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• W2091973982 endingPage "1788" @default.
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• W2091973982 abstract "Mental disorders are among the most common morbidities of pregnancy and the postnatal period, and can have adverse effects on the mother, her child, and family. This Series paper summarises the evidence about epidemiology, risk factors, identification, and interventions for non-psychotic mental disorders. Although the phenomenology and risk factors for perinatal mental disorders are largely similar to those for the disorders at other times, treatment considerations differ during pregnancy and breastfeeding. Most randomised controlled trials have examined psychosocial and psychological interventions for postnatal depression, with evidence for effectiveness in treating and preventing the disorder. Few high-quality studies exist on the effectiveness or safety of pharmacological treatments in the perinatal period, despite quite high prescription rates. General principles of prescribing of drugs in the perinatal period are provided, but individual risk–benefit analyses are needed for decisions about treatment. Mental disorders are among the most common morbidities of pregnancy and the postnatal period, and can have adverse effects on the mother, her child, and family. This Series paper summarises the evidence about epidemiology, risk factors, identification, and interventions for non-psychotic mental disorders. Although the phenomenology and risk factors for perinatal mental disorders are largely similar to those for the disorders at other times, treatment considerations differ during pregnancy and breastfeeding. Most randomised controlled trials have examined psychosocial and psychological interventions for postnatal depression, with evidence for effectiveness in treating and preventing the disorder. Few high-quality studies exist on the effectiveness or safety of pharmacological treatments in the perinatal period, despite quite high prescription rates. General principles of prescribing of drugs in the perinatal period are provided, but individual risk–benefit analyses are needed for decisions about treatment. No health without perinatal mental healthPregnancy and the arrival of a new baby signal a time of unparalleled change and hope for the future. For many women, however, it is a challenging time; for a minority of mothers this period can be overshadowed by mental illness, aggravated by widespread stigma.1 There is no time in the lifespan that the statement “there is no health without mental health”2 rings truer than in the perinatal period. The perinatal mental health Series in The Lancet reviews the epidemiology and treatment of perinatal mental disorders and their effect on mother and child. Full-Text PDF Post-partum depressive episodes and bipolar disorderWith great interest, we read the Lancet Series on perinatal health. Louise Howard and colleagues' Series paper1 discussed non-psychotic mental disorders in the perinatal period. In the second paper of the Series, Ian Jones and colleagues2 provided a comprehensive overview of post-partum psychotic episodes occurring in the context of bipolar disorder or schizophrenia. Although Howard and colleagues1 methodically reviewed non-psychotic disorders, including major depressive disorder occurring during the perinatal period, an important topic that is not addressed is post-partum depression arising from an underlying bipolar disorder. Full-Text PDF" @default.
• W2091973982 created "2016-06-24" @default.
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• W2091973982 date "2014-11-01" @default.
• W2091973982 modified "2023-10-16" @default.
• W2091973982 title "Non-psychotic mental disorders in the perinatal period" @default.
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