title: Bipolar Depression: Pregnancy, Postpartum, and Lactation.
abstract: Medication management of bipolar depression in pregnancy and lactation is best done by assessing each patient's and family's needs in detail. Keeping pregnant patients as psychiatrically stable as possible is the most important principle for clinicians. Unfortunately, there is no risk-free situation for patients with psychiatric illness. This is often the most difficult and hard to accept reality for these patients, families, and clinicians. Clinicians serve these patients best by being as transparent as possible about the risk/benefit analysis of each patient's situation with the realization that ultimately the decisions are made by the patient and family.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Civitan Building, 2213 Elba Street, Durham, NC 27705, USA. Electronic address: marla.wald@duke.edu.
authors.forename: Marla F
authors.initials: MF
authors.lastname: Wald
authors.affiliation: Campbell University College of Pharmacy and Health Sciences, Buies Creek, NC, USA.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Muzyk
authors.affiliation: Mission Health Outpatient Clinical Pharmacy Services, Asheville, NC, USA.
authors.forename: Drue
authors.initials: D
authors.lastname: Clark
mesh_terms: D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D014150:Antipsychotic Agents / Q000009:adverse effects / Q000627:therapeutic use*; D001714:Bipolar Disorder / Q000145:classification / Q000188:drug therapy*; D019052:Depression, Postpartum / Q000628:therapy*; D005260:Female; D006801:Humans; D007774:Lactation / Q000187:drug effects*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy*; D012307:Risk Factors; D013723:Teratogens
chemical_list: D000928:Antidepressive Agents; D014150:Antipsychotic Agents; D013723:Teratogens
keywords: Bipolar depression; Lactation; Postpartum; Pregnancy