publisher: SAGE Publications
Copyright: © The Royal Australian and New Zealand College of Psychiatrists 2016
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