title: ['Steroid psychosis' during treatment for premature labour].
abstract: A 30-year-old woman, 33 weeks pregnant, without a significant psychiatric history, was admitted for treatment of premature labour. She was treated with betamethasone intramuscularly, with a total dose of 24 mg divided over 2 days, and nifedipine orally with beneficial effect on the contractions. However, within 24 h after completion of tocolytic treatment, she developed a psychosis with delusions and hallucinations necessitating readmission, first to an obstetric ward, later to a psychiatric ward. At least part of this episode may be characterized as delirium. Eventually, she was treated with haloperidol. It is argued that her psychosis was caused by the corticosteroid, since psychiatric disturbance is a well-known complication of corticosteroid therapy. To our knowledge, psychosis during pregnancy as a result of treatment with corticosteroids has not been reported previously.
authors.affiliation: Yulius voor Geestelijke Gezondheid, Dordrecht, the Netherlands.
authors.forename: Myrthe I M E
authors.initials: MI
authors.lastname: Koster
authors.forename: Mark H
authors.initials: MH
authors.lastname: de Jong
authors.forename: Marees Th
authors.initials: MT
authors.lastname: Derksen
authors.forename: Arthur R
authors.initials: AR
authors.lastname: Van Gool
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001623:Betamethasone / Q000009:adverse effects* / Q000627:therapeutic use; D005260:Female; D005938:Glucocorticoids / Q000009:adverse effects* / Q000627:therapeutic use; D006220:Haloperidol / Q000627:therapeutic use; D006801:Humans; D009543:Nifedipine / Q000627:therapeutic use; D007752:Obstetric Labor, Premature / Q000188:drug therapy; D011247:Pregnancy; D011605:Psychoses, Substance-Induced / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D015149:Tocolytic Agents / Q000627:therapeutic use
chemical_list: D014150:Antipsychotic Agents; D005938:Glucocorticoids; D015149:Tocolytic Agents; D001623:Betamethasone; D009543:Nifedipine; D006220:Haloperidol