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Volume 13, Issue 1, Pages 7-13 (February 2003)


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Psychiatric disorders in pregnancy and the puerperium

R Cantwell (Consultant Psychiatrist & Honorary Senior Lecturer)af1, J.L Cox (Professor of Psychiatry (Emeritus))b

Abstract 

Suicide is the leading cause of maternal death in the UK. Recognizing risk factors for major postnatal mental illness, and the distinction between normal emotional changes and psychiatric disorder during pregnancy, is critical in routine antenatal care. Recent developments in screening and prevention, and recommendations arising from the Confidential Enquiries into Maternal Deaths will help achieve best practice in caring for mentally ill women during pregnancy and in the early postnatal period. There is a need for such issues to be routinely included in the professional training of obstetric, midwifery, primary care and psychiatric staff.

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Article Outline

Abstract

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FURTHER READING

1. 1 Boath EH, Henshaw C. The treatment of postnatal depression: a comprehensive review. J Reprod Inf Psychol. 2001;19:215–248.

2. 2 Cox J, Holden J. Perinatal Psychiatry: Use and Misuse of the Edinburgh Postnatal Depression Scale. London: Gaskell; 1994;.

3. 3 Hod M, Orvieto R, Kaplan B, Friedman S, Ovadia J. Hyperemesis gravi-darum: a review. J Reprod Med. 1994;39:605–612. MEDLINE

4. 4 Nonacs R, Cohen LS. Depression during pregnancy: diagnosis and treatment options. J Clin Psychiatry. 2002;63:24–30.

5. 5 Oates M. Normal emotional changes in pregnancy and the puerperium. Baillière's Clin Obstet Gynaecol. 1989;3:791–804.

6. 6 O'Hara MW, Swain AM. Rates and risk of postnatal depression – a meta-analysis. Int Rev Psychiatry. 1996;8:37–54. CrossRef

7. 7 Royal College of Obstetricians and Gynaecologists, Why Mothers Die 1997–1999: the Fifth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom, London, RCOG, 2001, www.cemd.org.uk/

8. 8 Guideline 60: Postnatal Depression and Puerperal Psychosis. Edinburgh: SIGN; 2002;.

9. 9 Yonkers K, Little B. Management of Psychiatric Disorders in Pregnancy. London: Arnold; 2001;.

a University Department of Psychological Medicine, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow, G1 2 0XH, UK

b Academic Suite, Harplands Hospital, Hilton Road, Harpfields, Stoke-on-Trent, ST4 6TH, UK

f1 Correspondence to: RC. Tel.: +44 (0) 141 211 0685; Fax: +44 (0) 141 357 4899; E-mail: r.cantwell@clinmed.gla.ac.uk

PII: S0957-5847(03)90301-5

doi:10.1054/cuog.2003.0301


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