Perinatal mental health - identifying problems and managing medications.
BACKGROUND
Perinatal psychiatry has expanded from the traditional focus on mental health in the postpartum period to include a greater understanding that women may become unwell during pregnancy and that the risks to the infant from exposure to illness start before birth. One of the key roles for the general practitioner is to help women with known mental health issues to prepare for pregnancy, as well as identify those at risk and help to guide management choices.


OBJECTIVE
This article reviews the issues to consider when managing perinatal illness, focusing on medication.


CONCLUSIONS
Perinatal mental illness is common. The illness poses a risk to mother and child through treating and not treating. The aim is to identify risks early, manage them assertively but sensitively, and ensure that the mother is as well as possible while minimising risk to the child.
MBBS, MMed, MD, FRANZCP, Professor, Director Women's Mental Health, University of Melbourne, Austin Health and Northpark Hospitals, Melbourne, VIC.
Anne
A
Buist
D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use; D001007:Anxiety / Q000188:drug therapy; D003863:Depression / Q000188:drug therapy; D005260:Female; D058006:General Practice; D006801:Humans; D008431:Maternal-Fetal Exchange; D001523:Mental Disorders / Q000188:drug therapy*; D019964:Mood Disorders / Q000188:drug therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy* / Q000523:psychology*; D012307:Risk Factors
D000928:Antidepressive Agents