title: Assessment and Care of Childbearing Women With Severe and Persistent Mental Illness.
abstract: Severe and persistent mental illness (SPMI) refers to complex mood disorders that include major depressive disorder with or without psychosis; severe anxiety disorders resistant to treatment; affective psychotic disorders including bipolar affective disorder, schizophrenia, and schizoaffective disorder; and other nonaffective subtypes of schizophrenia. SPMIs affect 1 in 17 people and are among the leading causes of disability and impaired health-related quality of life in the United States. Caring for childbearing women with preexisting SPMI can be challenging for maternal-child health clinicians. This article provides an overview of SPMI during pregnancy and challenges for clinicians, including early identification, accuracy of diagnoses, and appropriate management through care coordination among an interdisciplinary team that includes obstetric providers, psychiatrists, nurses, and others.
authors.forename: Amy
authors.initials: A
authors.lastname: McKeever
authors.forename: SueEllen
authors.initials: S
authors.lastname: Alderman
authors.forename: Stephanie
authors.initials: S
authors.lastname: Luff
authors.forename: Brian
authors.initials: B
authors.lastname: DeJesus
mesh_terms: D001008:Anxiety Disorders / Q000451:nursing; D001714:Bipolar Disorder / Q000451:nursing; D002648:Child; D003865:Major Depressive Disorder / Q000451:nursing; D005260:Female; D006801:Humans; D000068097:Maternal Health / Q000706:statistics & numerical data*; D008427:Maternal Health Services / Q000458:organization & administration; D001523:Mental Disorders / Q000451:nursing* / Q000523:psychology; D058725:Peripartum Period / Q000523:psychology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000451:nursing* / Q000523:psychology; D011644:Puerperal Disorders / Q000451:nursing; D012559:Schizophrenia / Q000451:nursing; D014481:United States
keywords: mental illness; mood disorder illness; perinatal illness; pregnancy illness; severe and persistent mental illness